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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2020-179-3-80-84</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-1382</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OBSERVATION FROM PRACTICE</subject></subj-group></article-categories><title-group><article-title>Мультидисциплинарный подход в лечении пациента с острым нарушением мозгового кровообращения</article-title><trans-title-group xml:lang="en"><trans-title>Multidisciplinary approach in the treatment of a patient with acute stroke</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5865-562X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черняков</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Cherniakov</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Черняков Илья Сергеевич, врач – сердечно-сосудистый хирург отделения сосудистой хирурги</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Cherniakov Iliya S., Cardio-Vascular Surgeon of the Department of Vascular Surgery</p><p>Saint Petersburg </p></bio><email xlink:type="simple">chernyakovis@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8639-9435</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вахитов</surname><given-names>К. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Vakhitov</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вахитов Карим Мавлетович, кандидат медицинских наук, врач – сердечно-сосудистый хирург отделения сосудистой хирургии</p><p>194291, Санкт-Петербург, пр. Луначарского, д. 45-49.</p></bio><bio xml:lang="en"><p>Vakhitov Karim M., Cand. of Sci. (Med.), Cardio-Vascular Surgeon of the Department of Vascular Surgery</p><p>45-49, Lunacharskogo pr., Saint Petersburg, 194291, Russia.</p></bio><email xlink:type="simple">karimv87@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7717-4285</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Винцковский</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Vintckovsky</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Винцковский Станислав Геннадьевич, врач – рентгеноэндоваскулярный хирург отделения РХМДиЛ</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Vintckovsky Stanislav G., X-ray Endovascular Surgeon of the Department of Radiosurgical Methods of Diagnostics and Treatment</p><p>Saint Petersburg </p></bio><email xlink:type="simple">endovaskular@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2906-1053</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шацман</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shatsman</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шацман Илья Григорьевич, врач-невролог отделения неврологии для больных с ОНМК</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Shatsman Iliya G., Neurologist of the Department of Neurology for Patients with Acute Cerebrovascular Disorders</p><p>Saint Petersburg </p></bio><email xlink:type="simple">drshatsman@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение здравоохранения «Ленинградская областная клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Leningrad Region Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>17</day><month>05</month><year>2020</year></pub-date><volume>179</volume><issue>3</issue><fpage>80</fpage><lpage>84</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Черняков И.С., Вахитов К.М., Винцковский С.Г., Шацман И.Г., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Черняков И.С., Вахитов К.М., Винцковский С.Г., Шацман И.Г.</copyright-holder><copyright-holder xml:lang="en">Cherniakov I.S., Vakhitov K.M., Vintckovsky S.G., Shatsman I.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vestnik-grekova.ru/jour/article/view/1382">https://www.vestnik-grekova.ru/jour/article/view/1382</self-uri><abstract><p>Представлен случай лечения пациента в острейшую фазу острого нарушения мозгового кровообращения с тандемным поражением интра- и экстракраниального отделов внутренней сонной артерии.</p></abstract><trans-abstract xml:lang="en"><p>This is the case report of successful treatment of the patient with acute stroke and tandem lesion of the intra- and extracranial divisions of the internal carotid artery.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инсульт</kwd><kwd>стеноз внутренней сонной артерии</kwd><kwd>окклюзия средней мозговой артерии</kwd><kwd>тандемное поражение внутренней сонной артерии</kwd><kwd>тромбэкстракция</kwd><kwd>каротидная эндартерэктомия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>stroke</kwd><kwd>internal carotid artery stenosis</kwd><kwd>middle cerebral artery occlusion</kwd><kwd>tandem internal carotid artery lesion</kwd><kwd>thrombextraction</kwd><kwd>carotid endarterectomy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Mozaffarian D., Benjamin E. 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