Peculiarities of glomus-sparing eversion carotid endarterectomy

Described in the article are technical peculiarities of performing eversion carotid endarterectomy with the preservation of the structure of the carotid glomus. Atherosclerosis of the carotid artery bifurcation appears to influence the onset and course of arterial hypertension. An important role the...

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Bibliographic Details
Published in:	Angiologii͡a︡ i sosudistai͡a︡ khirurgii͡a Vol. 17; no. 2; p. 119
Main Authors:	Antsupov, K A, Lavrentiev, A V, Vinogradov, O A, Dadashov, S A, Marynich, A A
Format:	Journal Article
Language:	English Russian
Published:	Russia (Federation) 2011
Subjects:	Baroreflex Carotid Arteries - pathology Carotid Arteries - surgery Carotid Artery Diseases - pathology Carotid Artery Diseases - physiopathology Carotid Artery Diseases - surgery Carotid Body - physiopathology Endarterectomy, Carotid - adverse effects Endarterectomy, Carotid - methods Endarterectomy, Carotid - standards Humans Hypertension - etiology Hypertension - physiopathology Hypertension - prevention & control Hypotension - etiology Hypotension - physiopathology Hypotension - prevention & control Intraoperative Complications - prevention & control Postoperative Complications - etiology Postoperative Complications - physiopathology Postoperative Complications - prevention & control Recurrence Treatment Outcome
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Summary:	Described in the article are technical peculiarities of performing eversion carotid endarterectomy with the preservation of the structure of the carotid glomus. Atherosclerosis of the carotid artery bifurcation appears to influence the onset and course of arterial hypertension. An important role therein is played by barorefl ex and glomus dysfunction. The operation of carotid endarterectomy decreases the background arterial pressure but in a series of cases, with destroyed structures of the carotid glomus, induces alterations in the pattern of arterial hypertension with the development of hyper- and hypotensive crises. The authors have worked out an operation of glomus-sparing eversion carotid endarterectomy, combining advantages of the eversion technique and prevention of glomus dysfunction. The outcomes of 25 operations demonstrated a positive antihypertensive eff ect of the new technique, with no systemic haemodynamic impairments observed in the patients after surgery.
ISSN:	1027-6661