Development of an Algorithm for the Choice of Treatment Tactics in Patients with Atherosclerotic Lesions of the Lower Limbs Arteries

Results: In both groups there were no cases of postoperative death.In the first group, in the early postoperative period, there were two cases of stroke from the ipsilateral side.In the second group, in the early postoperative period, there were two cases of stroke from the ipsilateral side.In the first group, four cases of intra-operative cranial nerve injury were recorded, with the development of unstable neurological symptoms in the form of impaired swallowing of solid food in one case and facial asymmetry in three cases.All symptoms were transient and resolved on their own, 2 e 4 days after surgery.In the long term, mortality and ischaemic stroke were not recorded.Ultrasound examination was done in patients after 12 months.After surgery, restenosis was observed in three patients (12.9%) in the first group and in five patients (1.87%) in the second group.The co-variants selected for comparison showed no difference between the groups in mortality (95%, p ¼ .60)or restenosis (95%, p ¼ .47).Conclusion: Low risk of complications after CEA and stenting of the ICA in the early stages, and good long term results of surgical treatment of patients with asymptomatic haemodynamically significant stenosis of the carotid arteries indicate the safety and effectiveness of these methods in the surgical care of this category of patients.The absence of damage to the cranial nerves during endovascular interventions with similar early and long term results may contribute to the choice of this method of surgical treatment in patients with asymptomatic haemodynamically pronounced stenosis of the ICA.

Abstract licence: CC BY-NC-ND

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