Open AccessScope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
Author(s) -
A. I. Beliy,
E. S. Suslov,
V. V. Efimov,
А. Н. Федорченко
Publication year - 2022
Publication title -
innovacionnaâ medicina kubani
Language(s) - English
Resource type - Journals
eISSN - 2541-9897
pISSN - 2500-0268
DOI - 10.35401/2500-0268-2022-25-1-53-60
Subject(s) - medicine , carotid arteries , radiology , lesion , surgery , internal carotid artery , complication , stroke (engine) , mechanical engineering , engineering
In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication as ischemic stroke, in most cases surgeons refuse to perform the operation. Endovascular surgery is often the only option for these patients. After analyzing the world experience in the treatment of hemodynamically significant lesions of the arteries of the brachiocephalic basin and applying in practice various methods of endovascular interventions in patients with complex stenotic lesions of the internal carotid arteries, we were convinced that endovascular correction of such lesions is often the main method of treatment for patients with multifocal atherosclerosis, and can also be used as a primary method of treatment, as it demonstrates high effectiveness, low risk of complications and good long-term results.