Long-term results of eversion surgeries for internal carotid artery stenosis due to atherosclerosis

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Abstract

Aim. Analysis of long-term results of eversion carotid endarterectomy in patients with atherosclerotic carotid stenosis.

Methods. 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.

Results. 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.

Conclusion. 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.

About the authors

I R Zakirov

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Author for correspondence.
Email: zakirovir@yandex.ru

I R Yagafarov

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

M G Khatypov

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

N G Sibagatullin

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

M Kh Zakirzyanov

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

N G Faskhutdinov

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

R F Gaysin

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

A A Bikchantaev

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

M N Nadyrova

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

D V Matveeva

Medical and sanitary unit of JSC «Tatneft» and the city of Almetyevsk, Almetyevsk, Russia

Email: zakirovir@yandex.ru

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© 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.

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