Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University36510.18499/2070-478X-2011-4-4-715-718UnknownThe distant outcomes of carotid reconstructions in type 2 diabetic patients and multifocal atherosclerosisauthor@vestnik-surgery.comauthor@vestnik-surgery.com24122011447157183004201630042016Copyright © 2011, ., .2011In the article there is a comparative analysis of outcomes of reconstructive operations on carotid arteries in patients suffering from type 2 diabetes mellitus and non-diabetic patients. In the nearest postoperative period there wasn’t any significant differences between two groups. The main meaning in distant postoperative period had developing of atherosclerosis in different arteries. The general mortality was compared between two groups (p0,05). Type 2 diabetic patients had oftener bilateral carotid reconstructions (p=0,005), and oftener had coronary revascularizations (p=0,01). We’ve made a conclusion that carotid reconstructions in type 2 diabetic patients showed the acceptable results in the nearest and distant postoperative periods.Atherosclerosiscarotid arteriestype 2 diabetes mellitus.Атеросклерозсонные артериисахарный диабет 2 типа.[1. Colagiuri S. Epidemiology of prediabetes. Med Clin North Am. 2011; 95: 2: 299-307.][2. Yavin D., Roberts D.J., Tso M. et al. Carotid endarterectomy versus stenting: a meta-analysis of randomized trials. Canadian Journal Neurological Sciences. 2011; 38: 2: 230- 235.][3. Cuocolo A., Concilio C., Acampa W. et al. Cardiovascular risk stratification of diabetic patients. Minerva Endocrinol. 2009; 34: 3: 205-221.][4. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. Journal of the American Medical Association. 1995; 273: 1421-1428.][5. Flotats A, Carrió I. The role of nuclear medicine technique in evaluating electrophysiology in diabetic hearts especially with 123I-MIBG cardiac SPECT imaging. Minerva Endocrinol. 2009; 34: 3: 263-271.][6. Hoeks S., Flu W.J., van Kuijk J.P. et al. Cardiovascular risk assessment of the diabetic patient undergoing major noncardiac surgery. Best Pract Res Clin Endocrinol Metab. 2009; 23: 3: 361-373.][7. North American Symptomatic Carotid Endarterеctomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high grade carotid stenosis. New England Journal of Medicine. 1991; 325: 445-453.][8. Protack C.D., Bakken A.M., Xu J. et al. Metabolic syndrome: A predictor of adverse outcomes after carotid revascularization. Journal Vascular Surgery. 2009; 49: 5: 1172-1180.]