The surgical treatment of patients with ischemic stroke within the territory of middle cerebral artery in acute period

The frequency of various types of acute cerebrovascular accident are widely differ: ischemic stroke - approximately 70-75%, hemorrhagic stroke - 15%, subarachnoid hemorrhage - 5% and ПНМК - from 10% till 15%. More than 70% of ischemic strokes (IS) are occurred within the territory of middle cerebral artery (MCA) blood supply. It is quite obvious that IS as the most common type of stroke requires the most careful attention for examination, treatment and prevention. There are only a few trials considering the problem of the surgical treatment of acute IS in accessible literature sources. The deadlines for various surgical interventions at patients with IS within the territory of MCA are still under consideration. Till nowadays there is clear agreement of opinion concerning deadlines of carotid endarterectomy performance at patients with IS as well as there are no retrospective data of treatment at those patients with massive hemispheric stroke who underwent hemicraniectomy. The long-term results of various corrective operations as well as comparative results concerning endovascular operations and their surgical, hemodynamic and neurological estimation are still under-investigated.

ишемический инсульт, хирургическое лечение, средняя мозговая артерия, каротидная эндартерэктомия, ЭИКМА, механическая тромбэкстракция, тромболизис, стентирование ВСА/СМА, гемикраниэктомия, ischemic stroke, surgical treatment, middle cerebral artery, carotid endarterectomy, STA-MCA bypass, mechanical trombectomy, thrombolysis, ICA/MCA stenting, hemicraniectomy

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