METHOD FOR SELECTION OF OPERATIVE INTERVENTION IN CASE OF INTERNAL CAROTID ARTERIES DAMAGE

摘要

FIELD: medicine.;SUBSTANCE: prior to operation, ultrasound examination of atherosclerotic plaques is performed. The examination is carried out by a linear transducer in a cross section with emission frequency of 11 MHz in B mode. The intensity of acoustic ultrasound signal reflected from the zones of interest - heterogeneous components located under the cover of an atherosclerotic plaque - is recorded. In the presence of intensity of acoustic ultrasonic signals from non-uniform components of carotid plaques of 20 dB or less, operative intervention in the form of carotid endarterectomy is performed. In the presence of intensity of 28 dB or more - in the form of angioplasty with stenting.;EFFECT: high reliability and accuracy of surgical intervention to prevent postoperative embolic brain damage.;4 dwg, 3 tbl, 2 ex