FEATURES OF SURGERY INTERNAL CAROTID ARTERIES WITH A COMBINATION OF CRITICAL STENOSIS AND PATHOLOGICAL KINKING
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.