Cerebrovascular disease ranks third after coronary artery disease and cancer among the causes of death in the Russian Federation. Currently, carotid endarterectomy is used for primary and secondary stroke prevention, and in brachiocephalic artery lesions. The authors of the article developed a new method of eversion carotid endarterectomy. Its immediate and long-term results are studied. The new method was compared with R. Kieny eversion carotid endarterectomy. The clinical safety and efficacy of the new method were demonstrated.
Metastasis of malignant tumors in the spine is a common problem of cancer patients. Modern neuroimaging methods make it possible to identify secondary lesions of the spinal column at an early stage. Currently, the approach to the treatment of metastatic spinal lesions is multidisciplinary and requires the approach of doctors of different specialties: neurosurgeon, radiologist, chemotherapist, neurologist and rehabilitologist. Currently, a combination of several treatment methods is optimal: surgery, radiation and drug therapy. Systemic drug therapy is an integral part of long-term control of spinal metastases and depends on the histological structure of the malignant neoplasm and its ability to respond to drug exposure. The article also describes modern methods of radiation therapy. To date, there is no unity of views and an unambiguous standardized, scientifically based approach to solving the existing problem, however, further study of it will be able to ensure the choice of the optimal algorithm for the curation of patients with metastatic spinal lesion. After all, proper treatment of secondary damage to the spinal column will allow the patient to prevent neurological deficit and persistent pain syndrome, to maintain an optimal quality of life.
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