THE FEMORAL VEIN AS PATCH MATERIAL FOR CAROTID ENDARTERECTOMY: FIRST EXPERIENCE

Abstract

Cardiovascular diseases are one of the leading causes of disability and mortality in the world. Stenosing processes in the branches of the aortic arch associated with atherosclerosis are one of the basic causes of the pathology because in 50 % cases they lead to ischemic lesions of the cerebrum. The surgery of the pathology of the carotid artery lesions (carotid endarterectomy) has proved to be a safe method of prevention and correction of chronic cerebrovascular insufficiency related to atherosclerosis. At present, the techniques are well developed. However, the recurrent lesions of the area of the surgery appear in 0.9 - 36 % regardless of the types of the surgery and patch material. This fact proves the necessity of further investigation and seeking of other methods of surgical correction and alternative patch. The work studies the results of the application of the femoral vein as patch material for carotid endarterectomy. We performed the comparative analysis of the application of the most common plastic materials (GSV and PTFE) used for plastic surgery of brachiocephalic arteries in carotid endarterectomy.