Results of surgical treatment of carotid arteries in patients with diabetes mellitus
Vol 83 No 2 (2019), Surgery
Vol 83 No 2 (2019)

Results of surgical treatment of carotid arteries in patients with diabetes mellitus

Surgery
https://doi.org/10.35339/msz.2019.83.02.11
Published December 19, 2020
I.S. Pulyaeva
State institution «V.T. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine», Kharkov
https://orcid.org/0000-0002-6824-7232
PDF (Українська)

Keywords

carotid stenosis
diabetes mellitus
internal carotid artery
carotid endarterectomy

How to Cite

Pulyaeva, I. (2020). Results of surgical treatment of carotid arteries in patients with diabetes mellitus. Medicine Today and Tomorrow, 83(2), 86–89. https://doi.org/10.35339/msz.2019.83.02.11
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Abstract

The features of surgical treatment of patients with carotid stenosis on the background of diabetes mellitus were studied. From 2015 to 2019 in the Department of Acute Vascular Diseases, State Institution «IONKh named after V.T. Zaitsev NAMNU» 299 carotid endarterectomies were performed (in 245 men and 54 women). Patients were divided into two groups (with and without diabetes). Diabetes mellitus was observed in 76 patients of the second group. There are no significant differences in significant postoperative complications in patients with diabetes and without it; in patients with diabetes, one stroke was noted in the postoperative period. At a five-year follow-up, severe restenosis (more than 50 %) occurred in 14 patients with diabetes mellitus and in 46 patients without diabetes. In diabetes mellitus, a lesion of the internal carotid artery is more pronounced, which manifests itself in an increase in the length of the plaque and severe calcification, which requires a direct endarterectomy with latching. It was shown that multifocal intracranial stenosis is determined in patients with diabetes mellitus according to computed tomography data, which increases the risk of stroke, and the peculiarity endothelial lesions leads to an increase in the frequency of restenosis.

https://doi.org/10.35339/msz.2019.83.02.11
PDF (Українська)

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