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Abstract: Modern radiodiagnostics of carotid arteries (CA) defeat has very important value in such patients' treatment tactics. CA reconstruction operations are based on 3 general factors - clinic and arterial blood flow lack in dynamics, special methods of extra- and intracrania brachial arteries diagnostics, risk of arterial blood flow lack. We have pointed indications for surgical prophylactics and necessary patients diagnostic methods. References 1. Alsheikh-Ali A.A. et al. The vulnerable atherosclerotic plaque. Scope of the literature. Ann. Intern. Med. 2010; 153 (6): 7. 387-395. 2. Cohen J.E., Itshayek E. Asymptomatic carotid stenosis. Natural history versus therapy. Isr. Med. Assoc. J. 2010; 12 (4): 237-242. 3. Delgado Almandoz J.E. et al. Computed tomography angiography of the carotid and cerebral circulation. Radiol. Clin. North. Am. 2010; 48 (2): 265-281. 4. Hebb M.O. et al. Perioperative ischemic complications of the brain after carotid endarterectomy. Neurosurgery. 2010; 67 (2): 286-293. 5. Kar S. et al. Safety and efficacy of carotid stenting in individuals with concomitant severe carotid and aortic stenosis. Eurolntervention. 2010; 6 (4): 492-497. 6. Naylor A.R. Managing patients with symptomatic coronary and carotid artery disease. Perspect. Vasc. Surg. Endovasc.Ther. 2010; 22 (2): 70-76. 7. Pokrovsky A.V., Bogatov Yu.P. Vascular surgery in Russia. Pages of history. Eur. J. Vasc. Endovasc. Surg. 1997; 13 (2): 93-95. 8. Rockman C., Riles T. Carotid artery disease: selecting the appropriate asymptomatic patient for intervention. Perspect. Vasc. Surg. Endovasc. Ther. 2010; 22 (1): 30-37. 9. Spence J.D. Secondary stroke prevention. Nat. Rev. Neurol. 2010; 6 (9): 477-486. 10. Tallarita T., Lanzino G., Rabinstein A.A. Carotid intervention in acute stroke. Perspect. Vasc. Surg. Endovasc. Ther. 2010;22 (1): 49-57. 11. Tholen A.T. et al. Suspected carotid artery stenosis. Cost-effectiveness of CT angiography in work-up of patients with recent TIA or minor ischemic stroke. Radiology. 2010; 256 (2): 585-597. 12. Walkup M.H., Faries P.L. Update on surgical management for asymptomatic carotid stenosis. Curr. Cardiol. Rep. 2010; 5.