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  • Title: [INTRACRANIAL HEMODYNAMICS DURING ENDARTERECTOMY PERFORMING DUE TO STENOSIS OF THE CAROTID ARTERY: RESULTS OF INTRAOPERATIVE MONITORING].
    Author: Samarskiy IM, Volkovinskaya TV.
    Journal: Klin Khir; 2016; (7):18-20. PubMed ID: 30256571.
    Abstract:
    Evaluation of intracranial hemodynamic parameters when performing endarterectomy over stenotic disease of carotid artery (CA) by Doppler intraoperative monitoring and the effectiveness of neuroprotection using Neoton during operative intervention. According to the results of research vessels duplex shoulder—main trunk in most patients after admission revealed bilateral heterogeneous plaques with predominance of hipoechogenous component were reveald. At the beginning of surgery in patients with marked increase in blood flow velocity in the middle cerebral artery — to (167.2 ± 1.3) cm/s, which is outside the permitted parameters. During bolus Neoton application pronounced changes of intracranial hemodynamics was no incidence, of cerebrovascular microemboli three times less. We discussed the feasibility of evaluating intracranial hemodynamics in patients with atherosclerotic lesions of arteries of shoulder—main trunk intraoperative stage.
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