Email this article 
Dynamics of neurological recovery was assessed in 121 patients with atherosclerotic stenosis of the internal carotid arteries suffered from stroke. Patients underwent carotid endarterectomy that was carried out from 1 month to 5 years after stroke. Somatic, neurologic and neuropsychological state, as well as functional characteristics and quality of life were assessed, and utrasound testing of the brachiocephalic arteries and neuroimaging studies were carried out. After carotid endarterectomy, significant decrease in the severity of focal neurological symptoms and cognitive impairment, increase in quality of life and functional improvement was registered. Post-operatively, ischemic events occurred in 2.5% of patients.
Results of surgical treatment of atherosclerotic stenosis of carotid arteries in patients after ischemic stroke
- Authors: Kazanchyan P.O.1, Popov V.A.1, Larkov R.N.1, Esayan A.V.1, Kotov S.V.2, Kozlova I.A.1
-
Affiliations:
- M.F. Vladimirsky Moscow regional clinical research institute
- M.F. Vladimirsky Moscow Regional Research and Clinical Institute
- Issue: Vol 4, No 4 (2010)
- Pages: 4-9
- Section: Original articles
- URL: https://www.annaly-nevrologii.com/journal/pathID/article/view/329
- DOI: https://doi.org/10.17816/psaic329
- ID: 329
Cite item
Full Text
Abstract
About the authors
P. O. Kazanchyan
M.F. Vladimirsky Moscow regional clinical research institute
Email: kotovsv@yandex.ru
Russian Federation, Moscow
V. A. Popov
M.F. Vladimirsky Moscow regional clinical research institute
Email: kotovsv@yandex.ru
Russian Federation, Moscow
R. N. Larkov
M.F. Vladimirsky Moscow regional clinical research institute
Email: kotovsv@yandex.ru
Russian Federation, Moscow
A. V. Esayan
M.F. Vladimirsky Moscow regional clinical research institute
Email: kotovsv@yandex.ru
Russian Federation, Moscow
Sergey V. Kotov
M.F. Vladimirsky Moscow Regional Research and Clinical Institute
Email: kotovsv@yandex.ru
ORCID iD: 0000-0002-8706-7317
D. Sci. (Med.), Head, Department of neurology, Faculty of advanced training for doctors
Russian Federation, MoscowI. A. Kozlova
M.F. Vladimirsky Moscow regional clinical research institute
Author for correspondence.
Email: kotovsv@yandex.ru
Russian Federation, Moscow
References
- Покровский А.В. Профилактика ишемического инсульта: хирургия магистральных артерий головы. В сб.: Труды I Национального Конгресса «Кардионеврология». М., 2008: 27–30.
- Скоромец А.А., Стаховская Л.В., Белкин А.А. Новые возможности нейропротекции в лечении ишемического инсульта. Журн. неврол. и психиатрии им. С.С. Корсакова. Приложение «Инсульт» 2008; 22: 32–38.
- Суслина З.А. Сосудистая патология головного мозга: итоги и перспективы. Анн. клин. эксперимент. неврол. 2007; 1: 10–16.
- Суслина З.А., Пирадов М.А. (ред.) Инсульт: диагностика, лечение, профилактика. М: МЕДпресс-информ, 2008.
- Танашян М.М., Лагода О.В., Домашенко М.А. Профилактика ишемических инсультов у пациентов с атеросклеротической патологией магистральных артерий головы. Атмосфера. Нервные болезни 2008; 1: 2–6.
- Butefisch C.M., Netz J., Webling M. et al. Remote changes in cortical excitability after stroke. Brain 2003; 126: 470–481.
- Cao P., Giordano G., De Rango P. et al. Eversion versus conventional carotid endarterectomy: late results of a 85 prospective multicenter randomized trial. J. Vase. Surg. 2000; 31: 19–30.
- Cao Y., D’Olhaberriague L., Vikngstad E.M. et al. Pilot study of functional MRI to assess cerebral activation of motor function after poststroke hemiparesis. Stroke 1998; 29: 112–122.
- Caro J.J., Huybrechts K.F., Kelley H.E. Predicting treatment costs after acute ischemic stroke on the basis of patient characteristics at presentation and early dysfunction. Stroke 2001; 32: 100–106.
- Cina C.S., Clase C.M, Haynes R.B. Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database Syst. Rev. 2000: CD001081.
- Darling R.C., Shah D.M., Chang B.B. et al. Carotid endarterectomy using the eversion technique. J. Semin. Vasc. Surg. 2000; 3: 4–9.
- European Carotid Surgery Trialists (ECST) Collaborative Group. MRC European carotid surgery trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. Lancet 1991; 337: 1235–1243.
- Johansson B.B. Brain plasticity and stroke rehabilitation. Stroke 2000; 20: 223–230.
- Kasner S.E., Chimowitz M.I., Lynn M.J. et al. Predictors of ischemic stroke in the territory of a symptomatic intracranial arterial stenosis. Circulation 2006; 113: 555–563.
- Kavanagh S., Knapp M., Patel A. Costs and disability among stroke patients. J. Public Health Med.1999; 21: 385–394.
- North American Symptomatic Carotid Endarterectomy Trial (NASCET) Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N. Eng. J. Med. 1991; 325: 445–453.
- Peiper C., Nowack J., Ktenidis K. et al. Eversion endarterectomy versus open thromboendarterectomy and patch plasty for the treatment of internal carotid artery stenosis. Eur. J. Vase. Endovasc. Surg. 1999; 10: 339–343.
- Yan T., Hui-Chan C.W.Y., Li L.S.W. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke. Stroke 2005; 36: 80–85.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).