Surgical prevention of acute stroke in atherosclerotic carotid stenosis

The results of carotid endarterectomy performed in 687 patients for the symptomatic and asymptomatic carotid stenosis. Operation in most patients was performed under general anesthesia with intraoperative transcranial oximetry monitoring. Early good and satisfactory postoperative results in patients with symptomatic atherosclerotic carotid stenosis were 95.9% in asymptomatic and 97.2% in symptomatic patients. Hemodynamically significant restenosis over 50% of chink in 3 years follow-up was found in 3.4% patients. Eversion endarterectomy application permite to reduce the duration of the operation. Transcranial oximetry application during surgery helps to realise best surgical tactics and is helpful on decision to use or not an intraoperative shunt.