Abstract
In the review the modern aspects of the etiology and pathogenesis of pathological tortuosity of the internal
carotid artery (ICA). It covers the main types of surgical correction of pathological tortuosity in association
with atherosclerotic stenosis, compared the efficacy and safety practices among themselves. The focus is on
the definition of the indications for surgical intervention, taking into account the presence or absence of neurological
symptoms, anatomical and functional characteristics of pathological changes of ICA segments, the
degree of stenosis and its localization. The authors, based on the analysis of literature claim that the surgical
treatment of pathological tortuosity in combination with atherosclerotic stenosis of the internal carotid
artery is safe and effective and can achieve long-term effect on the prevention of the symptoms of cerebrovascular
insufficiency. As an alternative to the treatment of this disease in patients with high operational
risk should be viewed angioplasty with stenting of the ICA.
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About the authors
- Vinogradov Roman Aleksandrovich, Cand. Med. Sc., Cardiovascular Surgeon of the Highest Category, Surgeon of the Highest Category, Head of Department for Vascular Surgery, orcid.org/0000-0001-9421-586X
-
Zakeryaev Aslan Bubaevich, Cardiovascular Surgeon; orcid.org/0000-0002-4859-1888
