Артериальное и венозное кровообращение у пациентов с выраженным стенозом внутренних сонных артерий до и в разные сроки после проведения каротидной эндартерэктомии

Abstract

In continuation of earlier studies of the features of venous outflow from the head and neck in patients with varying degrees of stenosis of the internal carotid arteries (ICA), in this article the authors present data on the features of arterial inflow and venous outflow in patients with a high degree of stenosis before and at different periods after carotid endarterectomy. Material and methods 30 patients with stenosis ˃ 60%, were examined before and after surgery at 10-14 days, 6 months and 1 year. The control group consisted of 30 patients without ICA stenosis and signs of systemic and regional phlebohypertension. The results were compared with the control and between the groups. Results The study has shown that venous outflow through the PV in orthostasis at different times after CEAE prevailed over venous outflow in clinostasis. The average values of the total volumetric blood flow through the PV statistically significantly increase after surgery in both clinostasis and orthostasis. Conclusions The presence of phlebohypertension with severe stenosis of the ICA may indicate a relationship between atherosclerotic lesions of the ICA and changes in venous outflow and the formation of systemic or regional phlebohypertension. When restoring blood flow through the ICA with stenosis ˃ 60% after CEAE, the predominance of venous outflow remains in the horizontal position along the IJV system.