ОСОБЕННОСТИ ПОСЛЕОПЕРАЦИОННОГО ПЕРИОДА У БОЛЬНЫХ ПОСЛЕ РЕВАСКУЛЯРИЗАЦИИ ГОЛОВНОГО МОЗГА

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).

стентирование сонных артерий, каротидная эндарктерэктомия, острое нарушение мозгового кровообращения, гиперперфузионный синдром

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