PRINCIPLES OF EVALUATION AND SURGICAL TREATMENT OF PATIENTS WITH CONSTRICTIVE ATHEROSCLEROTIC LESIONS OF CEREBRAL ARTERIES IN NEUROSURGICAL DEPARTMENT OF INTERREGIONAL CLINICAL DIAGNOSTIC CENTER (KAZAN)
Hemodynamic significant atherosclerotic stenoses and occlusions of cerebral arteries are considered to be magnificent social issue. several patients with this pathology require reconstructive and revascularization interventions i.e. carotid endarterectomy (cEA), carotid arteries stenting (cas) or extra-intracranial (Ecic) bypass application. In order for a decision to be made on indications to above mentioned operations, information concerning anatomical features of cerebral and precerebral vasculature and functional condition of cerebral blood flow is required. OBJECTIVE. Presentation of Interregional clinical Diagnostic center (Icdc) neurosurgical department diagnostic algorithm and surgical approach principles in patients with atherosclerotic disease of cerebral vessels. MATERIAL AND METHODS. Retrospective analysis of 368 medical records of icDc neurosurgical patients was undertaken. RESULTS. The article represents examination algorithm with associated experience of 282 surgeries for stenotic and occlusive atherosclerotic disease of major cerebral vessels in the Neurosurgery department of ICDC. conclusion. Instrumental diagnostics based on the algorithm discussed provides rationale for determination of indications for surgical intervention in patients with stenotic and occlusive cerebral vessels disease and successful brain revascularization.