Postoperative cerebral dysfunction in carotid endarterectomy — a modern prevention strategy

Author:

Ivolgin A. F.1ORCID,Litvinenko I. V.2ORCID,Tsygan N. V.3ORCID,Samushiya M. A.4ORCID,Ragimova A. A.5ORCID

Affiliation:

1. FSBI 3rd Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defense of the Russian Federation, Novy, Krasnogorsk district, Moscow Region;

2. FSBMEI HE Military Medical Academy named after S.M. Kirov of the Ministry of Defense of Russia, Saint-Petersburg

3. FSBMEI HE Military Medical Academy named after S.M. Kirov of the Ministry of Defense of Russia, Saint-Petersburg; NRC Kurchatov Institute, Moscow; NRC Kurchatov Institute — PNPI, Gatchina, Leningrad Region

4. SBI FPE Central State Medical Academy of the Presidential Administration of Russia, Moscow

5. SBI FPE Central State Medical Academy of the Presidential Administration of Russia, Moscow; Higher School of Economics — National Research University, Moscow

Abstract

Based on 48 foreign and domestic publications, a systematic review on the prevention of postoperative cerebral dysfunction (POCD) that develops after reconstructive operations on the carotid arteries was carried out. Main conclusions. Reconstructive operations on the carotid arteries, which are the leading direction in the prevention of ischemic strokes in stenosing atherosclerotic lesions of the brachiocephalic arteries and, primarily, of the internal carotid artery, can cause the development of postoperative cerebral dysfunction. The current strategy for reducing the risks of cognitive impairment after surgery is not fully developed and requires further research. English version of the article on pp. 165-172 is available at URL: https://panor.ru/articles/postoperative-cognitive-dysfunction-after-carotid-endarterectomy-current-preventive-strategy/63915.html

Publisher

PANORAMA Publishing House

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