Scientific substantiation of the routing of patients with atherosclerosis of the brachiocephalic arteries in the framework of the “Healthy Moscow” project.

Modern stroke screening and treatment requires a systematic organization of medical care at all levels of the health care system in order to obtain results. In many countries there is a multilevel system of prevention, screening and treatment of stroke. Given the limited availability of large centers capable of providing complex multidisciplinary care to patients with stroke, it is necessary to develop and implement routing protocols for patients at risk of stroke, including patients with BCA pathology. Due to early detection and optimal routing, a high percentage of identified patients with BCA occlusion survive. An analysis of the experience of implementing screening for BCA pathologies as part of stroke prevention in the “Healthy Moscow” project showed that timely detected deviations with proper prevention can not only avoid the serious consequences of a stroke, but often prevent the development of the disease. In view of the determined global disparity in the accessibility of obtaining the necessary endovascular care by the population, the population screening program for BCA pathology within the framework of the “Healthy Moscow program is a significant contribution to the introduction of clinical management of cardiovascular care. The routing of patients with BCA pathology, implemented in, the “Healthy Moscow” project, is of undoubted practical value for the healthcare of Moscow and our country.