THE ROLE OF MODERN RESEARCH IN IMPROVING THE RESULTS OF CAROTID ENDARTERECTOMY IN PATIENTS WITH HIGH SURGICAL RISK

Abstract

Prevention and treatment of acute cerebrovascular accidents is a major medical and social problem and is of great socio-economic importance. Among all types of cerebrovascular accidents, ischemic brain lesions predominate. It should be emphasized the catastrophic consequences of ischemic stroke, i.e., 80% of patients remain disabled, mortality in the acute period is 29%, and by the end of the first year it reaches 59%. Among surviving patients, recurrent stroke develops in 5-25% during the first year, within 3 years - in 18%, and after 5 years - in 20-40% of patients. From 2018 to 2023, 14 patients (9 men - 64.3%) with atherosclerotic stenosis of the carotid arteries were operated on at the Bukhara Regional Multidisciplinary Medical Center. Thus, contrast MSCT examination of the brachiocephalic arteries helps determine treatment tactics during the period of preoperative preparation and will prevent intraoperative and postoperative complications in case of stenosing and occlusive atherosclerosis of the carotid arteries