THE DISTANT OUTCOMES OF SURGICAL TREATMENT FOR STENOSING AFFECTION OF BRACHIOCEPHALIC ARTERIES

Abstract

Acute disturbed cerebral circulation is the second leading cause of death around the world. Carotid stenosis is a cause of acute disturbed cerebral circulation in approximately 25 % of cases. At present, carotid endarterectomy is one of the most frequently performed vascular reconstructions. This is due to the high efficiency of the surgery in the correction of cerebral circulation and prevention of acute disturbances of cerebral circulation. The problem of the further disease progression still remains topical despite the method of intervention and plastic material applied, as restenosis is diagnosed in approximately 10-15 % of the cases. The work studies and analyzes the distant results of various surgical techniques used in carotid reconstructions. It gives a comparative analysis of the plastic materials used in carotid endarterectomy. The analysis of the results showed that there is no optimal technique of surgical correction and plastic material in atherosclerotic lesion of brachiocefal arteries that can help avoid restenosis. This proves a necessity for further investigation and search for a method of surgical correction and alternative tissue for internal carotid reconstruction.