Restenosis of carotid arteries after carotid endarterectomy: current aspects of the problem (local and systemic risk factors). Part 1

Losev R.Z., Kulikova A.N., Bakhmetiev A.S.

Chair of Hospital Surgery of Therapeutic Faculty Saratov State Medical University V.I. Razumovskii, Saratov, Russia

Carotid endarterectomy is currently the most effective surgical means of preventing ischaemic stroke. Despite the fact that this type of intervention is widely used, there seems to be no tendency toward decreased incidence of such a complication as restenosis of carotid arteries.

The present review deals with the results of analyzing the literature on the problem concerning carotid artery restenosis after carotid endarterectomy. Considered herein are the problems of epidemiology and prevalence of the complication involved. Special attention is paid to local and systemic risk factors for the development of restenosis. Studying risk factors of restenosis after carotid endarterectomy is of considerable importance for both prevention and choice of pathogenetically targeted treatment of patients presenting with atherosclerotic lesions of brachiocephalic vessels.

KEY WORDS: restenosis, carotid artery, carotid endarterectomy, risk factors, ischaemic stroke.

P. 153

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