Pilot Study of Autoarterial Remodeling of Bifurcation of the Common Carotid Artery

The New Technique of Carotid Endarterectomy With Autoarterial Remodeling of Bifurcation of the Common Carotid Artery.

Comparison of two methods for revascularization of the bifurcation of common carotid artery: carotid endarterectomy with longitudinal incision carotid endarterectomy patch angioplasty compared with new technique of carotid endarterectomy with autoarterial remodeling of bifurcation of the common carotid artery

Inclusion Criteria:

• stenotic lesions of the extracranial part of carotid arteries requiring surgical treatment according to national treatment guidelines (asymptomatic ICA stenosis more than 70% symptomatic ICA stenosis more than 65%)
• the length of the atherosclerotic plaques in the ICA than 1 cm
• personally signed Informed consent for participation in the study

Exclusion Criteria:

• Chronic heart failure III-IV functional class NYHA classification
• Chronic decompensated "lung" heart
• Decompensated diseases of endocrine organs (diabetes glycemia more than 10 mmol/l)
• Severe hepatic or renal insufficiency (bilirubin >80 mmol/l, creatinine >200 mmol/l)
• Polyvalent drug Allergy;
• Malignant tumor in the terminal stage with life expectancy of up to 6 months;
• Acute disruption of cerebral blood flow
• Extensive occlusion of the internal carotid artery.
• Exacerbation of systemic diseases.
• Pregnancy and lactation.
• The refusal of a patient to sign informed consent for participation in the study