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Chernyavsky M.A.

Almazov National Medical Research Center

Komakha B.B.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Zherdev N.N.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Susanin N.V.

Almazov National Medical Research Center

Soloviev V.A.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Chernov A.V.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Artemova A.S.

Almazov National Medical Research Center

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Annual results of carotid angioplasty with stenting and carotid endarterectomy

Authors:

Chernyavsky M.A., Komakha B.B., Zherdev N.N., Susanin N.V., Soloviev V.A., Chernov A.V., Artemova A.S., Kazantsev A.N.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6): 518‑524

DOI: 10.17116/kardio202114061518

Read: 1610 times

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Table of contents

ANNUAL RESULTS OF CAROTID ANGIOPLASTY WITH STENTING AND CAROTID ENDARTERECTOMY
ANNUAL RESULTS OF CAROTID ANGIOPLASTY WITH STENTING AND CAROTID ENDARTERECTOMY

To cite this article:

Chernyavsky MA, Komakha BB, Zherdev NN, et al. Annual results of carotid angioplasty with stenting and carotid endarterectomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6):518‑524. (In Russ.)
https://doi.org/10.17116/kardio202114061518

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate treatment outcomes in patients with atherosclerotic lesions of internal carotid arteries (ICA).

MATERIAL AND METHODS

Treatment outcomes were analyzed in 500 (342 men, 158 women) patients with asymptomatic atherosclerotic ICA lesions. Mean age of patients was 67 years. All patients were randomized into two groups depending on surgical approach. The 1st group comprised of 232 patients who underwent carotid endarterectomy (CEE), in this cohort 90 patients underwent conventional CEE with patch repair, and 142 patients underwent eversion carotid endarterectomy. The 2nd group included 268 patients who underwent balloon angioplasty with ICA stenting. In all cases, distal protection systems were used. The follow-up period was 12 months.

RESULTS

Overall survival rate was 100%. Acute cerebrovascular accident within 30 days after surgery occurred in 2 (0.86%) patients in the 1st group and 2 (0.75%) patients in the 2nd group. There were no adverse cardiovascular events within 12 months after revascularization. Incidence of restenosis was 3 (1.3%) cases in the 1st group after classical CEE with plastic repair of the reconstruction zone with a xenopericard patch and 5 (1.5%) cases in the 2nd group.

CONCLUSION

Carotid angioplasty with stenting and CEE demonstrate comparable immediate and annual results regarding the incidence of adverse cardiovascular events. Postoperative strokes are usually not disabling and regression of symptoms is observed at discharge. Higher incidence of restenosis after classical CEE with patch repair demonstrates less efficacy of this reconstruction in prevention of stroke.

Keywords:

carotid endarterectomy
carotid angioplasty with stenting
internal carotid artery stenting
eversion carotid endarterectomy
patch
classical carotid endarterectomy
asymptomatic stenosis

Authors:

Chernyavsky M.A.

Almazov National Medical Research Center

Komakha B.B.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Zherdev N.N.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Susanin N.V.

Almazov National Medical Research Center

Soloviev V.A.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Chernov A.V.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Artemova A.S.

Almazov National Medical Research Center

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Received:

15.02.2021

Accepted:

13.04.2021

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