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BYPASS SURGERY IN PATIENTS WITH COMBINED ATHEROSCLEROTIC LESIONS OF COMMON AND INTERNAL CAROTID ARTERY

N A Yaitskiy, A Ya Bedrov, D V Maslevtsov

    Vestnik Khirurgii Imeni I. I. Grekova
    |November 14, 2018
    PubMed

    Insights

    For chronic cerebrovascular disease patients with combined carotid artery lesions, surgical bypass is a viable option when endovascular treatments fail. This includes orthotopic or extraanatomic carotid artery bypass procedures.

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Cardiology

    Background:

    • Chronic cerebrovascular disease affects numerous patients, often involving complex atherosclerotic lesions in the carotid arteries.
    • Accurate diagnosis and treatment planning are crucial for managing patients with cerebrovascular disease.

    Observation:

    • A retrospective analysis of carotid angiographies was conducted on 146 patients with chronic cerebrovascular disease.
    • Combined lesions of the common carotid artery and internal carotid artery with clinical manifestations were identified in 2 (1.4%) patients.

    Findings:

    • Surgical intervention, including crossed extraanatomic bypass and orthotopic common-internal autovenous bypass, was successfully performed in the identified patients.
    • These bypass procedures effectively addressed combined atherosclerotic lesions in the common and internal carotid arteries.

    Implications:

    • Orthotopic or extraanatomic common-internal carotid artery bypasses are suggested as effective treatment alternatives when endovascular interventions are not feasible.
    • This approach offers a solution for patients with combined atherosclerotic lesions in the common and internal carotid arteries, improving surgical outcomes.

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