Immediate and long-term results of two eversion carotid endarterectomy techniques
- Authors: Yarikov A.V.1,2,3,4, Smirnov I.I.2, Mukhin A.S.5, Kletskin A.E.5, Lyutikov V.G.3, Sergeev V.L.6, Fraerman A.P.2, Lipatov K.S.1, Ostapyuk M.V.5, Stolyarov S.I.4, Muravina E.A.4, Khasyanov M.K.4, Ponomareva A.I.4, Komkova E.F.4, Teleshova T.O.4, Nesterenko S.P.4, Shigorina A.A.7, Zaletova I.A.7, Levshakov V.A.8, Abramychev N.I.9
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Affiliations:
- Volga District Medical Center, Federal Biomedical Agency of Russia
- City Clinical Hospital Thirty-Nine, Nizhny Novgorod
- City Clinical Hospital One, Nizhny Novgorod
- Central City Hospital, Arzamas
- Volga Research Medical University, Ministry of Health of Russia
- Federal Siberian Research and Clinical Center, Federal Biomedical Agency of Russia
- Lyskovo Central District Hospital
- 8Central Primary Healthcare Unit Fifty, Federal Biomedical Agency of Russia
- Semenov Central District Hospital
- Issue: Vol 33, No 12 (2022)
- Pages: 58-64
- Section: From Practice
- URL: https://journals.rcsi.science/0236-3054/article/view/142997
- DOI: https://doi.org/10.29296/25877305-2022-12-11
- ID: 142997
Cite item
Abstract
Objective. To study the immediate and long-term results of the new modified technique of eversion carotid endarterectomy (ECEAE).
Subjects and methods. According to the type of surgical treatment, the patients were divided into 2 groups: a study group of 61 patients who underwent ECEAE according to the method developed by V.L. Sergeev et al. and a comparison group of 89 patients who had ECEAE according to the method described by R. Kieny. The immediate and long-term results of the two ECEAE techniques were assessed.
Results. No advantages of any of the ECEAE techniques were found in the immediate postoperative period. At the same time, in the long-term postoperative period, the incidence of non-fatal ischemic stroke ipsilateral to the side of surgery was 0% in the study group (ECEAE according to V.L. Sergeev) and 7.1% in the comparison group, the incidence of internal carotid artery restenosis was 1.7 and 11.7% respectively (p < 0.05). The two reconstruction methods were evaluated through mathematical modeling of blood flow.
Conclusion. The new ECEAE technique (according to V.L. Sergeev) exhibited its safety and effectiveness in the immediate and long-term postoperative periods. Thus, it can be recommended for its wide application in practical medicine.
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##article.viewOnOriginalSite##About the authors
A. V. Yarikov
Volga District Medical Center, Federal Biomedical Agency of Russia; City Clinical Hospital Thirty-Nine, Nizhny Novgorod; City Clinical Hospital One, Nizhny Novgorod; Central City Hospital, Arzamas
Author for correspondence.
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0002-4437-4480
Candidate of Medical Sciences
Russian Federation, Nizhny Novgorod; Nizhny Novgorod; Nizhny Novgorod; Arzamas, Nizhny Novgorod RegionI. I. Smirnov
City Clinical Hospital Thirty-Nine, Nizhny Novgorod
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0002-1766-9515
Russian Federation, Nizhny Novgorod
A. S. Mukhin
Volga Research Medical University, Ministry of Health of Russia
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0003-2336-8900
MD; Professor
Russian Federation, Nizhny NovgorodA. E. Kletskin
Volga Research Medical University, Ministry of Health of Russia
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0001-8053-2653
MD; Professor
Russian Federation, Nizhny NovgorodV. G. Lyutikov
City Clinical Hospital One, Nizhny Novgorod
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0003-0436-7240
MD
Russian Federation, Nizhny NovgorodV. L. Sergeev
Federal Siberian Research and Clinical Center, Federal Biomedical Agency of Russia
Email: anton-yarikov@mail.ru
Russian Federation, Krasnoyarsk
A. P. Fraerman
City Clinical Hospital Thirty-Nine, Nizhny Novgorod
Email: anton-yarikov@mail.ru
MD
Russian Federation, Nizhny NovgorodK. S. Lipatov
Volga District Medical Center, Federal Biomedical Agency of Russia
Email: anton-yarikov@mail.ru
Candidate of Medical Sciences
Russian Federation, Nizhny NovgorodM. V. Ostapyuk
Volga Research Medical University, Ministry of Health of Russia
Email: anton-yarikov@mail.ru
Russian Federation, Nizhny Novgorod
S. I. Stolyarov
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
E. A. Muravina
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
M. K. Khasyanov
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
A. I. Ponomareva
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
E. F. Komkova
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
T. O. Teleshova
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
S. P. Nesterenko
Central City Hospital, Arzamas
Email: anton-yarikov@mail.ru
Russian Federation, Arzamas, Nizhny Novgorod Region
A. A. Shigorina
Lyskovo Central District Hospital
Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region
I. A. Zaletova
Lyskovo Central District Hospital
Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region
V. A. Levshakov
8Central Primary Healthcare Unit Fifty, Federal Biomedical Agency of Russia
Email: anton-yarikov@mail.ru
Russian Federation, Sarov, Nizhny Novgorod Region
N. I. Abramychev
Semenov Central District Hospital
Email: anton-yarikov@mail.ru
Russian Federation, Semenov, Nizhny Novgorod Region
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