METHOD FOR INTRAOPERATIVE PREVENTION OF BRAIN HYPOXIA DURING CAROTIDAL ENDARTERECTOMY Russian patent published in 2021 - IPC A61B17/00 A61K31/7068 A61K31/573 A61P9/14 

Abstract RU 2759654 C1

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely cardiovascular surgery. In surgical interventions on the extracranial arteries, after a test of the brain's tolerance to hypoxia using cerebral oximetry and a critical decrease in oxygenation, more than 20% of the initial value, temporary intraluminal shunting through the external carotid artery (ECA) is performed. Then, intra-arterial solutions of citicoline 1000 mg 4 ml and dexamethasone 4 mg 1 ml, diluted in saline, are injected at a rate of 50 drops per minute into the lumen of a temporary intravascular T-shaped shunt of the ECA when performing carotid eversion endarterectomy.

EFFECT: method allows normalizing indicators of cerebral oxygenation and perform eversional carotid endarterectomy from ICA, while avoiding cerebral ischemia and development of acute cerebrovascular accident.

1 cl, 2 dwg, 1 ex

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Authors

Krivoshchekov Evgenij Petrovich

Lysov Nikolaj Aleksandrovich

Korymasov Evgenij Anatolevich

Romanov Vladislav Evgenevich

Alyapyshev Grigorij Sergeevich

Rodnyanskij Dmitrij Valerevich

Kudukhov Anton Vladimirovich

Dates

2021-11-16Published

2020-12-14Filed