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Carotid artery surgery for preventing stroke: patient  80 yr.old

Carotid artery surgery for preventing stroke: patient 80 yr.old

A  87- yr- old patient  A.  Zh   with the feeling   of numbness in left limbs, dizziness, uncoordinated movement and headaches  was admitted in  15.05.2015 to  the Neck and Heart Vascular Surgery Department (head of the service Dr. Shatakhyan M.P., MD, PhD).

 

The patient was diagnosed: 90% stenosis of the right internal carotid artery, left vertebral carotid artery stenosis 90% and left internal carotid artery stenosis 70% on the basis of duplex scanning and CT angiography of head and neck; condition of the patient after multiple  strokes of hemispheric and vertebrobasilar pools; chronic  kidney failure , chronic  heart failure FC III and  exertional angina FC II.

 

The decision was made for an immediate surgical intervention to prevent a stroke caused by critical right internal artery stenosis. The situation was complicated by the existence of  chronic renal  (creatinine 320mcm/l   ) and heart failure (mitral insufficiency III  , aortic valve insufficiency III, ejection fraction  LV 40%, sinus bradycardia with a rate of 40-50 beats per minute). Taking into consideration all risk factors and  preventive measures, in 16.05.2016  classic carotid endarterectomy  of right internal carotid artery  closed with ksenopericardial patch was carried out by the surgical team headed by Dr. Shatakhyan M.P and with participation of surgeon Dr. Hayrapetyan A.A. and  anesthesiologist  Dr. Muradyan A.R.

 

Carotid artery surgery for preventing stroke

 

Post-operative period went smoothly, without complications,  patient was  discharged on  the  2nd day. At present the patient is preparing for the second  phase of intervention , where he will  simultaneously  be carried out  carotid endarterectomy  of left  ICA  and placed carotid-vertebrobasilar anastomoses.

 

One of the main achievements of the Neck and Heart Vascular Surgery Department is the possibility to carry out safe surgical interventions for stroke prevention particularly for elderly patients (within 2 years of work for 10 patients   ≥ 80 yr were performed surgical interventions without any complications). This is the result of successful teamwork of doctors and medical staff and also high-tech as diagnostic as surgical facilities of Erebouni medical center.

 

Today neck vascular surgery in elderly patients for the prevention of stroke characterized by great results and helps to increase the percentage of life expectancy. This is the result of dedicated work of the Department and professional and humane approach to patients of mentioned age category.

 

It is necessary   to state that in MC Erebouni the contingent of elderly patients, who previously may have been considered inoperable, now receive qualified operational service according to international standards.

 

30.05.2016
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