[Features of carotid stenting in elderly: predictors of adverse outcomes (review of literature)].

This article presents the review of literature devoted to studying of features of carotid angioplasty and stenting (CAS) in older patients. Age has been shown to be a predictor of neurological complications during CAS. However, it has been demonstrated recently that carotid stenting can be performed safely in patients over 70 and even 80 years. According to researchers, predictors of mortality were remote (≥ 6 months) transient ischemic attack or cerebrovascular accident, smoking history, creatinine clearance and hemoglobin level. Better selection of patients using the predictors of mortality may help to reduce unwarranted procedures and to optimize survival likelihood. Furthermore, CAS could be safely performed in elderly patients if certain anatomical and clinical markers such as excessive vascular tortuosity, heavy concentric calcification of the lesion and decreased cerebral reserve were avoided. However, additional randomized trial data are needed.

[Endoscopic and roentgenovascular interventions in treatment of patients with bleeding from a gastroduodenal ulcer].

The authors analyzed the results of treatment of 965 patients with bleeding from gastroduodenal ulcers. The endoscopic hemostasis was carried out in 20.2% patients, however a recurrence of bleeding was noted in 12.8% cases. The combined endoscopic hemostasis was performed in 76.9% patients, though the relapse of bleeding had only 4.2% and 49 patients were safe. A surgery was required for 3.2% patients.

[Endovascular revascularization of the carotid area in elderly patients in acute ishemic stroke: the current view of the problem (review of literature)].

This article presents the review of literature devoted to studying of safety and efficacy of early carotid angioplasty and stenting (CAS) in older patients in acute stroke. CAS has been shown to be a non-inferior treatment to carotid endarterectomy for the prevention of recurrent strokes with equivalent rates of major complications (stroke, myocardial infarction and death). Early revascularization is desirable in patients presenting with stroke or transient ischemic attack (TIA) referable to carotid artery stenosis because of the high incidence of recurrent ischemic events. In fact CAS, in the acute stage, remains challenging because of risk perioperative complications and hyperperfusion syndrome or cerebral hemorrhagic infarction after revascularization. In the past years, few researches (Setacci C., 2008; Battocchio C., 2012; Wach M., 2013, et al.) indicate that this procedure can be relatively safe, including elderly patients, even when performed early after a TIA or stroke. However, additional studies of safety and efficacy of early CAS must be undertaken to define the role of endovascular revascularization of the extracranial carotid arteries in the early management of acute stroke.