Surgical treatment of cerebral vascular diseases

Коновалов, А. Н.; Filatov, Yu. M.; Tp, Tissen; Eliava, Sh Sh; Yakovlev, S B; Pronin, Igor; Usachev, D Yu; Golanov, Andrey; Лукшин, В А; Arustamyan, S R; Kheyreddin, A S; Shekhtman, O D; Sazonov, I A; Maryashev, S. A.; Белоусова, О Б; Korshunov, A E; Pilipenko, Yu V; Shmigelsky, A. V.

doi:10.17116/jnevro2015115714-21

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…It is necessary to focus on the anatomical features of the artery and the variability of collateral circulation to decide what kind of endovascular procedure to use (see Figure 1). Endovascular vessel occlusion at the site of injury or stent-graft installation has been proposed as the most effective method of treating iatrogenic injury to the cavernous segment of the ICA [13,14]. It is not always possible to immediately identify the defect after ICA injury via angiography.…”

Section: Discussionmentioning

confidence: 99%

Internal Carotid Artery Injury in Transsphenoidal Surgery: Tenets for Its Avoidance and Refit—A Clinical Study

et al. 2021

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One of the most serious/potentially fatal complications of transsphenoidal surgery (TSS) is internal carotid artery (ICA) injury. Of 6230 patients who underwent TSS, ICA injury occurred in 8 (0.12%). The etiology, possible treatment options, and avoidance of ICA injury were analyzed. ICA injury occurred at two different stages: (1) during the exposure of the sella floor and dural incision over the sella and cavernous sinus and (2) during the resection of the cavernous sinus extension of the tumor. The angiographic collateral blood supply was categorized as good, sufficient, and nonsufficient to help with the decision making for repairing the injury. ICA occlusion with a balloon was performed at the injury site in two cases, microcoils in two patients, microcoils plus a single barrel extra-intracranial high-flow bypass in one case, stent grafting in one case, and no intervention in two cases. The risk of ICA injury diminishes with better preoperative preparation, intraoperative navigation, and ultrasound dopplerography. Reconstructive surgery for closing the defect and restoring the blood flow to the artery should be assessed depending on the site of the injury and the anatomical features of the ICA.

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Section: Discussionmentioning

confidence: 99%

Internal Carotid Artery Injury in Transsphenoidal Surgery: Tenets for Its Avoidance and Refit—A Clinical Study

et al. 2021

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Immediate and long-term results of eversion carotid endarterectomies

Yarikov,

Makeeva,

Kuzminykh

et al. 2024

Vrach

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Objective. To study the immediate and long-term results of the new modified technique of eversion carotid endarterectomy (ECEAE). Material and method. The study involved 150 patients with 60–99% stenosis of the internal carotid artery (ICA) who were divided into 2 groups depending on the type of surgical treatment: Group1 (n=61) – patients underwent ECEAE according to the method developed by V.L. Sergeev et al.; Group 2 (n=89) – patients underwent ECEAE according to the method described by R. Kieny. The immediate and long-term results of the two ECEAE methods were evaluated. Results. In the immediate postoperative period, no advantages of any of the ECEAE methods were revealed. In the distant postoperative period, 24 (16.8%) patients died. The incidence of non-fatal ischemic stroke on the operation side was 0% in Group1 and 7,1% in Group 2; the incidence of ICA restenosis formation was 1,7 and 11,7% respectively (p<0,05); 34,6 and 10,4% of patients returned to their labor activity and the complete regression of complaints was achieved in 61,5 and 20,9% respectively. Conclusion. Thus, ECEAE according to the method V.L. Sergeev in the distant postoperative follow-up period showed its safety and efficacy and can be recommended for wider implementation in practical medicine.

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Carotid paraglioma: a modern approach to diagnosis and treatment

Yarikov,

Makeeva,

Kalinkin

et al. 2023

Vrach

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The scientific paper presents a literature update on carotid paraganglioma, a rare tumor. The initial manifestation of a carotid body tumor is a painless lump in the neck. The paper gives data on its prevalence, classification, clinical presentations, the applicability of various diagnostic methods, as well аs on the efficiency of treatment for this disease and emerging complications. Ultrasound, multispiral computed tomography, magnetic resonance imaging, and direct angiography are usually used for the diagnosis of the disease. Complete surgical excision of the carotid body tumor is the method of choice, as the results of radiation and chemotherapy are unsatisfactory.

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Surgical treatment of cerebral vascular diseases

Cited by 5 publications

References 8 publications

Internal Carotid Artery Injury in Transsphenoidal Surgery: Tenets for Its Avoidance and Refit—A Clinical Study

Internal Carotid Artery Injury in Transsphenoidal Surgery: Tenets for Its Avoidance and Refit—A Clinical Study

Immediate and long-term results of eversion carotid endarterectomies

Carotid paraglioma: a modern approach to diagnosis and treatment

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