The paper specifies indications and contraindications for brain microrevascularization and carotid endarterectomy in patients with atherosclerotic tandem stenosis of the internal carotid (IC) and provides strong evidence for the succession of their implementation. It also notes the role of tandem lesion as a factor predisposing to IC occlusion after carotid endarterectomy. It is shown that brain microrevascularization serves as the method of choice, when other correcting measures for cerebral blood flow disorders fail, and aims largely at preventing local cerebral ischemia.
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