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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Stonogin A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Shutov M.V.

Otdelenie anesteziologii i reanimatsii universitetskoĭ klinicheskoĭ bol'nitsy #1 Pervogo MGMU im. I.M. Sechenova, Moskva

Simultaneous bilateral carotid endarterectomy in patients with concomitant heart disease in medical sciences

Authors:

Belov Yu.V., Lysenko A.V., Stonogin A.V., Shutov M.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(6): 28‑32

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SIMULTANEOUS BILATERAL CAROTID ENDARTERECTOMY IN PATIENTS WITH CONCOMITANT HEART DISEASE IN MEDICAL SCIENCES
SIMULTANEOUS BILATERAL CAROTID ENDARTERECTOMY IN PATIENTS WITH CONCOMITANT HEART DISEASE IN MEDICAL SCIENCES

To cite this article:

Belov YuV, Lysenko AV, Stonogin AV, Shutov MV. Simultaneous bilateral carotid endarterectomy in patients with concomitant heart disease in medical sciences. Russian Journal of Cardiology and Cardiovascular Surgery. 2013;6(6):28‑32. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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The article presents the results of surgical treatment of 5 patients with bilateral hemodynamically significant stenosis of the carotid arteries and a concomitant heart disease requiring surgical treatment. Additionally the authors studied international experience in simultaneous bilateral carotid endarterectomy. The main technical features of the operations are described, the complications are analyzed, and the indications for the use of this technique are formulated in the article. It is concluded that the use of simultaneous bilateral carotid endarterectomy is currently justified only in very limited group of critically ill patients with concomitant heart disease requiring surgical treatment. Every operation is associated with a very high risk of complications and death in these patients.

Keywords:

carotid endarterectomy
simultaneous
bilateral
concomitant heart disease

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Stonogin A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Shutov M.V.

Otdelenie anesteziologii i reanimatsii universitetskoĭ klinicheskoĭ bol'nitsy #1 Pervogo MGMU im. I.M. Sechenova, Moskva

List of references:

  1. Belov Yu.V., Bazylev V.V., Stepanenko A.B. Vybor khirurgicheskoi taktiki pri simul'tannom intratorakal'nom porazhenii brakhitsefal'nykh vetvei aorty i koronarnykh arterii. Angiol i sosud khir 2007; 2: 113-118.
  2. Belov Yu.V., Komarov R.N. Taktika khirurgicheskogo lecheniya mul'tifokal'nykh stenoticheskikh porazhenii arterial'nykh basseinov. Khirurgiya 2007; 3: 60-64.
  3. Bokeriya L.A., Arakelyan V.S., Puzenko D.V. Osobennosti kliniki, diagnostiki i rezul'taty khirurgicheskogo lecheniya patsientov pozhilogo i starcheskogo vozrasta s rasprostranennym aterosklerozom aorty i perifericheskikh arterii. Byul nauchnogo tsentra serdechno-sosudistoi khirurgii im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya 2007; 4: 9-21.
  4. Bokeriya L.A., Aslanidi I.P., Darvish N.A. i dr. Diagnosticheskii podkhod i rezul'taty khirurgicheskogo lecheniya u bol'nykh s sochetannoi patologiei brakhitsefal'nykh i koronarnykh arterii. Serdechno-sosud zabol 2012; 5: 51-59.
  5. Bokeriya L.A., Sigaev I.Yu., Alshibaya M.M. Sovremennye podkhody k khirurgicheskomu lecheniyu bol'nykh s oslozhnennymi i sochetannymi formami ishemicheskoi bolezni serdtsa. M: RAMN 2009; 12: 39-42.
  6. Clauss R.H., Babu S.C., Patel K.R. et al. Simultaneous bilateral carotid endarterectomy operations. J Cardiovasc Surg (Torino) 1985; 26: 3:297-299.
  7. Clauss R.H., Bole P.V., Paredes M. et al. Simultaneous bilateral carotid endarterectomies. Arch Surg 1976; 111: 11: 1304-1306.
  8. De Geest R., Bast T.J., Eikelboom B.C. et al. One stage operation of bilateral carotid lesions. Acta Chir Belg 1979; 78: 2: 95-102.
  9. Dimakakos P.B., Arapoglou B., Papasava M. et al. Our first experience applying simultaneous bilateral carotid endarterectomy. Int Angiol 1996; 15: 1: 9-13.
  10. Dimakakos P.B., Kotsis T.E., Tsiligiris B. et al. Comparative results of staged and simultaneous bilateral carotid endarterectomy: a clinical study and surgical treatment. Cardiovasc Surg 2000; 8: 1: 10-17.
  11. Farsak B., Oç M., Boke E. Simultaneous bilateral carotid endarterectomy: our first experience. Ann Thorac Cardiovasc Surg 2001; 7: 5: 292-296.
  12. Grögler F.M., Pfadenhauer K., Reulen H.J. et al. Bilateral occlusive carotid disease: simultaneous or staged operation? Thorac Cardiovasc Surg 1984; 32: 1: 49-53.
  13. Ketonen P., Luosto R., Mattila S. et al. Surgical experience with simultaneous bilateral carotid endarterectomies. Scand J Thorac Cardiovasc Surg 1979; 13: 3: 321-326.
  14. Pizetti F. Simultaneous Bilateral Carotid Endarterectomy: A Revision of Concepts and Strategies. Vasc Surg 1992; 26: 2: 135.
  15. Portinos A., Kefaloyannis E., Philippakis G. et al. Simultaneous bilateral carotid endarterectomy under local anesthesia. Asian Cardiovasc Thorac Ann 2008; 16: 4: 327-328.
  16. Rechtweg J., Wax M.K., Shah R. et al. Neck dissection with simultaneous carotid endarterectomy. Laryngoscope 1998; 108: 8: Pt 1: 1150-1153.
  17. Toung T.J., Sieber F.E., Grayson R.F. et al. Chemoreceptor injury as probable cause of respiratory depression after a simultaneous, bilateralcarotid endarterectomy. Crit Care Med 1990; 18: 11: 1290-1291

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