[Some comments on the 2017 European Guidelines on treatment of atherosclerotic lesions of brachiocephalic arteries].

Analysed herein are the indications for primary interventions in patients with atherosclerotic lesions of internal carotid arteries according to the recommendations laid down in the 2017 Guidelines of the European Society for Vascular Surgery.

[Remote results of eversion carotid endarterectomy depending on the suture material used].

Background: It is known that namely long-term presence of suture material as the only foreign body in autologous conditions may lead to restenosis in the remote period. Such hypothesis was put forward based on good results of reconstructive cardiovascular operations in case of using absorbable suture material.

Objective: Our study was aimed at comparative analysis of remote results of using absorbable suture material polydioxanone and non-absorbable suture material polypropylene in eversion carotid endarterectomy.

[State of the carotid artery bifurcation after surgery involving the use of absorbable suture material].

The authors present herein a clinical case report assessing the state of the carotid artery bifurcation zone while performing secondary operation for restenosis 7 years after the primary operation (eversion carotid endarterectomy). The redo operation was carried out using absorbable suture material during anastomosis formation. This suture material used in arterial reconstructions turned out to result in good reparation of the anastomosis, not inducing coarse deformity of the vascular wall, thus in the long run making it possible to simplify the course of the redo operation.

[Analysis of remote results of eversion carotid endarterectomy].

Analysed herein are remote results of surgical management of patients presenting with atherosclerotic stenoses of carotid arteries by means of eversion carotid endarterectomy. Over the period from 2002 to 2007 specialists of the Department of Vascular Surgery of the Institute of Surgery named after A.V.

[Protocol of preventing perioperative strokes in reconstructions of carotid artery bifurcation].

Presented herein is a protocol of preventing perioperative strokes in reconstructions of bifurcation of the carotid artery, used at the Department of Vascular Surgery of the Institute of Surgery named after A.V. Vishnevsky.

[In vitro accumulation of the photosensitizer Photosens in the atherosclerotic plaque of the human carotid artery].

The investigation was undertaken to study the accumulation of the photosensitizer Photosens in arterial atherosclerotic plaques and to immunohistochemically identify cellular elements in them. Specimens were obtained during carotid endarterectomy. The preferential accumulation of Photosens occurred in the plaque areas containing the largest number of cells, such as macrophages and lymphocytes.

Does the method of carotid reconstruction influence the outcomes of the intervention?

Aim: to carry out comparative assessment of the immediate outcomes of eversion carotid endarterectomy, classical carotid endarterectomy and prosthetic repair of the internal carotid artery in atherosclerotic-genesis stenoses thereof.

Material And Methods: the study was based on a retrospective analysis of the immediate results of 630 isolated primary open interventions on the bifurcation of the common carotid artery in atherosclerosis, performed at the Department of Vascular Surgery of the A.V.

Remote results of reconstructive operations in pathological deformity of the internal carotid artery.

Objective: to study remote results of surgical treatment of patients presenting with a pathological deformity of the internal carotid artery.

Methods: the study was based on retrospectively analysing the findings of examination and the outcomes of surgical treatment of 142 patients presenting with an isolated pathological deformity of the internal carotid artery (ICA), who underwent a total of 166 reconstructive operations.

Results: 7% of patients were operated on at the asymptomatic stage, more than half (56%) of the patients were found to have transient (21%) or persistent neurological deficit (35%), 37% of patients had stage III cerebrovascular insufficiency.

Clinical manifestations and diagnosis of pathological deformity of the internal carotid artery.

Objective: to study clinical and morphological aspects of pathologically deformed pathological deformity of the internal carotid artery.

Methods: the study was based on retrospectively analysing the findings of examination and the outcomes of surgical treatment of 142 patients presenting with an isolated pathological deformity of the internal carotid artery (1СA), who underwent a total of 166 reconstructive operations.

Results: more than half (58%) of the patients were operated on for 1С A kinking, 27% for coiling and only 15% were found to have C- and S-shape tortuosity.

[Variants of reconstruction of carotid bifurcation in patients with atherosclerosis: history and current state of the art].

A historical review of reconstructive surgery for atherosclerotic lesions of carotid bifurcation is presented along with indications for the use of various methods of vascularization of internal carotid artery based on the experience gained at the Department of Vascular Surgery, A.V. Vishnevsky Institute of Surgery.

[Immediate outcomes of reconstructive operations for pathological deformity of the internal carotid artery].

Objective: To investigate the immediate outcomes of surgical treatment of patients presenting with pathological deformity of the internal carotid artery.

Methods: The study was based on retrospective analysis of the outcomes of surgical management of 142 patients with isolated pathological deformity of the internal carotid artery who underwent a total of 166 reconstructive procedures.

Results: Resection with redressing of the internal carotid artery and reimplantation into the old bed was a method of choice of repairing the deformed artery (74%).

[When should a pathological deformity of the internal carotid artery be operated on?].

The present study was aimed at optimizing the algorithm of examination and indications for operation in patients with a pathological deformity of the internal carotid artery. The work was based on a retrospective analysis of the therapeutic outcomes in 142 patients with an isolated pathological deformity of the internal carotid artery, who underwent a total of 166 reconstructive operations. Based on assessment of the diagnostic accuracy of the employed methods of diagnosis, we proposed an optimal algorithm of patient's examination including coloured duplex scanning and magnetic resonance angiography of the brachiocephalic arteries with simultaneous magnetic resonance tomography of the brain, followed by determining due indications for surgical treatment, depending on the baseline degree of cerebrovascular insufficiency and haemodynamiс significance of the pathological deformity of the internal carotid artery.

In memoriam of Michael Ellis DeBakey. Alternative reconstructions of carotid bifurcation for atherosclerosis: the history and the latest advances.

The paper overviews the history of reconstructive surgery for atherosclerotic lesions of carotid bifurcation, as well as indications for various revascularization procedures for internal carotid artery, based on the experience of the Vascular Surgery Department, A. V. Vishnevsky Institute of Surgery, and in particular, on 205 interventions that were carried out in 2006.

Remote results after prosthetic repair of the internal carotid artery for atherosclerotic lesions.

Presented herein is the authors' experience gained in employing a method of prosthetic repair of the internal carotid artery in patients suffering from atherosclerotic stenosis. Special attention is paid to intraoperative factors having led to arterial prosthetic reconstruction. Also analysed are the remote results of treatment in 81 of 97 operated patients.

Carotid artery grafting for restenosis after carotid endarterectomy.

The paper analyzes outcomes of 12 internal carotid artery (ICA) graftings for repeat stenosis after carotid endarterectomy (CEA) in 11 patients. In 6 cases restenosis occurred after eversion CEA, in 5 - after conventional patch CEA, and in 1 case - after ICA patch angioplasty for post-CEA restenosis. Critical restenosis >75% in reconstruction area was an indication for surgical intervention.

Carotid thromboses in the early postoperative period after carotid endarterectomy.

The paper analyzes 10 cases of internal carotid artery (ICA) thrombosis, which occurred after 635 carotid endarterectomies (CEA), carried out from January 1997 to July 2004. CEA procedures included 346 (54.5%) open CEAs with PTFE patch angioplasty and 289 (45.

Comparative analysis of carotid endarterectomy late outcomes related to intervention modality.

The paper presents a comparative analysis of late outcomes after 105 carotid endarterectomies (CEA) performed in 89 patients from 1997 to 2003, including 95 patients (90.5%) operated for atherosclerotic stenosis of internal carotid artery (ICA) and 7 patients (6.6%)--for combined ICA stenosis and tortuosity.

A comparative study of the long-term results of open operations and endovascular interventions for atherosclerotic stenoses of the brachiocephalic trunk.

Aim: Our aim was to carry out a retrospective comparison of the long-term results of open and endovascular interventions for atherosclerotic stenoses of the brachiocephalic trunk (BCT).

Material And Methods: Forty-five patients with BCT stenoses underwent 18 consecutive intrathoracic reconstructions and 27 balloon angioplasties. The long-term results of open interventions were followed up for a mean of 70+/-17 months (up to 169 months maximally).

What influences the standards of "quality" of carotid endarterectomy?

This paper analyzes the short-term results of 463 consecutive primary reconstructive operations on the carotid bifurcation based on the standards of "quality". In 383 (82.7%) cases, the patients were operated on for stenosis of the internal carotid artery (ICA); 60 (13%) patients had combination of stenosis and kingking of the ICA and 20 (4.

The short-term results of internal carotid reconstructions by absorbable suture material.

Analysis was made of the results of 11 internal carotid reconstructions using polydioxanone (PDS) sutures 6 months after intervention performed in 10 patients. All operations on the carotid bifurcation were accomplished using 5/0 PDS continuous suture. Nine eversion carotid endarterectomies and 2 internal carotid reconstructions were performed for Kinkiking.

[Long-term results of angioplasty with eximer laser].

The late-term results (follow-up periods of up to 18 months) of the patency of the main vessels of the lower limbs and brain were studied in 10 patients with occlusive lesions after angioplasty with excimeric laser of 308 nm wave length. Although the patency of the reconstructed vessels was maintained in 60% of cases, a good clinical effect was encountered in the late-term periods in 80% of patients. That is, the initial degree of ischemia did not recur in some of the patients after laser recanalization and subsequent balloon dilatation.

[Laser angioplasty in the staged surgical treatment of patients with combined and multiple lesions of different arterial basins].

Percutaneous laser angioplasty was attempted in 30 patients with occlusive lesions of the main arteries of the lower extremities and the branches of the aortic arch. Most patients had either combined affection of the branches of the aortic arch and arteries of the lower extremities (56%), or involvement of several vascular segments on one extremity into the process (74%), or involvement of arteries of both lower extremities (85%). Seven patients underwent stage correction of circulatory cerebral disorders and restoration of patency of arteries of both lower extremities.

[Laser surgery in occlusive diseases of peripheral arteries].

The first experience with the use of an excimeric laser in the treatment of 24 patients with segmental occlusion of the peripheral arteries is discussed. It proved possible to recanalize the obstructed segment of the vessel for its whole distance in 13 patients. Analysis of the complications shows that further technological development of the method is necessary.