Successful hybrid treatment of tandem stenoses of internal carotid artery

Шломин, В В; Shloydo, E. A.; Yurtaev, E. A.; Пуздряк, П. Д.; Бондаренко, П. Б.; Korotkov, I. V.

doi:10.17116/kardio201710458-61

Cited by 2 publications

(1 citation statement)

References 10 publications

(9 reference statements)

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“…В ранних сравнительных работах КЭЭ у пациентов с тандемными стенозами ВСА (ее сифона) и без интракраниального поражения в большинстве случаев имела положительные клинические результаты, значимых различий по частоте инсульта и летальности не фиксировали. В этих исследованиях тандемный интракраниальный стеноз ВСА различной степени выраженности являлся основным критерием включения [12; 16; 18] [19]. P.A.…”

Section: результаты хирургического леченияunclassified

Surgical treatment of tandem stenosis of the internal carotid artery

Pryamikov¹,

Миронков²,

Хрипун³

2021

PKiK

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This review article presents an analysis of the world literature devoted to treating patients with tandem stenosis of the intra- and extra-cranial parts of the internal carotid artery. We indicate the frequency of tandem lesion occurrence and describe the applied instrumental methods of its diagnosis. The review demonstrates the results of tandem stenosis surgical treatment in both early and more modern studies and describes the possibilities of endovascular correction of extra- and intra-cranial stenosis of the internal carotid artery. The authors emphasise the lack of large-scale studies — including randomised studies — regarding combined, tandem carotid stenosis and the need for further studies.Received 30 March 2021. Revised 8 May 2021. Accepted 11 May 2021.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflicts of interests.Contribution of the authors: The authors contributed equally to this article.

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Section: результаты хирургического леченияunclassified

Surgical treatment of tandem stenosis of the internal carotid artery

Pryamikov¹,

Миронков²,

Хрипун³

2021

PKiK

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Experience in surgical treatment of extra-intracranial tandem ICA stenosis at the National Medical Research Center for High Medical Technologies named after A. A. Vishnevsky of the Ministry of Defense of the Russian Federation

Fedyanin,

Antonov,

Chmutin

et al. 2023

Bulletin of Neurology, Psychiatry and Neurosurgery

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To date, the effectiveness and safety of reconstructive surgery for steno-occlusive lesions of the internal carotid artery (ICA) have been proven by multicenter cooperative studies Despite this, the indications and tactics of surgical treatment of patients with extra-intracranial tandem stenotic lesions of the ICA remain controversial. In the period 2010-2020, 32 patients with symptomatic (15 cases) and asymptomatic tandem ICA lesions were hospitalized for surgical treatment. The distribution of tandem lesions was as follows: 10 patients had bicarotid hemodynamically significant stenotic and occlusive lesions of the ICA ostium in combination with stenosis of more than 50% of the petrous (4 cases), cavernous (8 cases), and clinoid segments (5 cases), of these, four had bilateral intracranial stenosis; 22 patients with hemodynamically significant lesions of the ICA and vertebral artery (VA) in combination with stenosis of more than 50% of the petrous (10 cases), foramen lacerum (2 cases), cavernous (16 cases), clinoid (14 cases), and ophthalmic segments (1 cases), of these, six had bilateral intracranial stenosis of the ICA. All patients underwent staged surgical interventions on the arteries of the carotid and vertebrobasilar systems. In the postoperative period, there was one case of repeated ischemic stroke in the territory of the reconstructed artery after the application of extra-intracranial microanastomosis (EICMA). There were no relapses of restenosis or acute cerebrovascular accident (CVA) in the follow-up. Staged reconstructive and revascularization treatment is safe and effective for tandem extra-intracranial lesions of the ICA. It is necessaryto continue further study of this issue in order to develop unified tactics and methods of surgical treatment.

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Successful hybrid treatment of tandem stenoses of internal carotid artery

Cited by 2 publications

References 10 publications

Surgical treatment of tandem stenosis of the internal carotid artery

Surgical treatment of tandem stenosis of the internal carotid artery

Experience in surgical treatment of extra-intracranial tandem ICA stenosis at the National Medical Research Center for High Medical Technologies named after A. A. Vishnevsky of the Ministry of Defense of the Russian Federation

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