actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problemsactabiomedica-105Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEОСОБЕННОСТИ ПОСЛЕОПЕРАЦИОННОГО ПЕРИОДА У БОЛЬНЫХ ПОСЛЕ РЕВАСКУЛЯРИЗАЦИИ ГОЛОВНОГО МОЗГАFEATURES OF POSTOPERATIVE PERIOD IN PATIENTS AFTER BRAIN REVASCULARIZATIONВиноградовР. А.VinogradovR. A.viromal@mail.ruКосенковА. Н.KosenkovA. N.alenkos@rambler.ruВинокуровИ. А.VinokurovI. A.docvin.med@gmail.comГБУЗ «Научно-исследовательский институт - Краевая клиническая больница № 1 им. проф. С. В. Очаповского» Министерства здравоохранения Краснодарского края; ГБОУ ВПО «Кубанский государственный медицинский университет» Минздрава РФScientific Research Institute - Krasnodar Region Clinical Hospital N 1; Kuban State Medical UniversityГБОУ ВПО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава РоссииThe First Sechenov Moscow State Medical University20152809201505812Copyright © Виноградов Р.А., Косенков А.Н., Винокуров И.А., 20152015Виноградов Р.А., Косенков А.Н., Винокуров И.А.Vinogradov R.A., Kosenkov A.N., Vinokurov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/105

Изучено течение послеоперационного периода, осложнения и летальность в послеоперационном периоде у пациентов при каротидной эндартерэктомии (КЭАЭ) и ангиопластике сонных артерий (АПСА). Исследовано 1826 больных: 1018 - с КЭАЭ, 808 - с АПСА. Больные после АПСА - старше, чаще страдали ишемической болезнью сердца (ИБС), сахарным диабетом, хронической обструктивной болезнью легких (ХОБЛ), чаще в анамнезе - острые нарушения мозгового кровообращения (ОНМК'). В раннем послеоперационном периоде - схожие летальность, частота неконтролируемой артериальной гипертензии и транзиторной ишемической атаки (ТИА). Частота ОНМК выше у больных с АПСА (4,3 %), чем с КЭАЭ (2,6 %] (р = 0,02], частота ишемии мозга (ИМ) - выше после КЭАЭ (3,7 %), чем после АПСА (1,6 %) (р = 0,008).

The aim of the research was to compare incidence of small complications after carotid endarterectomy (CEA) versus carotid artery stenting, as well as to evaluate its application in specific clinical situations. The outcomes of1826 patients who underwent surgery for stenosis of the internal carotid artery (ICA) were analyzed. There were two groups: 1018 patients who underwent CEA and 808 patients who carried the stenting. Age of patients was greater and coronary heart disease, diabetes, chronic obstructive pulmonary disease occurs more often in group with endovascular treatment, and they had rife stroke anamnesis. The mortality rate, uncontrolled hypertension and transient ischemic attacks were similar in early postoperative period. Stroke frequency was higher in patients with carotid artery stenting (35 (4,3 %) versus 27 patients (2,6 %) with CEA (p = 0,02)), and myocardial infarction took place more often after CEA (38 (3,7 %) versus 13 (1,6 %) patients with endovascular treatment (p = 0,008)). There was no statistically significant difference in security between CEA and stenting. However, treatment of carotid stenosis should be chosen according to individual characteristics, including individual anatomy.

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The authors declare that there are no conflicts of interest present.