Comparative assessment of hemodynamics before and after surgical treatment of patients with neurovascular syndrome

Introduction. In the approach to indications when deciding on surgical intervention, there are different opinions about the expediency of its use and the effectiveness of this method of treating patients with neurovascular syndrome.

The purpose of the study. Improving the results of surgical treatment of patients with neurovascular syndrome based on a comparative analysis of hemodynamics according to ultrasound dopplerography before and after various surgical methods.

Materials and methods of research. The study was conducted among 155 patients with neurovascular syndrome. Two groups were formed: 88 patients (56,8 %) who underwent surgery, and 67 patients (43,2 %) who underwent conservative treatment. The subgroups were divided similarly by type of surgery: 24 (27,3 %) patients who initially underwent surgery on the sympathetic trunk (cervical and thoracic sympathectomy), and 64 (72,7 %) underwent sympathectomy in a different levels (from distal to proximal). Blood flow was assessed by ultrasound dopplerography.

Treatment results. Perioperative complications after stages 1 and 2 were minimal and rare, mainly in the form of limited hematomas in the area of surgical access. The immediate results, comparing cervical or thoracic sympathectomy with periarterial, had no significant differences in the linear velocity of blood flow on the arteries of the hand.

Conclusion. Cervical or thoracic sympathectomy is not the preferred option for primary surgery for the treatment of patients with neurovascular syndrome, as it is more traumatic than peripheral periarterial sympathectomy.

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