Perfusion Computed Tomography in the Choice of Treatment Tactics for Chronic Critical Tandem Lesion of the Internal Carotid and Middle Cerebral Artery (Case Report)-Reference-Cited by-同舟云学术

Perfusion Computed Tomography in the Choice of Treatment Tactics for Chronic Critical Tandem Lesion of the Internal Carotid and Middle Cerebral Artery (Case Report)

Published:2023-10-19 Issue:6 Volume: Page:78-90
ISSN:2713-0118
Container-title:Radiology - Practice
language:
Short-container-title:jour

Author:

Pryamikov A. D.¹^ORCID,Mironkov A. B.¹^ORCID,Manuylova O. O.²^ORCID,Sidorova Yu. V.³^ORCID,Asratyan S. A.²^ORCID,Savkina K. V.²^ORCID,Loluev R. Yu.²^ORCID

Affiliation:

1. Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia; Buyanov City Clinical Hospital, Department of Healthcare of Moscow

2. Buyanov City Clinical Hospital, Department of Healthcare of Moscow

3. «Medsi group» JSC

Abstract

A clinical case of surgical treatment in patient with tandem ipsilateral lesion of the right internal carotid artery: (95–99 % stenosis at the ostium) and the middle cerebral artery (occlusion) described in the article. Further treatment tactics could be determined with the help of PKT performed on the patient during hospitalization. Changes in the blood supply to the cerebral hemisphere revealed by PKT were of decisive importance in determining the further treatment tactics for this patient. The patient was operated in the range of right side carotid endarterectomy. Control brain tomography perfusion, performed 6 months after surgery, demonstrated the absence of areas with impaired blood flow in the cerebral hemispheres.

Publisher

Central Research Institute of Radiation Diagnostics

Subject

General Medicine

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