The use of endovascular surgery in the treatment of patients with combined coronary and internal carotid artery disease (literature review)

February 22, 2024
919
УДК:  616.12-089
Resume

The problem of combined carotid and coronary artery disease in the same patient is of concern to cardiac surgeons and neurosurgeons in Ukraine and worldwide. Methods of stepwise treatment of this pathology by endarterectomy of the internal carotid artery or its stenting, revascularization of coronary arteries by stenting or coronary aortocoronary bypass were developed. There are techniques for simultaneous performance of these surgical interventions. However, this may be accompanied by certain risks from the heart and brain (heart attack, stroke) associated with a long operation time, the use of general anaesthesia, massive vascular lesions, and the severity of the patients’ condition. The review describes the implementation of such surgical interventions and provides recommendations for the prevention of complications by personalising each case. This will give an impetus to continue the development and improvement of surgical interventions in the combined pathology of the carotid and coronary arteries.

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