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A clinical case of repeated internal carotid artery reconstruction using vascular allograft

https://doi.org/10.24884/0042-4625-2025-184-5-85-89

Abstract

The occurrence of restenosis and pseudoaneurysms after carotid endarterectomy is particularly dangerous, since it often requires repeated revascularization. There are various ways to treat these complications, and there is still no unified treatment strategy for these types of complications. This clinical case represents the experience of successful surgical treatment of internal carotid artery partially thrombosed aneurysm with restenosis using a vascular homograft in a patient after primary carotid endarterectomy.

About the Authors

G. G. Hubulava
Pavlov University; Military Medical Academy
Russian Federation

Hubulava Gennadii G., Dr. of Sci. (Med.), Professor, Academician of the RAS, Head of the Department of Faculty Surgery with courses in Laparoscopic and Cardiovascular Surgery with Clinic, Head of the Department of the Research Center for Cardiovascular Surgery, Research Institute of Surgery and Emergency Medicine; Head of the First Department and Clinic of Surgery for Advanced Medical Training named after P. A. Kupriianov

Saint Petersburg



A. B. Sazonov
Military Medical Academy
Russian Federation

Sazonov Andrei B., Dr. of Sci. (Med.), Professor of the First Department and Clinic of Surgery for Advanced Medical Training named after P. A. Kupriianov

Saint Petersburg



S. P. Marchenko
Pavlov University; Military Medical Academy
Russian Federation

Marchenko Sergei P., Dr. of Sci. (Med.), Professor of the Department of Faculty Surgery with courses in Laparoscopic and Cardiovascular Surgery with Clinic, Leading Research Fellow of the Research Center for Cardiovascular Surgery, Research Institute of Surgery and Emergency Medicine

Saint Petersburg



A. V. Krivenstov
Pavlov University
Russian Federation

Krivenstov Aleksandr V., Cand. of Sci. (Med.), Head of the Cardiac Surgery Department, Research Fellow of the Research Center for Cardiovascular Surgery, Research Institute of Surgery and Emergency Medicine

Saint Petersburg



V. M. Kondratjev
Pavlov University
Russian Federation

Kondratjev Vladimir M., Cardiosurgeon of the Cardiac Surgery Department

Saint Petersburg



D. V. Maslevtsov
Pavlov University
Russian Federation

Maslevtsov Dmitrii V., Cand. of Sci. (Med.), Head of the Cardiac Surgery Department

Saint Petersburg



V. V. Komok
Pavlov University
Russian Federation

Komok Vladimir V., Cand. of Sci. (Med.), Cardiosurgeon of the Cardiac Surgery Department

Saint Petersburg



A. K. Torosyan
Pavlov University
Russian Federation

Torosyan Aleksandr K., Cardiosurgeon of the Cardiac Surgery Department

Saint Petersburg



A. G. Gorsky
Pavlov University
Russian Federation

Gorsky Anton G., Clinical Resident in the specialty of Cardiovascular Surgery, Department of Faculty Surgery with courses in Laparoscopic and Cardiovascular Surgery with Clinic

Saint Petersburg



References

1. Chernyavsky M. A., Irtyuga O. B., Yanishevsky S. N. et al. Russian consensus statement on the diagnosis and treatment of patients with carotid stenosis. Russian Journal of Cardiology. 2022;27(11):5284. (In Russ.). https://doi.org/10.15829/1560-4071-2022-5284.

2. Belov Yu. V., Kazantsev A. N., Vinogradov R. A. et al. Ten-year longterm outcomes of conventional and eversion carotid endarterectomy. Multicenter study. Russian Journal of Cardiology. 2021;26(12):4742. (In Russ.). https://doi.org/10.15829/1560-4071-2021-4742.

3. Stilo F., Montelione N., Calandrelli R. et al. The management of carotid restenosis: a comprehensive review. Ann Transl Med. 2020;8(19):1272. https://doi.org/10.21037/atm-20-963. PMID: 33178804; PMCID: PMC7607074.

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5. Chakfé N., Diener H., Lejay A. et al. European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Stent Graft Infections With the Endorsement of the European Association of Nuclear Medicine (EANM). European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 2020;59(3):339–384. https:// doi.org/10.1016/j.ejvs.2019.10.016.

6. Kaplan M. L., Mordovkin E. B., Thekepadical V. S., Turomsha U. I. Surgical treatment of nonspecific arteritis with tandem lision of both common carotid arteries using allograft. Health and Ecology Issues. 2024;21(3):114–119. (In Russ.). https://doi.org/10.51523/2708-6011.2024-21-3-16.


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For citations:


Hubulava G.G., Sazonov A.B., Marchenko S.P., Krivenstov A.V., Kondratjev V.M., Maslevtsov D.V., Komok V.V., Torosyan A.K., Gorsky A.G. A clinical case of repeated internal carotid artery reconstruction using vascular allograft. Grekov's Bulletin of Surgery. 2025;184(5):85-89. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-5-85-89

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)