Surgical Treatment of Patients with Bilateral Atherosclerotic Lesions of Carotid Arteries

Shavkat I. Karimov, MD, ScD; Ravshan D. Sunnatov, MD, ScD, Rustam T. Muminov, MD*; Akmal A. Irnazarov, MD, PhD; Abdurasul A. Yulbarisov, MD, PhD; Dilmurad A. Ganiyev, MD, PhD; Uktamkhon A. Asrarov; Khojiakbar K. Alidzhanov. MD

Tashkent Medical Academy,Tashkent, Uzbekistan

*Corresponding author: Rustam T. Muminov: MD. Department of Surgery, Tashkent Medical Academy. Tashkent, Uzbekistan E-mail:

Published: March 25, 2015. DOI: 10.21103/Article5(1)_CR4


The objective of study was to improve the results of surgical treatment of patients with bilateral atherosclerotic lesions of the carotid arteries.

Material and Methods: The study included 180 patients between the ages of 42 and 82 (mean age 59±5.6 yrs) who underwent surgical treatment for bilateral atherosclerotic lesions of the carotid arteries during 2008-2014. Depending on the surgical treatment tactic, a total of 180 patients were divided into two groups. Group 1 included 60 (33.3%) patients who underwent staged bilateral carotid endarterectomy (CEA). Group 2 included 120 (66.7%) patients, in whom the first stage of CEA was performed on the side of primary importance.

Results: The differentiated approach for identification the side for the first stage CEA is very important. Our experience shows that the intervals between CEA on both sides should not exceed 3 months and should be no less than 3 weeks. This tactic reduces not only mortality and complications, but also significantly improves the patient life quality by promoting rapid regression of neurological deficit.

bilateral atherosclerotic lesions; carotid arteries; staged bilateral carotid endarterectomy.
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