INDICATIONS FOR SURGICAL MANAGEMENT OF PATIENTS WITH HAEMODYNAMICALLY INSIGNIFICANT STENOSES OF CAROTID ARTERIES

Gavrilenko A.V., Kuklin A.V., Petrenko P.N.
Department of Vascular Surgery Federal Facility Russian Scientific Centre of Surgery named after B.V. Petrovskii under the Russian Academy of Medical Sciences,
Moscow, Russia

We examined a total of 56 patients presenting with haemodynamically insignificant stenoses of carotid arteries, with a narrowing of the internal carotid artery by an atherosclerotic plaque varying from 30% to 55%, to have also analysed the relationship between the sonographic and morphological peculiarities of atherosclerotic plaques of the carotid arteries and severity of cerebrovascular insufficiency. Of these, 27 patients were subjected to carotid endarterectomy (CEE). The long-term outcomes were studied during the follow-up period lasting up to 5 years. The incidence rate of neurological deficits turned out to be lower in the postoperative-group patients as compared with those from the control group. A conclusion was made that both the carotid artery stenosis degree and the structure of an atherosclerotic plaque appear to be equally important criteria in assessing the indications for surgical management.

KEY WORDS: carotid endarterectomy, atherosclerotic plaques, haemodynamically insignificant stenoses of carotid arteries.

P. 92-96

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