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Korotkikh A.V.

Regional Clinical Hospital №2, Tyumen, Russia;
Far Eastern State Medical University, Khabarovsk, Russia

Nekrasov D.A.

Federal Center for Cardiovascular Surgery, Khabarovsk, Russia

Medvedev V.M.

Tyumen State Medical University, Tyumen, Russia

Plutakhin K.A.

Regional Clinical Hospital №2, Tyumen, Russia

Zakharov D.S.

Regional Clinical Hospital №2, Tyumen, Russia;
Tyumen State Medical University, Tyumen, Russia

Carotid endarterectomy in advanced age patients: effectiveness and safety

Authors:

Korotkikh A.V., Nekrasov D.A., Medvedev V.M., Plutakhin K.A., Zakharov D.S.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(3): 57‑61

DOI: 10.17116/kardio201710357-61

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Table of contents

CAROTID ENDARTERECTOMY IN ADVANCED AGE PATIENTS: EFFECTIVENESS AND SAFETY
CAROTID ENDARTERECTOMY IN ADVANCED AGE PATIENTS: EFFECTIVENESS AND SAFETY

To cite this article:

Korotkikh AV, Nekrasov DA, Medvedev VM, Plutakhin KA, Zakharov DS. Carotid endarterectomy in advanced age patients: effectiveness and safety. Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(3):57‑61. (In Russ.)
https://doi.org/10.17116/kardio201710357-61

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Aim — to analyze the outcomes of carotid endarterectomy (CEA) in advanced age patients (over 75 years). Material and methods. The study included 92 patients with supra-aortic vessels atherosclerosis (mean age 79.1±2.8 years) who underwent total of 113 CEAs. Comorbidities, surgical variables and end-point of “stroke + mortality” were compared in control (425 patients younger than 75 years) and main groups. Results. CEA prevents the risk of primary and recurrent stroke and improves the quality of life. The lack of significant difference in “stroke + mortality” value confirms the safety of CEA in advanced age patients. Conclusion. CEА is an effective operation in advanced age symptomatic and asymptomatic patients.

Keywords:

classical carotid endarterectomy
eversion carotid endarterectomy
advanced age

Authors:

Korotkikh A.V.

Regional Clinical Hospital №2, Tyumen, Russia;
Far Eastern State Medical University, Khabarovsk, Russia

Nekrasov D.A.

Federal Center for Cardiovascular Surgery, Khabarovsk, Russia

Medvedev V.M.

Tyumen State Medical University, Tyumen, Russia

Plutakhin K.A.

Regional Clinical Hospital №2, Tyumen, Russia

Zakharov D.S.

Regional Clinical Hospital №2, Tyumen, Russia;
Tyumen State Medical University, Tyumen, Russia

List of references:

  1. Gavrilenko AV, Kuklin AV, Kravchenko AA, Piven AV. Efficiency of carotid endarterectomy in elderly and gerontic patients who suffered ischemic stroke. Annaly khirurgii. 2012;1:42-47. (In Russ.).
  2. National guidelines on the management of patients with brachiocephalic artery disease by 2013. Accessed March 01, 2017. (In Russ.). http://www.angiolsurgery.org/recommendations/2013/recommendations_brachiocephalic.pdf
  3. Surgery of brain aneurysms. Edited by Krylov VV. V.1. M: Novoe vremya. 2011. (In Russ.)
  4. Barnett HJ, Taylor DW, Eliasziw M, et al. and North American Symptomatic Carotid Endarterectomy Trial Collaborators. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med. 1998;339:1415-1425. https://doi.org/10.1056/NEJM199811123392002
  5. Brott TG, Hobson RW, Howard G, et al. CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363:11-23. https://doi.org/10.1056/NEJMoa0912321
  6. Castro E, Villoria F, Fortea F, et al. Simultaneous Cerebral Aneurysms and Carotid Disease Should the Symptomatic Lesion always be the first to be Treated? A Case Report. Interventional Neuroradiology. 2003;9:213-218. https://doi.org/10.1177/159101990300900212
  7. Torma N, Sihotsky V, Кополовец И.И., Frankoviсova M, et al. Результаты симультанных операций у пациентов с атеросклеротическим поражением сонных и коронарных артерий. Новости хирургии. 2015;23(2):171-181. https://doi.org/10.18484/2305-0047.2015.2.171

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