CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER

The aim of the work was to evaluate the perioperative management of aged patients after elective surgical cerebral revascularization. We analyzed the outcomes of 813 patients of 70 years and older who had surgery for stenosis of the internal carotid artery [ІСА]. There were two groups: 392 patients...

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Autores principales:	A. N. Kosenkov, R. A. Vinogradov, I. A. Vinokurov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2015
Materias:	carotid artery stenting carotid endarterectomy cerebral revascularization acute cerebrovascular disease patients of 70 years and older Science Q
Acceso en línea:	https://doaj.org/article/f505ddb92c5a4afcaad374bd34c5f2b3
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id	oai:doaj.org-article:f505ddb92c5a4afcaad374bd34c5f2b3
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spelling	oai:doaj.org-article:f505ddb92c5a4afcaad374bd34c5f2b32021-11-23T06:14:33ZCEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER2541-94202587-9596https://doaj.org/article/f505ddb92c5a4afcaad374bd34c5f2b32015-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/108https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The aim of the work was to evaluate the perioperative management of aged patients after elective surgical cerebral revascularization. We analyzed the outcomes of 813 patients of 70 years and older who had surgery for stenosis of the internal carotid artery [ІСА]. There were two groups: 392 patients who had carotid endarterectomy [CEA] and 421 patients who had the stenting. Age of the patients, severity of disease and comorbidity were similar in both groups In aged patients, the incidence of acute disorders of cerebral circulation (stroke] after CEA was significantly lower than the one after stenting (p = 0,04]. Frequency of perioperative myocardial infarction [MI] was 3 times higher in cases with CEA (p = 0,03]. in patients of 70 years and older, CEA shown lower incidence of stroke, however, there is increase of perioperative MI while using this method. Endovascular treatment could be chosen in patients with severe cardiac disease according to atherosclerotic plaques with no risk of embolism. In addition, the individual approach and assessment of social aspect are necessary.A. N. KosenkovR. A. VinogradovI. A. VinokurovScientific Сentre for Family Health and Human Reproduction Problemsarticlecarotid artery stentingcarotid endarterectomycerebral revascularizationacute cerebrovascular diseasepatients of 70 years and olderScienceQRUActa Biomedica Scientifica, Vol 0, Iss 5, Pp 21-23 (2015)
institution	DOAJ
collection	DOAJ
language	RU
topic	carotid artery stenting carotid endarterectomy cerebral revascularization acute cerebrovascular disease patients of 70 years and older Science Q
spellingShingle	carotid artery stenting carotid endarterectomy cerebral revascularization acute cerebrovascular disease patients of 70 years and older Science Q A. N. Kosenkov R. A. Vinogradov I. A. Vinokurov CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
description	The aim of the work was to evaluate the perioperative management of aged patients after elective surgical cerebral revascularization. We analyzed the outcomes of 813 patients of 70 years and older who had surgery for stenosis of the internal carotid artery [ІСА]. There were two groups: 392 patients who had carotid endarterectomy [CEA] and 421 patients who had the stenting. Age of the patients, severity of disease and comorbidity were similar in both groups In aged patients, the incidence of acute disorders of cerebral circulation (stroke] after CEA was significantly lower than the one after stenting (p = 0,04]. Frequency of perioperative myocardial infarction [MI] was 3 times higher in cases with CEA (p = 0,03]. in patients of 70 years and older, CEA shown lower incidence of stroke, however, there is increase of perioperative MI while using this method. Endovascular treatment could be chosen in patients with severe cardiac disease according to atherosclerotic plaques with no risk of embolism. In addition, the individual approach and assessment of social aspect are necessary.
format	article
author	A. N. Kosenkov R. A. Vinogradov I. A. Vinokurov
author_facet	A. N. Kosenkov R. A. Vinogradov I. A. Vinokurov
author_sort	A. N. Kosenkov
title	CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
title_short	CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
title_full	CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
title_fullStr	CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
title_full_unstemmed	CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER
title_sort	cerebral revasculization in patients of 70 years and older
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2015
url	https://doaj.org/article/f505ddb92c5a4afcaad374bd34c5f2b3
work_keys_str_mv	AT ankosenkov cerebralrevasculizationinpatientsof70yearsandolder AT ravinogradov cerebralrevasculizationinpatientsof70yearsandolder AT iavinokurov cerebralrevasculizationinpatientsof70yearsandolder
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CEREBRAL REVASCULIZATION IN PATIENTS OF 70 YEARS AND OLDER

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