Vol. 22 No. 1 (2018)
CASE REPORTS

Carotid endarterectomy in acute ischemic stroke

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  • A. Kazantsev,
  • N. Burkov,
  • R. Tarasov,
  • A. Anufriev,
  • A. Shabaev,
  • E. Ruban,
  • A. Mironov,
  • V. Heraskov
A. Kazantsev
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
Bio
N. Burkov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
R. Tarasov
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
A. Anufriev
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
A. Shabaev
Kemerovo Cardiology Dispensary, Kemerovo, Russian Federation
E. Ruban
Kemerovo Cardiology Dispensary, Kemerovo, Russian Federation
A. Mironov
Kemerovo Cardiology Dispensary, Kemerovo, Russian Federation
V. Heraskov
Kemerovo Cardiology Dispensary, Kemerovo, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2018-1-66-72

Published 2018-04-02

Keywords

  • carotid endarterectomy,
  • acute ischemic stroke,
  • emergency brain revascularization

How to Cite

Kazantsev, A., Burkov, N., Tarasov, R., Anufriev, A., Shabaev, A., Ruban, E., Mironov, A., & Heraskov, V. (2018). Carotid endarterectomy in acute ischemic stroke. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 22(1), 66–72. https://doi.org/10.21688/1681-3472-2018-1-66-72

Copyright (c) 2018 Kazantsev A.N., Burkov N.N., Tarasov R.S., Anufriev A.I., Shabaev A.R., Ruban E.V., Mironov A.V., Heraskov V.Yu.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Currently, there are no clear domestic and foreign recommendations for cerebral revascularization, also missing is a definite decision on determining the timing and possibility of carotid endarterectomy in acute ischemic stroke. A set of measures aiming at obtaining a satisfactory outcome of carotid endarterectomy in the acute ischemic cerebrovascular event is developed. To prevent hyperperfusion complications, a temporary shunt, low doses of unfractionated heparin, adequate antiplatelet, hypotensive and lipid-lowering therapy are used. The main advantages and disadvantages of all modern methods of surgical treatment of this condition are presented.

Received 22 August 2017. Revised 7 December 2017. Accepted 11 December 2017.

Funding: The study was supported by the Siberian Branch of Russian Academy of Sciences within the framework of the fundamental research package program.

Conflict of interest: Authors declare no conflict of interest.

Author contributions
Drafting the article: A.N. Kazantsev
Resources: A.R. Shabayev
Artistic design: N.N. Burkov
Critical revision of the article: A.I. Anufriyev, A.V. Mironov, V.Yu. Kheraskov
Surgical treatment: A.N. Kazantsev
Assistance in surgery: N.N. Burkov, A.R. Shabayev
Revascularization tactic selection: A.I. Anufriyev, A.V. Mironov, V.Yu. Kheraskov
Neurological examination: E.V. Ruban
Final approval of the version to be published: A.N. Kazantsev, N.N. Burkov, R.S. Tarasov, A.I. Anufriyev, A.R. Shabayev, E.V. Ruban, A.V. Mironov,
V.Yu. Kheraskov

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