Analysis of long-term outcomes after carotid endarterectomy for stenosing lesions of carotid arteries

• Published in: Angiologii͡a︡ i sosudistai͡a︡ khirurgii͡a Vol. 16; no. 3; p. 103
• Main Authors: Karimov, Sh I, Rakhimbaeva, G S, Ataniiazov, M K
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2010
• Subjects: Angiography; Carotid Stenosis - diagnostic imaging; Carotid Stenosis - surgery; Endarterectomy, Carotid - methods; Female; Follow-Up Studies; Humans; Male; Middle Aged; Retrospective Studies; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Ultrasonography, Doppler, Duplex
• ISSN: 1027-6661

Surgical management of patients presenting with stenosing lesions of carotid arteries is currently included into the International standards of treatment for transient ischaemic attacks (TIAs) and stroke. The present work was aimed at assessing long-term outcomes following carotid endarterectomy (CEA) in patients diagnosed with stenosing lesions of carotid arteries based on the results ofa 6-month follow-up. The study comprised the analysis of remote outcomes after reconstructive operations on carotid arteries as compared to those of conservative methods of treatment in a total of 120 patients suffering from haemodynamically significant stenoses of carotid arteries. The obtained findings demonstrated that managing the patients suffering from stage I-II chronic cerebrovascular insufficiency by means of conservative methods only turned out less efficient and was associated -with a substantially larger percentage of patients who later on experienced ischaemic strokes, as well as with a higher mortality rate versus those in the group of patients subjected to CEA.