Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector166110.17750/KMJ2015-337Research ArticleLong-term results of eversion surgeries for internal carotid artery stenosis due to atherosclerosisZakirovI Rzakirovir@yandex.ruYagafarovI Rzakirovir@yandex.ruKhatypovM Gzakirovir@yandex.ruSibagatullinN Gzakirovir@yandex.ruZakirzyanovM Khzakirovir@yandex.ruFaskhutdinovN Gzakirovir@yandex.ruGaysinR Fzakirovir@yandex.ruBikchantaevA Azakirovir@yandex.ruNadyrovaM Nzakirovir@yandex.ruMatveevaD Vzakirovir@yandex.ruMedical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia1506201596333734028032016Copyright © 2015, Zakirov I.R., Yagafarov I.R., Khatypov M.G., Sibagatullin N.G., Zakirzyanov M.K., Faskhutdinov N.G., Gaysin R.F., Bikchantaev A.A., Nadyrova M.N., Matveeva D.V.2015<p><strong>Aim.</strong> Analysis of long-term results of eversion carotid endarterectomy in patients with atherosclerotic carotid stenosis.</p><p><strong>Methods.</strong> 272 eversion carotid endarterectomy surgeries was performed from June 2008 to December 2014 in the department of cardiac surgery. Long-term results were studied in 198 (73%) patients, with follow-up term ranging from 6 to 48 months. The method of operation serves as a criterion separating Patients were allocated into two groups by the surgery method: in the first group, eversion endarterectomy was performed by Kieny, in the second - by DeBakey.</p><p><strong>Results.</strong> Reconstructed ipsilateral internal carotid artery was passable during the follow-up period in 100% of cases, as confirmed by ultrasonography. In the late period, the mortality in the first group was 2.3% (myocardial infarction and cancer), compared to 1.5% in the second group (myocardial infarction). Acute ischemic stroke occurred in 0.8% of the first group patients and in 1.5% of the second group patients. Restenosis of 50 to 69% were discovered in 3.7% of cases in first group and in 3% in the second group. Restenosis ≥70% were found in 1.5% in both groups of patients.</p><p><strong>Conclusion.</strong> The obtained data confirm that both methods of eversion carotid endarterectomy are safe and reliable in treatment of carotid arteries atherosclerosis and, thus, preventing stroke.</p>carotid stenosiseversion carotid endarterectomyrestenosislong-term resultsстеноз сонных артерийэверсионная каротидная эндартерэктомиярестенозотдалённые результаты[Казанчян П.О., Попов В.А., Ларьков Р.Н. и др. Клиническая и хирургическая оценка результатов классической и эверсионной методик каротидной эндартерэктомии // Кардиол. и сердечно-сосудис. хир. - 2009. - Т. 2, №6. - С. 42-46.][Покровский А.В. Клиническая ангиология (в 2 томах). - М.: Медицина, 2004. - 1610 с.][Покровский А.В., Кунцевич Г.И., Белоярцев Д.Ф. и др. 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