Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery最新文献

{"title":"[Immediate and long-term results of abdominal aortic arthroplasty for aneurysms].","authors":"S A Papoyan, A A Shchegolev, A E Markarov, M M Mutaev, K S Asaturyan, D D Syromyatnikov, D S Amirkhanyan, D A Maitesyan, P A Mishkina","doi":"10.33029/1027-6661-2026-32-2-81-90","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-81-90","url":null,"abstract":"<p><strong>Background: </strong>The least invasive method of surgical treatment and prevention of rupture of abdominal aortic aneurysms is abdominal aortic arthroplasty (Endovascular Aneurysm Repair, EVAR). However, despite all the advantages, this minimally invasive endovascular intervention does not demonstrate superiority over open prosthetics in the long term due to the occurrence of postoperative complications. The aim of the study was to evaluate the immediate and long-term results of EVAR in order to form an algorithm for determining the volume of intervention that reduces the likelihood of postoperative complications.</p><p><strong>Material and methods: </strong>From 2010 to 2025, 126 patients underwent EVAR in the departments of vascular surgery at the F.I. Inozemtsev State Clinical Hospital. The average age of the patients was 67.68±0.88 years. The average size of abdominal aortic aneurysms is 56.98±0.28 mm (median is 50 mm). Puncture access was used in 59.5% of patients, and open projection femoral access was used in 40.5%. The following endografts were identified: Endurant II - 60.32%, Ankura - 16.53%, Anaconda - 15.70%, Gore Excluder - 8.73%. The average duration of the operation was 136.43±0.37 (2 hours 16 minutes).</p><p><strong>Results: </strong>The average bed-day is 6.41±0.26. A total of 26 (20.64%) complications were registered. Of these, 8 (6.4%) were in the first 30 days after surgery, while the remaining 18 (14.3%) were in the long-term postoperative period. Long-term results were estimated on average 3-4 years after surgery. Endolics were found most often (7.1%) (type I - 4.8%, type II - 2.4%). As a result, the cumulative 5-year survival rate was 83%.</p><p><strong>Conclusion: </strong>EVAR is a promising minimally invasive intervention for aneurysms of the infrarenal abdominal aorta, through which it is possible to reduce the risk of significantly reducing the number of complications in the early postoperative period, hospital mortality and hospital stay. Long-term results also demonstrate acceptable effectiveness of this method and a fairly low incidence of complications. All patients after EVAR should undergo annual screening in the amount of multi-spiral computed tomography.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"81-90"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Technologies for maintaining blood flow through the left subclavian artery during thoracic aortic replacement in the Z-2 zone].","authors":"R S Polyakov, Sh G Chargaziia, K A Kur-Ipa, M V Puretskiy, Yu M Saakyan, G V Mardanyan, A A Pirkova, V M Safonova, M V Karuk, S A Abugov, E R Charchyan, D G Breshenkov","doi":"10.33029/1027-6661-2026-32-2-70-80","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-70-80","url":null,"abstract":"<p><strong>Background: </strong>In modern clinical practice thoracic endovascular aortic repair is the dominant treatment method for patients with diseases of the descending thoracic aorta. In patients with a shorter proximal neck, there is a need to implant the stent graft in Ishimaru zone 2, which involves covering the left subclavian artery. In modern practice, both surgical and endovascular techniques for LSA preservation are available. Objective the aim of the study was to evaluate the efficacy and safety of endovascular aortic repair with coverage of the left subclavian artery using various preservation strategies.</p><p><strong>Patients and methods: </strong>А retrospective analysis of 126 patients who underwent endovascular aortic repair with coverage of the left subclavian artery. Two groups were identified: Group 1 - 83 (65.9%) patients who underwent endovascular left subclavian artery preservation, including: 'on-table' stent graft fenestration (Subgroup Ia) and in situ stent graft fenestration (Subgroup Ib); Group 2 - 43 (34.1%) patients who underwent carotid-subclavian bypass/transposition. A comparative analysis was conducted regarding technical success, left subclavian artery patency, complication and reintervention rates. For Subgroups Ia and Ib, a composite technical success endpoint was calculated, encompassing left subclavian artery patency, freedom from endoleaks, reinterventions, ischemic and vascular complications.</p><p><strong>Results: </strong>Intraoperative technical success was achieved in 100% of patients. In-hospital stroke and mortality rates were 1 (1.2%) and 1 (2.3%) in Groups 1 and 2, respectively (p=0.633). Vascular complications were significantly more frequent in Group 2: 14.0 vs 2.4% (p=0.019). Two cases of retrograde aortic dissection were recorded in Group 1. Reintervention rates in Groups I and II were 4.8% and 7%, respectively (p=0.616). In the long-term follow-up, left subclavian artery patency was 100% in both Groups. In Group II, there was 1 (2.3%) case of graft occlusion requiring reintervention to restore blood flow through the left subclavian artery. Composite technical success was 98% and 84.4% in Subgroups Ia and Ib, respectively (p=0.030). Subgroup Ib showed longer operative time (mean difference 44.7 minutes, 95% CI 23.9-65.4) and fluoroscopy time (mean difference 10.9 minutes, 95% CI 3.8-18).</p><p><strong>Conclusion: </strong>Preservation of the left subclavian artery is advisable during endovascular aortic repair with proximal landing in Ishimaru zone 2. The choice of a specific preservation method is determined by the patient's clinical and anatomical characteristics. Endovascular techniques are a feasible and effective alternative to surgical methods of left subclavian artery preservation. The 'on-table' fenestration technique may offer advantages in reducing the overall rate of complications and reinterventions compared with in situ fenestration.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"70-80"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effect of sulodexide on the walking, erectile and cognitive functions based on the findings of the ANDANTE study].","authors":"M R Kuznetsov, I A Suchkov, A V Chupin, V E Barinov, S V Sapelkin, G Yu Sokurenko, E V Barinov, E P Golovan, I A Cheremisina, M A Getman","doi":"10.33029/1027-6661-2026-32-2-33-41","DOIUrl":"10.33029/1027-6661-2026-32-2-33-41","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Lower extremity artery disease, or peripheral artery disease (PAD), is a common form of atherosclerosis associated with an increased risk of cardiovascular diseases and mortality. Patients with PAD are found to have atherosclerotic lesions of not only lower limb arteries but also those of other basins, as well as microcirculation disorders. This can manifest as decreased functions of blood-supplied organs. Sulodexide is a balanced mixture of highly purified naturally occurring glycosaminoglycans (GAGs): a fast-moving fraction of heparin and dermatan sulfate, beneficially influencing the endothelium of the arterial, venous and microcirculatory bed. The ANDANTE study is devoted to investigating the effect of sulodexide on health-related quality of life of patients with PAD. Besides quality of life, of interest are ANDANTE-studied parameters associated with physical and cognitive functions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To describe secondary endpoints in the ANDANTE study: pain-free walking distance, self-assessment of walking quality, the ankle-brachial index, as well as cognitive and erectile functions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients and methods: &lt;/strong&gt;The study included a total of 229 both-gender, 37-to-90-year-old patients presenting with stage IIa-IIb PAD and taking oral sulodexide at a daily dose of 500-1000 LSU. After the screening visit, the participants underwent 4 follow-up visits, assessing health-related quality of life according to the SF-36 questionnaire, pain-free walking distance, the ankle-brachial index, walking ability according to the WELCH questionnaire, self-assessment of maintaining an erection (for men), and cognitive function according to the Hasegawa's Dementia Scale. The participants were stratified depending on the number of the given packs of sulodexide (&lt;6 packs or ≥6 packs, with 60 capsules per pack) and the duration of treatment (≤3 or &gt;3 months of treatment). The daily dose of sulodexide amounted to either 500 LSU or 1000 LSU depending on the physician's recommendation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The pain-free walking distance increased during 6 months of treatment from 327.3±258.2 to 565.7±490.9 m (p&lt;0.01), with the increment amounting to 237.1±434.6 m, or 72.4%. The ankle-brachial index increased from 0.70 to 0.77 by 10.0% (p=0.01). The average score of self-assessment of walking ability by the WELCH scale significantly increased in the overall population from 21.2 to 36.4 by 71.0% (p&lt;0.01). The average score of self-assessment of erection maintaining on the 3-point scale increased from 2.7 to 3.2 by 14.8% (p&lt;0.01). The participants also demonstrated improved cognitive function by the Hasegawa's Dementia Scale from 23.8 to 26.7 points by 12.2% (p&lt;0.01). All alterations were similar in the subgroups with different duration of treatment and different course dose of sulodexide.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The ANDANTE study showed efficacy of sulodexide in patients with PAD. T","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Surgical tactics for repeated interventions on the arteries of the femoral-popliteal segment].","authors":"A A Oborin, I S Mukhamadeev, A S Vronsky","doi":"10.33029/1027-6661-2026-32-2-91-97","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-91-97","url":null,"abstract":"<p><p>The aim is to evaluate the effectiveness of various operations during repeated interventions in patients with occlusion of the superficial femoral artery.</p><p><strong>Material and methods: </strong>The results of treatment of 28 patients who underwent repeated reconstructive surgery for occlusion of the superficial femoral artery (SBA) were analyzed. The patients were divided into 2 groups: Group 1 - patients who underwent loop endarterectomy from the PBA and removal of the thrombosed femoral-popliteal shunt (n=12); Group 2 - patients who underwent repeated bypass surgery with an autovene or prosthesis (n=16).</p><p><strong>Results: </strong>The median time from the moment of primary surgery to the second intervention was 16 months in group 1 and 17 months in group 2 (p=0.434). In group 1, no thrombosis, death, or other cardiovascular event was recorded in the early postoperative period. In group 2, in the early postoperative period, 1 patient developed prosthetic thrombosis again, and 1 more reconstructive operation was performed to form a distal anastomosis on the lower leg. There were also no major cardiovascular events or deaths in group 2. Patency in the period of 12, 36, and 60 months was 92.6, 92.6, and 75% in group 1 (loop endarterectomy from PBA), respectively. In group 2 (repeated femoral-popliteal bypass surgery), bypass patency was 81.3, 68.8, and 62.5%, respectively (p=0.262). Freedom from amputation was 100, 100, and 91.7% in group 1 at 12, 36, and 60 months, and 81.3, 75, and 75% in those groups. the same time frame, respectively (p=0.114).</p><p><strong>Conclusion: </strong>In case of thrombosis of the initially formed femoral-popliteal shunts, a loop endarterectomy from the superficial femoral artery may be recommended as a repeat operation, which is as effective as the method of repeated femoral-popliteal shunts.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Repeated reconstructive surgery in a patient with an infection of the abdominal aortic endograft and a synthetic cross-graft in conditions of sepsis (clinical case)].","authors":"F F Khamitov, I P Parfenov, E A Matochkin, R U Gadzhimuradov, S V Brovko, I A Pavlova","doi":"10.33029/1027-6661-2026-32-2-130-135","DOIUrl":"10.33029/1027-6661-2026-32-2-130-135","url":null,"abstract":"<p><p>Infection of the abdominal aortic endograft and synthetic shunt are life-threatening complications. Despite the development of modern methods of surgical treatment and antimicrobial therapy, the problem of infectious complications after aortic reconstructions using synthetic prostheses remains relevant. The search for optimal surgical approaches continues, including the use of biological materials such as homographs to replace infected structures. The article presents a clinical case of successful surgical treatment of a patient with infected abdominal aortic endograft and a femoral-femoral synthetic bypass graft in a patient with advanced sepsis. The patient, who was admitted in a state of sepsis with an infected abdominal aortic endograft and a synthetic femoral-femoral bypass graft, underwent abdominal aortic reprosthetics using a homograph. It has been shown that a biological prosthesis can be implanted in the area of an infected synthetic prosthesis with a good postoperative result, even in conditions of sepsis. However, this approach requires highly qualified surgeons and careful planning. Additional research is needed to assess the long-term safety and effectiveness of using homographs. If it is impossible to use autovens to replace an infected synthetic abdominal aortic prosthesis, it is possible to successfully use a homograph with mandatory dynamic monitoring in the near and long-term postoperative periods for early diagnosis of reinfection and aneurysmal transformation.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"130-135"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Course of arterial hypertension after open and endovascular procedures for significant carotid artery stenosis: single-center randomized study].","authors":"A N Vachev, V N Sevryukova, E V Frolova","doi":"10.33029/1027-6661-2026-32-2-57-63","DOIUrl":"10.33029/1027-6661-2026-32-2-57-63","url":null,"abstract":"","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Stent thrombosis and vascular access occlusion during endovascular interventions on the coronary arteries].","authors":"T S Broyan, R E Kalinin, I A Suchkov, N D Mzhavanadze","doi":"10.33029/1027-6661-2026-32-2-153-162","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-153-162","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is a minimally invasive procedure that is a well-established method for treating patients with coronary artery disease. The explosive growth in the number of PCI performed over the past decade, not only in Russia but worldwide, has inevitably led to an increase in the number of complications that specialists encounter in their daily practice. The significance of the problem of thrombotic complications during coronary artery stenting is difficult to overestimate. This review focuses on two of the most significant and actively studied complications - stent thrombosis and radial artery occlusion - as their minimization directly impacts long-term treatment outcomes.</p><p><strong>Objective: </strong>To analyze data on the key risk factors, pathogenesis, and prevention strategies for stent thrombosis and radial artery occlusion in patients undergoing PCI.</p><p><strong>Methods: </strong>A literature analysis was conducted using the PubMed, the Cochrane Library, and Google Scholar databases.</p><p><strong>Results: </strong>The results of this study allow for a systematic assessment of the causes, predisposing conditions, and prevention methods for stent thrombosis and radial artery occlusion. For stent thrombosis, three main groups of risk factors were identified: procedural, patient-related, and pharmacological. For radial artery occlusion, predictors related to both the patient and the procedure were identified. The efficacy of intravascular imaging in reducing the incidence of stent thrombosis and the use of distal radial access in reducing the incidence of radial artery occlusion were demonstrated.</p><p><strong>Conclusion: </strong>The problem of minimizing various thrombotic complications during coronary stenting remains highly relevant even against the background of improved PCI technologies, the introduction of modern tools and pharmacotherapy. A promising area is the development of validated prognostic models that integrate clinical, anatomical, and genetic factors.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"153-162"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Features of aortic anatomy in patients with proximal thoracic aortic aneurysmal disease.","authors":"D S Panfilov, N E Kolesnikova, E A Petrakova, V V Saushkin, V V Zatolokin, B N Kozlov","doi":"10.33029/1027-6661-2026-32-2-14-19","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-14-19","url":null,"abstract":"<p><strong>Background: </strong>Despite growing interest in studying the anatomical characteristics of the thoracic aorta, the current evidence base remains insufficient.</p><p><strong>Objective: </strong>To analyze the features of anatomy of the thoracic aorta and its branches in patients with aneurysmal pathology of the aortic root and ascending aorta.</p><p><strong>Patients and methods: </strong>This retrospective study included 81 patients with aneurysmal pathology of the proximal thoracic aorta. They were divided into two groups based on the extent of the pathological process: an ascending aortic aneurysm with a normal aortic root (AAA, n=47) and a tubular ascending aortic aneurysm with root involvement (AAAR, n=34). A comparative analysis of the anatomical features of the aorta and its branches was conducted.</p><p><strong>Results: </strong>Patients with isolated ascending aortic aneurysms were statistically significantly more likely to have bicuspid aortic valve disease (p=0.043) and aortic valve stenosis (p=0.005). The aortic valve annulus size was statistically significantly larger in patients with a combined root and ascending aortic aneurysm (p=0.002), as were the thoracic aortic diameters at all analyzed levels. There were no statistically significant differences in thoracic aortic length between groups. Patients with local ascending aortic aneurysms were more likely to have aortic arch vascular anomalies than those with root and ascending aortic aneurysms.</p><p><strong>Conclusion: </strong>Patients with both isolated tubulars ascending aortic aneurysms and ascending and root aortic aneurysms had comparable aortic status. At the same time, there are a number of important intergroup differences, which suggests the need to consider these patients from the perspective of different variants of the same pathology, especially when implementing a personalized approach to the diagnosis and monitoring of these patients.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Features of aortic anatomy in patients with proximal thoracic aortic aneurysmal disease].","authors":"D S Panfilov, N E Kolesnikova, E A Petrakova, V V Saushkin, V V Zatolokin, B N Kozlov","doi":"10.33029/1027-6661-2026-32-2-8-13","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-8-13","url":null,"abstract":"","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cognitive functions after surgical interventions on extracranial carotid arteries (literature review)].","authors":"A N Mkrtchyan","doi":"10.33029/1027-6661-2026-32-2-146-152","DOIUrl":"https://doi.org/10.33029/1027-6661-2026-32-2-146-152","url":null,"abstract":"<p><p>In recent years, surgical interventions on the carotid arteries - such as carotid endarterectomy and stenting - have become key methods for preventing ischemic stroke. In addition to their proven clinical effectiveness, increasing attention is being paid to their influence on patients' cognitive functions. This review summarizes current data from both domestic and international studies on the dynamics of cognitive function following carotid revascularization. It discusses the primary mechanisms behind cognitive changes, including reperfusion injury, microembolism, and cerebral hyperperfusion syndrome. Particular attention is given to the comparative evaluation of endarterectomy and stenting in terms of long-term cognitive outcomes. The review also outlines key risk factors for cognitive impairment and proposes strategies to reduce them. The findings underscore the importance of an individualized approach when selecting surgical tactics and emphasize the need for further research in this area.</p>","PeriodicalId":7821,"journal":{"name":"Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery","volume":"32 2","pages":"146-152"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}