title: Comparative results of surgical treatment of bilateral atherosclerotic occlusive stenotic carotid artery disease
metadata.name: dc.contributor.author
metadata.value: Fokin, Aleksey A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Mudriakova, Mariya V.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2017-01-27T14:25:39Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2017-01-27T14:25:39Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2016-09
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Fokin A. A, Mudriakova M. V. Comparative results of surgical treatment of bilateral atherosclerotic occlusive stenotic carotid artery disease. Vestnik of Saint Petersburg University. Series 11. Medicine, 2016, issue 3, pp. 71–78.
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: 10.21638/11701/spbu11.2016.307
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/5962
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: ICA occlusion leads to stroke at a frequency of up to 40% during the first year after the occlusion, and
  then at a rate of about 7% per year. The occlusion of the internal carotid artery in the neck is observed
  in 90% of cases, in other cases, occlusion takes place in the cavernous terminal part of the internal
  carotid artery. Improved treatment results, taking into account the information obtained in the prevention
  of ischemic stroke in patients with occlusion of the internal carotid artery in the remote period
  of observation. During the period from 2007 to 2015 in the department of vascular surgery OKB №3
  530 patients were treated with lesions of brachiocephalic arteries. The number of patients with occlusion
  of the internal carotid artery on one side and stenosis on the other was 93 (17.5%). The group of
  patients treated only conservatively maintained a high incidence of TIA, 20.5% over the first year of
  observation. Within 8 years, 26.6% had ipsilateral stroke in the pool, this marked the occurrence of
  the two deaths due to myocardial infarction, and 8 due to ischemic stroke; Two patients had concomitant
  death due to cancer. The results of 8 years observation on operated and non-operated patients
  show that in patients who were operated on in most cases the marked signs of impairment of cerebral
  circulation in ipsilateral hemisphere were not developed. The results of observation over a group of
  patients who were not operated coincide with the average data according to which the patients who
  suffered an ischemic stroke have the risk development of the subsequent stroke at a level of 5–9% in a
  year, and approximately 40% of them have a repeated stroke over a 5 year period after the first stroke.
  The best clinical effect belonged to carotid endarterectomy, performed on patients with transitional
  ischemic attacks. The analysis of the results of the research testifies to the stable and long-term effect
  of the procedure. Refs 8. Fig 1. Tables 2.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Series 11. Medicine;Issue 3
metadata.lang: -
metadata.name: dc.subject
metadata.value: occlusion of internal carotid artery
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: stenosis of internal carotid artery
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: carotid endarterectomy
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: ischemic stroke
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Comparative results of surgical treatment of bilateral atherosclerotic occlusive stenotic carotid artery disease
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 07-Fokin.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/5962/1/07-Fokin.pdf
resources.format: Adobe PDF
resources.size: 606,84 kB