[Management of patients with cerebral ischemic lesions: organizational principles]

The paper presents general principles of care for patients with different grades of cerebral ischemic disorders. From total 539 patients operated in Samara Regional Center of Surgical Angioneurology, 87 were recruited to the study including 49 with preoperative ischemic stroke. The only one inclusion criterion was that those 87 patients were affiliated to a single community polyclinics. Postoperative mortality in the study group was 3.4% (3 patients). Two deaths were caused by recurrent intraoperative stroke, the third patient died from myocardial infarction 8 days after surgery. The rest 84 patients were followed up for 5 months to 2 years. During the outpatient follow-up only 2 from 84 patients demonstrated cerebral transitory ischemic attacks against hypertension background. The study helped to elaborate general principles of care for patients with chronic cerebral ischemic disorders.