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Background: The lack of reliable data on the possibility, safety and results of OPCABG in patients with high surgical risk hinders the further wide introduction into clinical practice of such operations. In this regard, conducting a comparative evaluation of the results of OPCABG in patients with low and high surgical risk seems to us a worthwhile project. Materials and Methods: During the period between 2015 and 2017, 310 OPCABG operations were performed. Patients were divided into 2 groups depending on the EuroSCORE risk calculator value. Group 1 consisted of 130(41.9%) patients with a high surgical risk (EuroSCORE≥5), and Group 2 consisted of 180(58.1%) patients with a low surgical risk (EuroSCORE more...

The objective of study was to improve the results of surgical treatment of patients with bilateral atherosclerotic lesions of the carotid arteries. Material and Methods: The study included 180 patients between the ages of 42 and 82 (mean age 59±5.6 yrs) who underwent surgical treatment for bilateral atherosclerotic lesions of the carotid arteries during 2008-2014. Depending on the surgical treatment tactic, a total of 180 patients were divided into two groups. Group 1 included 60 (33.3%) patients who underwent staged bilateral carotid endarterectomy (CEA). Group 2 included 120 (66.7%) patients, in whom the first stage of CEA was performed on the side of primary importance. Results: The differentiated approach for identification the side for the first stage CEA is very important. Our experience shows that the intervals between CEA on both sides should not exceed 3 months and should be no less than 3 weeks. This tactic reduces not only mortality and complications, but also significantly improves the patient life quality by promoting rapid regression of neurological deficit. more...