Stroke is at the third place after cardiologic disorders and cancer among causes of death in economically developed countries [1,2]. In Ukraine, cerebrovascular mortality occupies second place among causes of overall mortality [3], whereas adult population disability is often associated with sequelae of previous acute cerebrovascular disorder (ACVD). During recent years, incidence rate of stroke in the country has been exceeding 100000 cases per year. In accordance with epidemiologic data, in vast majority of cases (70-80%) strokes are of ischemic origin, which in 25% cases is caused by atherosclerotic changes in extracranial segments of carotid arteries (СА) [4,5,6]. Based on established indications, surgical treatment methods have indisputable advantages over medicinal prevention of ischemic CVD upon atherosclerotic stenosis of main cerebral arteries (MCA) of high degree. Operative remodeling of arterial lumen allows elimination of source of thromboembolism (microthrombs, atheromatous plaque fragments) in brain arteries, prevents development of occlusion in stenosis site (thromb formation, dissection, hemorrhage into atherosclerotic plaque) and normalizes blood circulation in relevant vascularization area. Technologic advances during the last decade contributed to application of endovascular intervention methods in clinical practice, which significantly broadens capabilities of surgical correction of stenotic damages in MCA.

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Ñòàí ³ ïåðñïåêòèâè х³ðóðã³чíîãî ë³êóâàííÿ àðòåð³àëьíèх àíåâðèçì ãîëîâíîãî ìîçêóÖ³ìåйêî Î.À., Êîñòþê Ì.Ð., Ìîðîç Â.Â., Ñêîðîõîäà ².². Іíñòèòóò íåéðîх³ðóð㳿 ³ì. àêàä. À.Ï. Ðîìîäàíîâà ÀÌÍ Уêðà¿íè, ì. Кè¿âПðîâåäåíèé àíàë³з ðåзóëüòàò³â х³ðóðã³чíîãî ë³êóâàííя ðîзðèâó àðòåð³àëüíèх àíåâðèзм (АА) ãîëîâíîãî мîзêó зà 10 ðîê³â ðîбîòè êë³í³êè ñóäèííî¿ íåéðîх³ðóð㳿. Нàâåäåí³ îñíîâí³ íàïðямêè х³ðóðã³чíîãî ë³êóâàííя зàзíàчåíî¿ ïàòîëî㳿, ïð³îðèòåòí³ мåòîäè зà ð³зíî¿ ëîêàë³зàö³¿ АА. Пðîàíàë³зîâàí³ ïåðñïåêòèâè ïîäàëüшîãî ðîзâèòêó ñóäèííî¿ íåéðîх³ðóð㳿 òà îðãàí³зàö³¿ íàäàííя мåäèчíî¿ äîïîмîãè хâîðèм з ïðèâîäó àíåâðèзмàòèчíîãî ñóбàðàхíî¿äàëüíîãî êðîâî-âèëèâó (САÊ).