Antsupov K A, Lavrentiev A V, Vinogradov O A, Dadashov S A, Marynich A A
Department of Vascular Surgery, I.M. Sechenov Moscow Medical Academy, Moscow, Russia.
Angiol Sosud Khir. 2011;17(2):119-23.
Described in the article are technical peculiarities of performing eversion carotid endarterectomy with the preservation of the structure of the carotid glomus. Atherosclerosis of the carotid artery bifurcation appears to influence the onset and course of arterial hypertension. An important role therein is played by barorefl ex and glomus dysfunction. The operation of carotid endarterectomy decreases the background arterial pressure but in a series of cases, with destroyed structures of the carotid glomus, induces alterations in the pattern of arterial hypertension with the development of hyper- and hypotensive crises. The authors have worked out an operation of glomus-sparing eversion carotid endarterectomy, combining advantages of the eversion technique and prevention of glomus dysfunction. The outcomes of 25 operations demonstrated a positive antihypertensive eff ect of the new technique, with no systemic haemodynamic impairments observed in the patients after surgery.
本文描述了在保留颈动脉体结构的情况下进行外翻式颈动脉内膜切除术的技术特点。颈动脉分叉处的动脉粥样硬化似乎会影响动脉高血压的发生和发展过程。压力反射和颈动脉体功能障碍在其中起着重要作用。颈动脉内膜切除术可降低基础动脉血压，但在一系列病例中，由于颈动脉体结构遭到破坏，会导致动脉高血压模式改变，出现高血压和低血压危象。作者研发出一种保留颈动脉体的外翻式颈动脉内膜切除术，结合了外翻技术的优点并预防了颈动脉体功能障碍。25例手术的结果表明新技术具有积极的降压效果，术后患者未观察到全身性血流动力学损害。
