The advisability of carotid endarterectomy up to 48 — 72 hours after acute cerebrovascular impairment in patients with symptomatic internal carotid artery stenosis of more than 50 %
Journal Title: Серце і судини - Year 2018, Vol 0, Issue 1
Abstract
The aim — to evaluate the results of carotid endarterectomy (CEA) in the acute period of ischemic stroke. Materials and methods. The paper presents the results analysis of CEA performed in 260 patients with symptomatic internal carotid artery stenosis. Results and discussion. For the period of 2011 — 2013 (118 patients) the prevailed number of operations was with delayed CEA for 5 — 6 weeks from the moment of ACD; for the period 2014 — 2016 (142 patients) there was a pronounced advantage of performing CEA until 14 days from the moment of ACD. Indicators of postoperative complications in symptomatic patients, who underwent urgent CEA, did not disclose significant difference (p < 0.05) comparing with the group of patients who had CEA after 5 to 6 weeks after ACD. Considering a high risk of stroke recurrence within the first 14 days, urgent carotid endarterectomy is an effective surgical approach to the prevention of recurrent stroke. Conclusions. Urgent CEA is indicated for patients with unstable neurological symptoms, recurrent stroke during 24 hours, as well as for those with unstable atherosclerotic plaque.
Authors and Affiliations
I. I. Kopolovets, P. Berek, V. V. Rusyn, P. O. Boldizhar, M. Frankovicova
Keywords
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