rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2017-13-1-80-87rpcardio-1419Research ArticleINNOVATIVE CARDIOLOGYИННОВАЦИОННАЯ КАРДИОЛОГИЯENDOVASCULAR TREATMENT OF CAROTID ATHEROSCLEROSIS: CONCERNS AND PERSPECTIVESЭНДОВАСКУЛЯРНЫЕ МЕТОДЫ ЛЕЧЕНИЯ КАРОТИДНОГО АТЕРОСКЛЕРОЗА: ВОПРОСЫ И ПЕРСПЕКТИВЫТвороговаТ. В.TvorogovaT. V.

Творогова Татьяна Васильевна – кандидат медицинских наук,  главный врач.

141730, Московская обл., Лобня, ул. Текстильная, 16

Tatiana V. Tvorogova – MD, PhD, Chief Physician.

Textilnaya ul. 16,  Lobnya, 141730

БулгаковаЕ. С.BulgakovaE. S.

Булгакова Елена Сергеевна – аспирант, отдел клинической кардиологии и молекулярной генетики.

101990, Москва, Петроверигский пер., 10

Elena S. Bulgakova – MD, Fellow, Department of Clinical Cardiology and Molecular Genetics.

Petroverigsky per. 10,  Moscow, 101990

ebulgakova@gnicpm.ruШукуровФ. Б.ShukurovF. B.

Шукуров Фирдавс Баходурович – врач-эндоваскулярный хирург отделения рентгенэндоваскулярных методов диагностики и лечения.

101990, Москва, Петроверигский пер., 10

Firdavs B. Shukurov – MD, Endovascular Surgeon, Department of Roentgen-Endovascular Diagnostics and Treatment (Interventional Cardiology).

Petroverigsky per. 10,  Moscow, 101990

РуденкоБ. А.RudenkoB. A.

Руденко Борис Александрович – доктор медицинских наук, ведущий научный сотрудник лаборатории рентгенэндоваскулярных методов диагностики и лечения.

101990, Москва, Петроверигский пер., 10

Boris A. Rudenko – MD, PhD, Leading Researcher,  Laboratory of Roentgen-Endovascular Diagnostics and Treatment (Interventional Cardiology).

Petroverigsky per. 10,  Moscow, 101990

ДрапкинаО. А.DrapkinaO. M.

Драпкина Оксана Михайловна – доктор медицинских наук, профессор, первый зам. директора по научной и лечебной работе, руководитель отдела фундаментальных и прикладных аспектов ожирения.

101990, Москва, Петроверигский пер., 10

Oxana M. Drapkina - MD, PhD, Professor, Deputy Director for Research and Clinical Work, Head of Department of Fundamental and Applied Aspects of Obesity.

Petroverigsky per. 10,  Moscow, 101990

ШаноянА. С.ShanoyanA. S.

Шаноян Артем Серикович – кандидат медицинских наук,  зав. отделением рентгенэндоваскулярных методов диагностики и лечения.

101990, Москва, Петроверигский пер., 10

Artem S. Shanoyan MD, PhD, Head of Department of Roentgen-Endovascular Diagnostics and Treatment (Interventional Cardiology).

Petroverigsky per. 10,  Moscow, 101990

Клиника «Семья»РоссияPrivate Clinic "Family"Russian FederationГосударственный научно-исследовательский центр профилактической медициныРоссияState Research Center for Preventive MedicineRussian Federation2017030320171318087Copyright © Tvorogova T.V., Bulgakova E.S., Shukurov F.B., Rudenko B.A., Drapkina O.M., Shanoyan A.S., 20172017Творогова Т.В., Булгакова Е.С., Шукуров Ф.Б., Руденко Б.А., Драпкина О.А., Шаноян А.С.Tvorogova T.V., Bulgakova E.S., Shukurov F.B., Rudenko B.A., Drapkina O.M., Shanoyan A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/1419

Stroke is one of the most frequent causes  of death and permanent disability among adults. The majority of ischemic strokes  are due to atherosclerotic plaque in the internal carotid artery. Carotid endarterectomy is more effective than medical management in the prevention of stroke in patients with carotid artery stenosis. Carotid artery stenting, a less invasive revascularization strategy than  endarterectomy, is also wide-spread but it is associated with more periprocedural complications. Knowledge of risk factors of these  complications may impact treatment decisions for the individual patient, but these factors have not been extensively studied.

Инсульт является одной из наиболее частых причин смерти и потери трудоспособности среди взрослого населения. Большинство ишемических инсультов обусловлено наличием атеросклеротического поражения внутренней сонной артерии. По сравнению с консервативной медикаментозной терапией каротидная эндартерэктомия является более эффективной в профилактике инсультов у пациентов со стенозом сонной артерии. Стентирование сонной артерии также является широко  распространенным методом лечения, однако, оно связано с большим количеством периоперационных осложнений. Знание факторов риска этих осложнений может повлиять на выбор тактики лечения  пациента, однако  эти факторы недостаточно изучены.

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The authors declare that there are no conflicts of interest present.