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Year 2014 Vol. 22 No 2

REVIEWS

A.A. PECHENKIN, A.A. LYZIKOV

CAROTID ENDARTERECTOMY: OUTCOMES AND PROSPECTS

EE “Gomel State Medical University”
The Republic of Belarus

Today the atherosclerotic lesions of the brachiocephalic arteries occupy one of the leading places among vascular disease, second only to coronary vessels and lower extremities vessels. Despite the development of high technologies and minimally invasive treatment techniques, carotid endarterectomy remains a leading treatment method of the given pathology. By the present moment the methods of examination and indication for the surgery have been strictly determined; many kinds of surgeries have been worked out. However, the problem of further disease progression remains valid regardless of the method of intervention and the plastic material used in the operation. On the average restenosis is detected in 10-15% of earlier operated patients. Different operative techniques and their distant results have been analyzed in the review. Comparative analysis of plastic materials used for carotid endarterectomy has been carried out.
Literature analysis has permitted to determine the most significant and successful ways to reduce restenosis incidence in distant postoperative period. At the same time it has been established that there are no distinct data concerning restenosis development after various operative interventions. Significant variety of opinions concerning plastic materials has been found out, indicating the absence of a single point of view of their choice.
The carried out literature analysis proves the necessity for further studies of restenosis pathogenesis after surgical interventions as well as for search of the operative correction techniques and alternative tissue for the internal carotid artery reconstruction. To study the application of the femoral vein for reconstruction of the aortic arch branches seems to be perspective.

Keywords: atherosclerosis, brachiocephalic arteries, internal carotid artery, operative treatment, carotid endarterectomy
p. 231 – 238 of the original issue
References
  1. World Health Statistics 2012 [Available from] http://www.who.int/gho/publications/world_health_statistics/2012/en/
  2. Pokrovskii AV, Beloiartsev DF, Kolosov RV. Chto vliiaet na standarty «kachestva» vypolneniia karotidnoi endarterektomii [What does affect the "quality" standards of performing carotid endarterectomy]? Angiologiia i Sosud Khirurgiia. 2003;9(3):80–89.
  3. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, Ford E, Furie K, Go A, Greenlund K, Haase N, Hailpern S, Ho M, Howard V, Kissela B, Kittner S, Lackland D, Lisabeth L, Marelli A, McDermott M, Meigs J, Mozaffarian D, Nichol G, O'Donnell C, Roger V, Rosamond W, Sacco R, Sorlie P, Stafford R, Steinberger J, Thom T, Wasserthiel-Smoller S, Wong N, Wylie-Rosett J, Hong Y. Heart disease and stroke statistics-2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009 Jan 27;119(3):480–86.
  4. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006 May 27;367(9524):1747–57.
  5. Linfante I, Andreone V, Akkawi N, Wakhloo AK. Internal carotid artery stenting in patients over 80 years of age: single-center experience and review of the literature. J Neuroimaging. 2009 Apr;19(2):158–63.
  6. Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, Culebras A, Degraba TJ, Gorelick PB, Guyton JR, Hart RG, Howard G, Kelly-Hayes M, Nixon JV, Sacco RL. Primary prevention of ischemic stroke: a guideline. Stroke. 2006 Jun;37(6):1583–33.
  7. Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet. 1954 Nov 13;267 (6846):994–96.
  8. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1991 Aug 15;325(7):445–53.
  9. Endarterectomy for moderate symptomatic carotid stenosis: interim results from the MRC European Carotid Surgery Trial. Lancet. 1996 Jun 8;347(9015):1591–93.
  10. Rothwell PM, Eliasziw M, Gutnikov SA, Fox AJ, Taylor DW, Mayberg MR, Warlow CP, Barnett HJ. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Carotid Endarterectomy Trialists' Collaboration. Lancet. 2003 Jan 11;361(9352):107–16.
  11. Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack. Circulation. 2006 Mar 14;113(10):e409-49.
  12. Rothwell PM, Eliasziw M, Gutnikov SA, Warlow CP, Barnett HJ. Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery. Carotid Endarterectomy Trialists Collaboration. Lancet. 2004 Mar 20;363(9413):915–24.
  13. Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA. 1995 May 10;273(18):1421–28.
  14. Abbott AL. Medical (nonsurgical) intervention alone is now best for prevention of stroke associated with asymptomatic severe carotid stenosis: results of a systematic review and analysis. Stroke. 2009 Oct;40(10):e573–83.
  15. Mas JL, Chatellier G, Beyssen B; EVA-3S Investigators. Carotid angioplasty and stenting with and without cerebral protection: clinical alert from the Endarterectomy Versus Angioplasty in Patients With Symptomatic Severe Carotid Stenosis (EVA-3S) trial. Stroke. 2004 Jan;35(1):e18–20.
  16. Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF; CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010 Jul 1;363(1):11-23.
  17. Maldonado TS. What are current preprocedure imaging requirements for carotid artery stenting and carotid endarterectomy: have magnetic resonance angiography and computed tomographic angiography made a difference? Semin Vasc Surg. 2007 Dec;20(4):205–15.
  18. Alberts M. Results of a multicenter prospective randomized trial of carotid artery stenting vs. carotid endarterectomy. Abstracts of the International Stroke Conference. Stroke 2001;32:325.
  19. Ouriel K, Hertzer NR, Beven EG, O'hara PJ, Krajewski LP, Clair DG, Greenberg RK, Sarac TP, Olin JW, Yadav JS. Preprocedural risk stratification: identifying an appropriate population for carotid stenting. J Vasc Surg. 2001 Apr;33(4):728-32.
  20. Fluri F, Hatz F, Voss B, Lyrer PA, Engelter ST. Restenosis after carotid endarterectomy: significance of newly acquired risk factors. Eur J Neurol. 2010 Mar;17(3):493–98.
  21. Schanzer A, Hoel A, Owens CD, Wake N, Nguyen LL, Conte MS, Belkin M. Restenosis after carotid endarterectomy performed with routine intraoperative duplex ultrasonography and arterial patch closure: a contemporary series. Vasc Endovascular Surg. 2007 Jun-Jul; 41(3):200–5.
  22. Hudorovic N, Lovricevic I, Hajnic H, Ahel Z. Postoperative internal carotid artery restenosis after local anesthesia: presence of risk factors versus intraoperative shunt. Interact Cardiovasc Thorac Surg. 2010 Aug;11(2):182–84.
  23. Dudanov IP, Belinskaia VG, Laptev KV, Vasil'chenko NO, Kablov E S, Sterlin OV. Rekonstruktivnye operatsii na sonnykh arteriiakh v kompleksnom lechenii ostrogo ishemicheskogo insul'ta [Reconstructive surgery on the carotid arteries in the complex treatment of acute ischemic stroke]. Med Akadem Zhurn. 2011;(2):109–16.
  24. Bokeriia LA, Gudkova RG. Serdechno-sosudistaia khirurgiia. Bolezni i vrozhdennye anomalii sistemy krovoobrashcheniia [Cardiovascular Surgery. Disease and congenital malformations of the circulatory system]. Moscow, RF: NTsSSKh im AN Bakuleva RAMN; 2012.196 p.
  25. Clagett GP, Robinowitz M, Youkey JR, Fisher DF Jr, Fry RE, Myers SI, Lee EL, Collins GJ, Irmani R. Morphogenesis and clinicopathologic characteristics of recurrent carotid disease. J Vasc Surg. 1986 Jan;3(1):10–23.
  26. Burrig KF, Schrix T. Arterial wall texture after uncomplicated endarterectomy. Pathologe. 1995 Sep;16(5):336-41. [Article in German].
  27. Laguta PS, Panchenko EP. Rol' aspirina v lechenii i profilaktike serdechno-sosudistykh zabolevanii [The role of aspirin in the treatment and prevention of cardiovascular diseases]. Angiologiia i Sosud Khirurgiia. 2002;8(3):6–12.
  28. Pokrovskii AV, Kuntsevich GI, Beloiartsev DF, Timina IE, Kolosov RV. Sravnitel'nyi analiz otdalennykh rezul'tatov karotidnoi endarterektomii v zavisimosti ot metodiki operatsii [Comparative analysis of long-term results of carotid endarterectomy depending on the method of operations]. Angiologiia i Sosud Khirurgiia. 2005;11(1):93–03.
  29. Ignat'ev IM. Operatsii na sonnykh arteriiakh v ostrom periode ishemicheskogo insul'ta [Operation on the carotid arteries in acute ischemic stroke]. Angiol i Sosud Khirurgiia. 2011;17(2):113–18.
  30. Makihara N, Toyoda K, Uda K, Inoue T, Gotoh S, Fujimoto S, Yasumori K, Ibayashi S, Iida M, Okada Y. Characteristic sonographic findings of early restenosis after carotid endarterectomy. J Ultrasound Med. 2008 Sep;27(9):1345–52.
  31. Aleksandrov IuV, Grigor'ev VM, Dragunov AG, i dr. Zavisimost' sostoianiia operirovannoi arterii ot vida i dliny zaplaty [The dependence of the operated artery state on the type and length of the patch]. Angiologiia i Sosud Khirurgiia. 2003;(3 pril):8.
  32. Ferrero E, Ferri M, Viazzo A, Gaggiano A, Ferrero M, Maggio D, Berardi G, Pecchio A, Piazza S, Cumbo P, Nessi F. Early carotid surgery in patients after acute ischemic stroke: is it safe? A retrospective analysis in a single center between early and delayed/deferred carotid surgery on 285 patients. Ann Vasc Surg. 2010 Oct;24(7):890–9.
  33. Setacci C, de Donato G. Is early carotid stenting indicated in patients with recent neurological events? Eur J Vasc Endovasc Surg. 2008 Sep;36(3):251–52.
  34. Muto A, Nishibe T, Dardik H, Dardik A. Patches for carotid artery endarterectomy: current materials and prospects. J Vasc Surg. 2009 Jul;50(1):206–13.
  35. Pirtskhalaishvili ZK, Lavrent'ev AV, Darvish NA, Churakova AV, Seleznev AI, Spiridonov AA. Sravnitel'naia otsenka rezul'tatov karotidnoi endarterektomii v zavisimosti ot metodov plastiki [Comparative evaluation of carotid endarterectomy results in the depending on plastics methods]. Annaly Khirurgii. 2002;(5):66–70.
  36. Cao P, Giordano G, De Rango P, Zannetti S, Chiesa R, Coppi G, Palombo D, Peinetti F, Spartera C, Stancanelli V, Vecchiati E. Eversion versus conventional carotid endarterectomy: late results of a prospective multicenter randomized trial. J Vasc Surg. 2000 Jan;31(1 Pt 1):19-30.
  37. Biasi GM, Sternjakob S, Mingazzini PM, Ferrari SA. Nine-year experience of bovine pericardium patch angioplasty during carotid endarterectomy. J Vasc Surg. 2002 Aug;36(2):271–77.
  38. Trisal V, Paulson T, Hans SS, Mittal V. Carotid artery restenosis: an ongoing disease process. Am Surg. 2002 Mar;68(3):275-9; discussion 279-80.
  39. AbuRahma AF, Robinson PA, Saiedy S, Richmond BK, Khan J. Prospective randomized trial of bilateral carotid endarterectomies: primary closure versus patching. Stroke. 1999 Jun;30(6):1185–89.
  40. Clagett GP, Patterson CB, Fisher DF Jr, Fry RE, Eidt JF, Humble TH, Fry WJ. Vein patch versus primary closure for carotid endarterectomy. A randomized prospective study in a selected group of patients. J Vasc Surg. 1989 Feb;9(2):213-23.
  41. Hertzer NR. The hidden statistics of carotid patch angioplasty. J Vasc Surg. 1994 Mar;19(3):555–56.
  42. Sedov VM, Batalin IV, Kondrat'ev VM. Zavisimost' rezul'tatov lecheniia bol'nykh s aterosklerozom arterii golovnogo mozga ot tekhnologii karotidnoi endarterektomii [Dependence on the treatment results of patients with atherosclerosis of cerebral arteries from the technology of carotid endarterectomy]. Angiologiia i Sosud Khirurgiia. 2004;10(1):111–15.
  43. Naylor AR, Mackey WC. Carotid artery surgery. London, UK: WB Saunders; 2000. 408 p.
  44. Reikhert V, Shmitts-Riksen T, Antonov A, Efremov A. Izmeneniia rigidnosti biologicheskikh sosudistykh protezov v zavisimosti ot sposoba konservatsii [Changes of the rigidity of biological vascular prostheses according to the method of preservation]. Angiologiia i Sosud Khirurgiia. 1999;(4):58–69.
  45. Rosenthal D, Archie JP Jr, Garcia-Rinaldi R, Seagraves MA, Baird DR, McKinsey JF, Lamis PA, Clark MD, Erdoes LS, Whitehead T, et al. Carotid patch angioplasty: immediate and long-term results. J Vasc Surg. 1990 Sep;12(3):326–33.
  46. Archie JP Jr. A fifteen-year experience with carotid endarterectomy after a formal operative protocol requiring highly frequent patch angioplasty. J Vasc Surg. 2000 Apr;31(4):724–35.
  47. Fokin AA, Babkin EV. Infektsionnye oslozhneniia rekonstruktivnykh operatsii na sonnykh arteriiakh pri ateroskleroticheskikh stenozakh [Infectious complications of reconstructive surgery on the carotid artery at atherosclerotic stenosis]. Angiologiia i Sosud Khirurgiia. 2010;16(2):87–90.
  48. Cherniavskii AM, Starodubtsev VB, Stoliarov MS, Al'sov SA, Semenova II, Vinogradova TE, Bakharev AV. Rezul'taty ispol'zovaniia razlichnykh vidov zaplat v khirurgii sonnykh arterii [The results of different kinds of patches using in carotid surgery]. Angiologiia i Sosud Khirurgiia. 2009;15(1):103–05.
  49. AbuRahma AF, Robinson PA, Saiedy S, Kahn JH, Boland JP. Prospective randomized trial of carotid endarterectomy with primary closure and patch angioplasty with saphenous vein, jugular vein, and polytetrafluoroethylene: long-term follow-up. J Vasc Surg. 1998 Feb;27(2):222–32.
  50. Archie JP Jr. Prospective randomized trials of carotid endarterectomy with primary closure and patch reconstruction: the problem is power. J Vasc Surg. 1997 Jun;25(6):1118–20.
Address for correspondence:
246000, Respublika Belarus', g. Gomel', ul. Lange, d. 5, UO «Gomel'skii gosudarstvennyi meditsinskii universitet», kafedra khirurgicheskikh boleznei № 3,
e-mail: peleka@tut.by,
Pechenkin Aleksei Aleksandrovich
Information about the authors:
Pechenkin A.A. An assistant of the surgical diseases chair№ 3 of EE “Gomel State Medical University”.
Lyzikov A.A. An associate professor of the surgical diseases chair№ 3 of EE “Gomel State Medical University”.
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