EARLY CAROTID ENDARTERECTOMY IN SYMPTOMATIC PATIENTS

OBJECTIVEIntroduction: Stroke is a big social problem. The expediency of surgical treatment is justified as the chances for complete reconvalescence of the neurological deficiency increase. The aim: To analyze available sources of scientific information on the terms of surgical treatment of patients with acute neurological deficiency.PATIENTS AND METHODSMaterials and methods: We analyzed 41 English publications in PubMed for 5 years from 2012 to 2017, with the keywords "urgent carotid endarterectomy" and "early carotid endarterectomy".CONCLUSIONConclusions: In the classic course of stroke or TIA, the best treatment results are obtained when the CEA is performed 3-7 days after the marker event. CEA should be performed as soon as possible to restore brain revascularization and prevent the fatal progression of the neurological deficiency after crescendo TIA or stroke-in-evolution, despite the fact that the risk of complications and disability after surgery may be higher than 6%.