Our experience in surgical management of internal carotid artery ocсlusion

Karimov Sh.I., Sunnatov R.D., Irnazarov A.A., Alidzhanov Kh.K, Yulbarisov A.A., Ahmatov А.М., Ganiev D.A., Asrarov U.A.
Chair of Faculty and Hospital Surgery of the Therapeutic Department Tashkent Medical Academy, Tashkent, Republic of Uzbekistan

Analysed in the article are the outcomes of surgical management in a total of 42 patients diagnosed as having occlusive lesions of the internal carotid artery. Also studied is efficacy of the operation – resection and ligation of the internal carotid artery, endarterectomy from the common and external carotid arteries with the application of a dilating patch onto the external carotid artery in occlusion of the internal carotid artery in patients with endured ischaemic stroke, depending on severity of neurological deficit and the time having elapsed since the operation performed. Also investigated are peculiarities of cerebral haemodynamics in patients with occlusion of the internal carotid artery and haemodynamic alterations during the stages of surgical treatment. The obtained findings confirm efficacy of reconstructive operations in both prevention of relapsing stroke and surgical rehabilitation.

KEY WORDS: ischaemic stroke, occlusion of the internal carotid artery (ICA), surgical management.

P.108

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