Endovascular techniques for treating patients with high surgical risks
In the article the authors present their experience in stenting coronary and inner carotid arteries. 52 patients had stenting of 56 inner carotid arteries and 93 coronary arteries. Patients' age varied from 64 to 85 years (average 74.1±5.3). Stenosis degree in inner carotid arteries varied from 60% to 95%, average 72.7 ± 7.2%. 10 (19.2%) patients had transitory disorders of cerebral blood flow; 42 (80.8%) patients had general cerebral symptoms indicating circulation disorders. Combined endovascular interventions on coronary arteries and inner carotid arteries were performed in 5 (9.6%) patients with FC IV; in 28 (53.8%) patients with FC III, in 11 (21.1%) patients with FC II by CCS classification, and in 8 (15.4%) patients with unstable angina. Neurologic complications occurred in 3 (5.3%) cases (transient ischemic attack - 2 (3.6%) patients, minor stroke - 1 (1.8%) patient). There were no death outcomes. In the long-term follow-up 9 (17.3%) patients were examined. An angina recurrence because of stent restenosis was seen in 3 (5.7%) patients. There were no myocardial infarctions and strokes.