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

Zozulya I.S.,Zozulya A.I.,Volosovets A.O.,Parkhomenko B.L.

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

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

22 лютого 2024

1043

УДК: 616.12-089

DOI: 10.32471/umj.1680-3051.161.250494

Ключові слова :

carotid arteries,

coronary arteries,

prevention of complications,

surgical treatment

Резюме

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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