Efficacy of internal carotid artery reconstruction in patients with prior ischemic stroke

Kazanchian P.O.; Lar'kov R.N.; Esaian A.V.; Sotnikov P.G.; Kozorin M.G.

doi:https://doi.org/

Kazanchian P.O.

MONIKI im. M.F. Vladimirskogo, Moskva

Lar'kov R.N.

MONIKI im. M.F. Vladimirskogo, Moskva

Esaian A.V.

MONIKI im. M.F. Vladimirskogo, Moskva

Sotnikov P.G.

MONIKI im. M.F. Vladimirskogo, Moskva

Kozorin M.G.

MONIKI im. M.F. Vladimirskogo, Moskva

Efficacy of internal carotid artery reconstruction in patients with prior ischemic stroke

Authors:

Kazanchian P.O., Lar'kov R.N., Esaian A.V., Sotnikov P.G., Kozorin M.G.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(3): 48‑51

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To cite this article:

Kazanchian PO, Lar'kov RN, Esaian AV, Sotnikov PG, Kozorin MG. Efficacy of internal carotid artery reconstruction in patients with prior ischemic stroke. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(3):48‑51. (In Russ.)

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

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Abstract:

Results of treatment were analyzed in 280 patients with carotid atherosclerosis and prior ischemic stroke (IS). Among them 195 (69,7%) patients (group I) underwent surgical cerebal revascularization, 85 (30,3%) patients (group II) were not operated despite indications for operation. Patients from the group I were additionally divided into subgroups depending on the terms of operation after IS episode. It is shown that carotid endarterectomy is effective in improvement of cerebral functions and decrease of risk for recurrent IS in this group of patients. The most optimal term for surgical brain revascularization for achievement of the best clinical effect and improvement of life quality is the period from 1 to 6 month after IS. Operations carried out later (more than 1 year after IS) have mostly preventive that curative significance.

Keywords:

carotid endarterectomy

ischemic stroke

surgical brain revascularization

recurrent stroke

Authors:

Kazanchian P.O.

MONIKI im. M.F. Vladimirskogo, Moskva

Lar'kov R.N.

MONIKI im. M.F. Vladimirskogo, Moskva

Esaian A.V.

MONIKI im. M.F. Vladimirskogo, Moskva

Sotnikov P.G.

MONIKI im. M.F. Vladimirskogo, Moskva

Kozorin M.G.

MONIKI im. M.F. Vladimirskogo, Moskva

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References:

Zhulev N.M. Insul't ekstrakranial'nogo geneza. St-Peterburg 2004; 588.
Pokrovskii A.V. Klinicheskaya angiologiya. M: Meditsina 2004; 1: 808.
Skvortsova V.I., Evzel'man M.A. Ishemicheskii insul't. Orel: Trud 2006; 404.
Suslina Z.A., Piradov M.A. Insul't: diagnostika, lechenie, profilaktika. 2-e izd. M: MEDpress-inform 2009; 288.
Sao R., Giordano G., De Rango P. et al. Eversion versus conventional carotid endarterectomy: late results of a 85 prospective multicenter randomized trial. J Vasc Surg 2000; 31: 1: Pt 1: 19-30.
Darling R.C. 3rd, Shah D.M., Chang B.B. et al. Carotid endarterectomy using the eversion technique. Semin Vasc Surg 2000; 13: 1: 4-9.
Johansson B.B. Brain plasticity and stroke rehabilitation. Stroke 2000; 20: 223-230.
North American Symptomatic Carotid Endarterectomy Trail Collaborators. Beneficial Effects of Carotid Endarterectomy and Symptomatic Patients with High-grade Carotid Stenosis. New Engl J Med 1991; 325: 445-453.
Paty P.S.K., Darling C. III, Feustel P.J. et al. Early carotid endarterectomy after acute stroke. J Vasc Surg 2004; 39: 148-154.
Peiper C., Nowack J., Ktenidis K. et al. Eversion endarterectomy versus open thromboendarterectomy and patch plasty for the treatment of internal carotid artery stenosis. Eur J Vasc Endovasc Surg 1999; 18: 4: 339-343.
Rocckman C.B., Maldonado T.S., Jacobowitz G.R. et al. Early carotid endarterectomy in symptomatic patients is associated with poorer perioperative outcomes. J Vasc Surg 2006; 44: 3: 480-487.