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Method of the brain protection at carotid reconstructions at patients in the acute period of ischemic stroke

[Neurology]
Enver Baychorov; Arsen Shahnazaryan; Ruslan Chemurziev; Mihail Gasparyan; Natalia Shahnazaryan;

0.5–2 % of the carotid reconstruction which are carried out at patients in the acute period of ischemic stroke are followed by hemorrhagic transformation of the stroke zone. The reasons of this life-threatening complication with high lethality level are increased brain perfusion on the side of operation, disturbance of a vascular autoregulation and uncontrollable arterial hypertension in the early postoperative period. The comparative analysis of direct results of carotid reconstruction which are performed to 322 patients in the acute ischemic stroke are presented in the article. In the basic group (n=84) the original method of brain protection was used, in control group (n=238) standard methods were used. The received results show a lower level of the neurologic complications and lethality in the early postoperative period in group of patients with application of an original method of brain protection.

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Keywords: ischemic stroke, carotid reconstruction, syndrome of cerebral hyperperfusion, method of brain protection


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