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Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Vinogradov R.A.

Research Institute — Ochapovsky Regional Clinical Hospital No.1;
Kuban State Medical University

Korotkikh A.V.

Amur State Medical Academy

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Matusevich V.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Kachesov E.U.

City Multi-Field Hospital «Alexandrovskaya bolnitsa»

Shmatov D.V.

St. Petersburg State University

Zakeryaev A.B.

Research Institute — Ochapovsky Regional Clinical Hospital No.1

Erofeev A.A.

Saint Petersburg City Multi-field Hospital No. 2, St. Petersburg Russi

Dzhanelidze M.O.

Western Regional Center of Modern Medical Technologies

Karmokov I.A.

Mechnikov North-Western State Medical University

Kuklev A.P.

St. Petersburg State University

Andreeva A.I.

Mechnikov North-Western State Medical University

Taits B.M.

Mechnikov North-Western State Medical University

Taits D.B.

St. Petersburg State Pediatric Medical University

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Kokaya R.V.

Mechnikov North-Western State Medical University

Zharova A.S.

Mechnikov North-Western State Medical University

Radjabov I.M.

Burdenko Military Clinical Hospital

Lutsenko V.A.

Belyaev Kemerovo Regional Clinical Hospital, Kemerovo Russi

Sultanov R.V.

Belyaev Kemerovo Regional Clinical Hospital, Kemerovo Russi

Alizada F.R.

Belyaev Kuzbass Regional Clinical Hospital

Abdullaev A.D.

St. Petersburg City Alexandrovskaya Hospital

Povtoreyko A.V.

Pskov Regional Infectious Diseases Hospital

Kapran T.I.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Lider R.Yu.

Kemerovo State Medical University

Vayman E.F.

Kemerovo State Medical University

Meleshin E.O.

Podgorbunsky Kuzbass Clinical Emergency Hospital

Ginzburg E.R.

Podgorbunsky Kuzbass Clinical Hospital for Emergency Care

Makoeva M.M.

Mechnikov North-Western State Medical University

Klimova A.I.

Mechnikov North-Western State Medical University

Vinogradova E.R.

Kuban State Medical University

Zakharova K.L.

City Aleksandrovskaya Hospital

Pachkoriya M.G.

Pavlov First St. Petersburg State Medical University

Alekseeva E.O.

Yaroslav the Wise Novgorod State University

Long-term results of carotid endarterectomy and carotid artery stenting in patients with high bifurcation of common carotid artery: a multiple-center study

Authors:

Belov Yu.V., Kazantsev A.N., Vinogradov R.A., Korotkikh A.V., Chernykh K.P., Matusevich V.V., Kachesov E.U., Shmatov D.V., Zakeryaev A.B., Erofeev A.A., Dzhanelidze M.O., Karmokov I.A., Kuklev A.P., Andreeva A.I., Taits B.M., Taits D.B., Bagdavadze G.Sh., Kokaya R.V., Zharova A.S., Radjabov I.M., Lutsenko V.A., Sultanov R.V., Alizada F.R., Abdullaev A.D., Povtoreyko A.V., Kapran T.I., Lider R.Yu., Vayman E.F., Meleshin E.O., Ginzburg E.R., Makoeva M.M., Klimova A.I., Vinogradova E.R., Zakharova K.L., Pachkoriya M.G., Alekseeva E.O.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(3): 6‑16

DOI: 10.17116/neiro2022860316

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Table of contents

LONG-TERM RESULTS OF CAROTID ENDARTERECTOMY AND CAROTID ARTERY STENTING IN PATIENTS WITH HIGH BIFURCATION OF COMMON CAROTID ARTERY: A MULTIPLE-CENTER STUDY
LONG-TERM RESULTS OF CAROTID ENDARTERECTOMY AND CAROTID ARTERY STENTING IN PATIENTS WITH HIGH BIFURCATION OF COMMON CAROTID ARTERY: A MULTIPLE-CENTER STUDY

To cite this article:

Belov YuV, Kazantsev AN, Vinogradov RA, et al. . Long-term results of carotid endarterectomy and carotid artery stenting in patients with high bifurcation of common carotid artery: a multiple-center study. Burdenko's Journal of Neurosurgery. 2022;86(3):6‑16. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2022860316

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)
 
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OBJECTIVE

To analyze in-hospital and long-term results of eversion carotid endarterectomy (CEE), carotid endarterectomy with patch repair and carotid artery stenting (CAS) in patients with high bifurcation of common carotid artery.

MATERIAL AND METHODS

A retrospective multiple-center open study included 1983 patients who underwent internal carotid artery (ICA) repair for severe stenosis between 2010 and 2021. Three groups of patients were distinguished depending on revascularization option: group 1 (n=638) — eversion CEE; group 2 (n=351) — CEE with patch repair; group 3 (n=994) — CAS.

RESULTS

In-hospital postoperative mortality and incidence of stroke and myocardial infarction were similar. All bleedings (n=39) occurred after CEE. ICA thrombosis was diagnosed in groups 1 and 2 due to intimal detachment after insertion of temporary bypass tube. Incidence of laryngeal paresis, neuropathy of hypoglossal and glossopharyngeal nerves, Horner syndrome, damage to salivary glands was comparable in groups 1 and 2. Long-term mortality was the highest (n=10; 2.8%) after CEE with patch repair due to fatal stroke. In turn, the highest incidence of ICA restenosis and restenosis-induced ischemic stroke was observed after CEE with patch repair and CAS.

CONCLUSION

1. Classical and eversion CEE in patients with high CCA bifurcation is followed by high in-hospital incidence of damage to cranial nerves and salivary glands, laryngeal paresis, Horner syndrome, bleeding and risk of ICA thrombosis. 2. In patients with high CCA bifurcation, CAS and CEE with patch repair are accompanied by high incidence of ICA restenosis, restenosis-induced stroke and mortality in long-term postoperative period. 3. Eversion CEE demonstrates the lowest rates of all adverse cardiovascular events in long-term follow-up period.

Keywords:

carotid endarterectomy
carotid endarterectomy with patch repair
eversion carotid endarterectomy
carotid artery stenting
internal carotid artery stenting
patch
restenosis
laryngeal paresis

Authors:

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Vinogradov R.A.

Research Institute — Ochapovsky Regional Clinical Hospital No.1;
Kuban State Medical University

Korotkikh A.V.

Amur State Medical Academy

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Matusevich V.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Kachesov E.U.

City Multi-Field Hospital «Alexandrovskaya bolnitsa»

Shmatov D.V.

St. Petersburg State University

Zakeryaev A.B.

Research Institute — Ochapovsky Regional Clinical Hospital No.1

Erofeev A.A.

Saint Petersburg City Multi-field Hospital No. 2, St. Petersburg Russi

Dzhanelidze M.O.

Western Regional Center of Modern Medical Technologies

Karmokov I.A.

Mechnikov North-Western State Medical University

Kuklev A.P.

St. Petersburg State University

Andreeva A.I.

Mechnikov North-Western State Medical University

Taits B.M.

Mechnikov North-Western State Medical University

Taits D.B.

St. Petersburg State Pediatric Medical University

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Kokaya R.V.

Mechnikov North-Western State Medical University

Zharova A.S.

Mechnikov North-Western State Medical University

Radjabov I.M.

Burdenko Military Clinical Hospital

Lutsenko V.A.

Belyaev Kemerovo Regional Clinical Hospital, Kemerovo Russi

Sultanov R.V.

Belyaev Kemerovo Regional Clinical Hospital, Kemerovo Russi

Alizada F.R.

Belyaev Kuzbass Regional Clinical Hospital

Abdullaev A.D.

St. Petersburg City Alexandrovskaya Hospital

Povtoreyko A.V.

Pskov Regional Infectious Diseases Hospital

Kapran T.I.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Lider R.Yu.

Kemerovo State Medical University

Vayman E.F.

Kemerovo State Medical University

Meleshin E.O.

Podgorbunsky Kuzbass Clinical Emergency Hospital

Ginzburg E.R.

Podgorbunsky Kuzbass Clinical Hospital for Emergency Care

Makoeva M.M.

Mechnikov North-Western State Medical University

Klimova A.I.

Mechnikov North-Western State Medical University

Vinogradova E.R.

Kuban State Medical University

Zakharova K.L.

City Aleksandrovskaya Hospital

Pachkoriya M.G.

Pavlov First St. Petersburg State Medical University

Alekseeva E.O.

Yaroslav the Wise Novgorod State University

Received:

15.12.2020

Accepted:

25.03.2022

List of references:

  1. Kazantsev AN, Tarasov RS, Burkov NN, Shabaev AR, Lider RYu, Mironov AV. Carotid endarterectomy: three-year follow-up in a single-center registry. Angiologiya i sosudistaya hirurgiya. 2018;24(3):101-108. (In Russ.).
  2. Natsional’nye rekomendatsii po vedeniyu patsientov s zabolevaniyami brakhiotsefal’nykh arterij. 2013. Accessed April 11, 2022. (In Russ.). https://www.angiolsurgery.org/recommendations/2013/recommendations_brachiocephalic.pdf
  3. Vinogradov RA, Pykhteev VS, Martirosova KI, Lashevich KA. Prediction of perioperative complications in carotid endarterectomy. Khirurgiya. Zhurnal im. N.I. Pirogova. 2018;1:82-85. (In Russ.). https://doi.org/10.17116/hirurgia2018182-85
  4. Belov YuV, Lysenko AV, Lednev PV, Salagaev GI. Application of decellularized xenopericardium patch in brachiocephalic artery surgery. Kardiologiya i serdechno-sosudistaya khirurgiya. 2018;11(2):31-34. (In Russ.). https://doi.org/10.17116/kardio201811231-34
  5. Nikulnikov PI, Ratushnyuk AV, Guch AA, Liksunov AV, Cheburakhin NV. Management of patients with extended and high lesions of the carotid arteries. Vestnik neotlozhnoj i vosstanovitel’noj meditsiny. 2010;11(3):385-386. (In Russ.).
  6. Pirtskhalaishvili ZK, Lavrentiev AV, Darvish NA, Churakova AV, Seleznev AI, Al-Madvakhi NYa. Selection of the optimal reconstruction of the internal carotid artery in patients with high bifurcation. Byulleten’ NTsSSKh im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya. 2003;4(6):71. (In Russ.).
  7. Dalibaldyan VA, Lukyanchikov VA, Shalumov AZ, Polunina NA, Tokarev AS, Shatokhina YuI, Stepanov VN. Temporary subluxation of the lower jaw during interventions for high atherosclerotic lesions of the extracranial part of the internal carotid artery. Nejrokhirurgiya. 2016;1:60-67. (In Russ.).
  8. Gavrilenko AV, Kuklin AV, Al-Yousef NN, Wang Xiaochen, Bulatova LR, Li Rui. Meta-analysis of the results of eversion carotid endarterectomy and endarterectomy with plastic patch. Angiologiya i sosudistaya khirurgiya. 2020;26(1):176-183. (In Russ.). https://doi.org/10.33529/ANGIO202012
  9. Kazantsev AN, Vinogradov RA, Zakharov YuN, Borisov VG, Chernyavsky MA, Kravchuk VN, Shmatov DV, Chernykh KP, Sorokin AA, Bagdavadze GSh, Artyukhov SV, Khubulava GG. Prediction of restenosis after carotid endarterectomy by computer simulation. Neotlozhnaya meditsinskaya pomoshch’. Zhurnal im. N.V. Sklifosovskogo. 2021;10 (2):401-407. (In Russ.). https://doi.org/10.23934/2223-9022-2021-10-2-401-407
  10. Vachev AN, Prozhoga MG, Dmitriev OV. Protection of the brain from ischemia during carotid endarterectomy surgery. Angiologiya i sosudistaya khirurgiya. 2020;26(1):96-101. (In Russ.). https://doi.org/10.33529/ANGI02020109

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