Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions

In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication...

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Main Authors: A. I. Beliy, E. S. Suslov, V. V. Efimov, A. N. Fedorchenko
Format: Article
Language:Russian
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2022-03-01
Series:Инновационная медицина Кубани
Subjects:
Online Access:https://www.innovmedkub.ru/jour/article/view/506
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author A. I. Beliy
E. S. Suslov
V. V. Efimov
A. N. Fedorchenko
author_facet A. I. Beliy
E. S. Suslov
V. V. Efimov
A. N. Fedorchenko
author_sort A. I. Beliy
collection DOAJ
description In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication as ischemic stroke, in most cases surgeons refuse to perform the operation. Endovascular surgery is often the only option for these patients. After analyzing the world experience in the treatment of hemodynamically significant lesions of the arteries of the brachiocephalic basin and applying in practice various methods of endovascular interventions in patients with complex stenotic lesions of the internal carotid arteries, we were convinced that endovascular correction of such lesions is often the main method of treatment for patients with multifocal atherosclerosis, and can also be used as a primary method of treatment, as it demonstrates high effectiveness, low risk of complications and good long-term results.
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spelling doaj.art-0c53e2f41a994c7cbd11ca496c61872e2025-02-28T14:50:42ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972022-03-0101536010.35401/2500-0268-2022-25-1-53-60316Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditionsA. I. Beliy0E. S. Suslov1V. V. Efimov2A. N. Fedorchenko3Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication as ischemic stroke, in most cases surgeons refuse to perform the operation. Endovascular surgery is often the only option for these patients. After analyzing the world experience in the treatment of hemodynamically significant lesions of the arteries of the brachiocephalic basin and applying in practice various methods of endovascular interventions in patients with complex stenotic lesions of the internal carotid arteries, we were convinced that endovascular correction of such lesions is often the main method of treatment for patients with multifocal atherosclerosis, and can also be used as a primary method of treatment, as it demonstrates high effectiveness, low risk of complications and good long-term results.https://www.innovmedkub.ru/jour/article/view/506ischemic strokeatherosclerosisbrachiocephalic arteriesstentinganatomical conditionshemodynamically significant bend
spellingShingle A. I. Beliy
E. S. Suslov
V. V. Efimov
A. N. Fedorchenko
Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
Инновационная медицина Кубани
ischemic stroke
atherosclerosis
brachiocephalic arteries
stenting
anatomical conditions
hemodynamically significant bend
title Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
title_full Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
title_fullStr Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
title_full_unstemmed Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
title_short Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
title_sort scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
topic ischemic stroke
atherosclerosis
brachiocephalic arteries
stenting
anatomical conditions
hemodynamically significant bend
url https://www.innovmedkub.ru/jour/article/view/506
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AT vvefimov scopeofendovascularsurgeryincorrectionofstenoticlesionsoftheinternalcarotidarteryincomplexanatomicconditions
AT anfedorchenko scopeofendovascularsurgeryincorrectionofstenoticlesionsoftheinternalcarotidarteryincomplexanatomicconditions