Hybrid intervention in a patient with tandem proximal-distal lesion of the internal carotid artery in acute ischemic stroke
https://doi.org/10.24884/0042-4625-2020-179-6-61-65
Abstract
RELEVANCE. Pathological tortuosity of the carotid artery and thrombotic occlusion of the intracranial segment of the carotid artery, critical subostial stenosis are the main causes of tandem lesions in patients with intracranial cerebral artery occlusion. Proximal occlusion may prevent intracranial endovascular access to distal tandem occlusion and increase the risk of endovascular complications.
The OBJECTIVE was to evaluate technical and functional results of the hybrid technologies used in treatment of a patient with tandem damage of proximal and distal segments of the carotid basin in the acute period of ischemic stroke.
CLINICAL OBSERVATION. The result of the intervention was a change in stroke severity by comparing scores on the national Institutes of Health Stroke Scale (nIHSS) after a hybrid intervention – primary reconstruction of the left internal carotid artery with pronounced pathological tortuosity in the extracranial segment and thrombectomy from the tandem M1 occlusion of the left medial artery segment in a patient with ischemic stroke in the left carotid pool in the acute period. A rare clinical observation is presented.
About the Authors
I P. Dudanov
Petrozavodsk State University;
Mariinsky Hospita
Russian Federation
Russian Federation
Dudanov Ivan P., Dr. of Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Department of General and Faculty Surgery,
33, Lenina prospect, Petrozavodsk, Republic of Karelia, 185910;
Head of the Regional Vascular Centre
Saint Petersburg
V. V. Zelenin
Mariinsky Hospita
Zelenin Vyacheslav V., Cand. of Sci. (Med.), Head of the Department of X-ray and Surgical Methods of Diagnostics and Treatment
Saint Petersburg
O. I. Kudryavtsev
Mariinsky Hospita
Kudryavtsev Oleg I., Doctor of the Department of X-ray and Surgical Methods of Diagnostics and Treatment
Saint Petersburg
B. S. Abuazab
Petrozavodsk State University
Abuazab Belyal S., Cand. of Sci. (Med.), Associate Professor, Department of General and Faculty Surgery, Vascular Surgeon
Petrozavodsk
F. A. Vryganov
Petrozavodsk State University
Vryganov Fedor A., Postgraduate Student of the Department of General and Faculty Surgery
Petrozavodsk
V. I. Dunaeva
Petrozavodsk State University
Dunaeva Victoria I., Postgraduate Student of the Department of General and Faculty Surgery
Petrozavodsk
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For citations:
Dudanov I.P., Zelenin V.V., Kudryavtsev O.I., Abuazab B.S., Vryganov F.A., Dunaeva V.I. Hybrid intervention in a patient with tandem proximal-distal lesion of the internal carotid artery in acute ischemic stroke. Grekov's Bulletin of Surgery. 2020;179(6):61-65. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-6-61-65
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