Results of treatment in 2010 - 2015 yrs of 187 patients, suffering haemodynamically significant stenosis of carotid arteries, on background of upcoming surgical treatment of the lower extremities tissues chronic ischemia, an ischemic heart disease or diseases of digestive system, were analyzed. In generalized atherosclerosis and an acute disorder of the brain blood circulation in anamnesis it is necessary to conduct the carotid arteries affection screening. In haemodynamically significant stenosis of carotid arteries in patients, suffering an ischemic heart disease and the digestive system diseases, as a first stage a carotid endarterectomy was performed for reduction of the occurrence risk for ischemic insult after operation performed for the main disease.

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