Open AccessCarotid endarterectomy in acute ischemic stroke
Author(s) -
А. Н. Казанцев,
Н. Н. Бурков,
Р. С. Тарасов,
А. И. Ануфриев,
А. Р. Шабаев,
Е. В. Рубан,
А. В. Миронов,
В. Ю. Херасков
Publication year - 2018
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2018-1-66-72
Subject(s) - carotid endarterectomy , medicine , endarterectomy , revascularization , acute stroke , stroke (engine) , cardiology , carotid arteries , myocardial infarction , tissue plasminogen activator , engineering , mechanical engineering
Currently, there are no clear domestic and foreign recommendations for cerebral revascularization, also missing is a definite decision on determining the timing and possibility of carotid endarterectomy in acute ischemic stroke. A set of measures aiming at obtaining a satisfactory outcome of carotid endarterectomy in the acute ischemic cerebrovascular event is developed. To prevent hyperperfusion complications, a temporary shunt, low doses of unfractionated heparin, adequate antiplatelet, hypotensive and lipid-lowering therapy are used. The main advantages and disadvantages of all modern methods of surgical treatment of this condition are presented. Received 22 August 2017. Revised 7 December 2017. Accepted 11 December 2017. Funding: The study was supported by the Siberian Branch of Russian Academy of Sciences within the framework of the fundamental research package program. Conflict of interest: Authors declare no conflict of interest. Author contributions Drafting the article: A.N. Kazantsev Resources: A.R. Shabayev Artistic design: N.N. Burkov Critical revision of the article: A.I. Anufriyev, A.V. Mironov, V.Yu. Kheraskov Surgical treatment: A.N. Kazantsev Assistance in surgery: N.N. Burkov, A.R. Shabayev Revascularization tactic selection: A.I. Anufriyev, A.V. Mironov, V.Yu. Kheraskov Neurological examination: E.V. Ruban Final approval of the version to be published: A.N. Kazantsev, N.N. Burkov, R.S. Tarasov, A.I. Anufriyev, A.R. Shabayev, E.V. Ruban, A.V. Mironov, V.Yu. Kheraskov