Please use this identifier to cite or link to this item: https://dspace.uzhnu.edu.ua/jspui/handle/lib/2479
Title: Деякі міркування судинного хірурга з приводу операцій на сонних артеріях (клінічне ессе)
Other Titles: Some arguments of a vascular surgeon on the operations on carotid arteries
Authors: Родін, Ю.В.
Keywords: каротидна ендартеректомія, внутрішній шунт, ішемічне пошкодження мозку
Issue Date: 2012
Publisher: ТОВ «Спектраль»
Citation: Родін, Ю. В. Деякі міркування судинного хірурга з приводу операцій на сонних артеріях (клінічне ессе) [Текст] / Ю. В. Родін // Науковий вісник Ужгородського університету / УжНУ. – Ужгород : ТОВ «Спектраль», 2012. – Вип. 2 (44). – С. 97–101. – Бібліогр.: с. 101 (5 назв).
Series/Report no.: Медицина;
Description: A total amount of 15 464 strokes was registered in the Donetsk region in 2011. From 2005 to 2011 565 patients underwent carotid endarterectomy (CEA) in the clinic of Institute of Urgent and Reconstructive Surgery by V.K.Gusak. In 6.8% patients, who underwent CEA without shunt ischemic brain injuries were recorded on MRI. NO in both groups (with and without internal shunt (IS)) before the carotid artery compression did not differed significantly. After restoration of blood flow (reperfusion) the venous-arterial gradient of NO increased. Baseline jugular-arterial gradient of TFA was increased in the group with a shunt. During reperfusion, we marked the decreasing of jugular-arterial concentration gradient of TFA in comparison with the level before carotid clamping in both groups. The decreasing of the jugular-arterial concentration gradient of TFA was more significant in the group with a shunt. In the source data jugular-arterial gradient of TFA was higher in patients with inadequate collateral blood flow (group with bypass surgery). We applied the internal shunt in 184 patients. No postoperative ischemic brain lesions were diagnosed in them. Keywords: carotid endarterectomy, internal shunt, ischemic brain damage
Type: Text
Publication type: Стаття
URI: https://dspace.uzhnu.edu.ua/jspui/handle/lib/2479
Appears in Collections:Науковий вісник УжНУ Серія: Медицина. Випуск 2 (44) - 2012



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