Open AccessTHE RISCS OF REPEATED STROKES AND REPERFUSION SYNDROME IN PATIENTS WITH SEVERE STENOSIS OF CAROTID ARTERIES
Author(s) -
І.С. Пуляєва,
V. О. Prasol
Publication year - 2019
Publication title -
eksperimentalʹna ì klìnìčna medicina
Language(s) - English
Resource type - Journals
eISSN - 2710-1487
pISSN - 2414-4517
DOI - 10.35339/ekm.2019.85.04.12
Subject(s) - medicine , stenosis , asymptomatic , internal carotid artery , stroke (engine) , cardiology , carotid arteries , disease , radiology , carotid artery disease , carotid endarterectomy , mechanical engineering , engineering
The results of a comprehensive examination and surgical treatment of 230 patients with atherosclerotic lesions of the carotid arteries were analyzed. The study included patients with symptomatic stenosis of the internal carotid artery (ICA) (more than 50 %), asymptomatic ICA stenosis (more than 70 %), unstable ICA plaque, visual impairment. To assess the severity of neurological deficits, the degree of recovery of neurological functions, a scoring system of various clinical and neurological parameters was performed using the scale of stroke severity of the National Institutes of Health (NIHSS) with evaluation recommendations. Patients with symptomatic internal carotid artery disease, large stroke, and bilateral carotid artery disease have been shown to be the highest risk group for recurrent stroke and reperfusion syndrome. When choosing a method of treatment, the size of the ischemic focus, somatic condition and the level of neurological deficit in the patient are important.