Surgical prophylaxis of ischemic insults in patients with atherosclerotic impairment of carotids

The results of prophylaxis of acute impairment of a cerebral circulation with the help of carotid endarterectomy (CEАE) are considered. There are examined 324 patients with cerebrovascular pathology 132 of them have transferred CEАE and 156 received only conservative therapy. The results of 10 years observation of operated and non operated patients show, that in patients, who were operated, in most cases the marked signs of impairment of cerebral circulation in ipsilateral hemisphere were not developed. The results of observation over group of patients who were not operated coincide with the average data according to which the patients who have suffered an ischemic insult, have the risk of development of the subsequent insult at a level of 5-9% in a year, and approximately 25-45% of them have a repeated insult during 5 years period after the first insult. The best clinical effect had CEАE, performed in patients with transitional ischemic attacks. CEАE is the main preventive measure in treatment of patients with an atherosclerotic stenosis of carotids. The analysis of the results of the research testifies to the stable and long-term effect of operation.