METHOD FOR PREDICTION OF RISK OF INTRAOPERATIVE ISCHEMIC VASCULAR COMPLICATIONS ACCOMPANYING CAROTID ENDARTERECTOMY
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to ultrasonic diagnostics in neurosurgery, and can be used for prediction of a risk of developing intraoperative, ischemic complications accompanying carotid endarterectomy. Anamnestic data of the patient are collected: history of hyper...
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Zusammenfassung: | FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to ultrasonic diagnostics in neurosurgery, and can be used for prediction of a risk of developing intraoperative, ischemic complications accompanying carotid endarterectomy. Anamnestic data of the patient are collected: history of hypertension (AH), myocardial infarction (MI). In the absence of hypertensive disease, the AH value "0" is assigned, in the presence of the hypertensive disease of 1st stage - "1", 2nd stage - "2", 3rd stage - "3". In the absence of myocardial infarction in the past medical history, the MI parameter is set to "0" if the myocardial infarction is older than 1 month - "1"; prescription of less than 1 month - "2". Carrying out US duplex scanning of carotid arteries with determining plaque thickness (D) in imaging corresponding to maximum plaque size, and ulceration depth (H) in an atherosclerotic plaque by the degree of the plaque surface contrast defect in the color Doppler mapping (CDM) mapping mode. If ulceration depth H |
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