The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series

This article provides data from the current Russian (National guidelines for management of patients with diseases brachiocephalic arteries 2013; Recommendations “Blockage and stenosis carotid artery” Ministry Health Federation, 2016) foreign (European Society Cardiology / European Vascular Surgeons Diagnosis Treatment Peripheral Artery Diseases 2017; myocardial revascularization Association Cardio-Thoracic 2018) recommendations regarding choice a strategy combined coronary artery disease. Conclusions are drawn about unresolved issue. A literature review largest series articles by one institution devoted to this topic was carried out. Hospital long-term outcomes have been demonstrated, as well predictors complications various strategies. The stages creation results approbation new computer program risk stratifi cation, which makes it possible determine mathematical probability development unfavorable cardiovascular events during implementation surgical tactics, taking into account individual characteristics patient. conclusion made effectiveness development.