[Results of various methods of reconstruction in patients with extended atherosclerotic lesions of carotid arteries].

Abstract

Analysed herein are the remote results of various methods of carotid reconstruction in a total of 115 patients with combined haemodynamically significant stenosis of the common and internal carotid arteries. Depending on the type of carotid reconstruction used, the patients were subdivided into 4 groups: Group I - simultaneous eversion endarterectomy from the internal and common carotid arteries - 35 (30.4%) patients, Group II - eversion carotid endarterectomy with plasty of longitudinal arteriotomy of the common carotid artery by a primary suture - 30 (26.1%), Group III - eversion carotid endarterectomy with prosthetic repair of the common carotid artery - 25 (21.7%); Group IV - angioplasty and stenting of the common and internal carotid arteries - 25 (21.7%). We assessed the remote postoperative results of surgical treatment: survival rate, incidence of acute cerebral circulation impairment, and patency of the reconstructed zone. Statistically significant differences were revealed in relation to the frequency of carotid reconstruction zone restenosis of more than 65% (according to the NASCET criteria). The best remote postoperative results were observed in patients after simultaneous eversion endarterectomy from the internal and common carotid arteries (p<0.005). Repeat operations were performed in five (16.7%) patients after plasty of the common carotid artery with primary suture due to restenosis of the reconstruction zone of more than 65% (according to the NASCET criteria).