Affiliation:
1. Federal State University “Russian Scientifi c Center for Surgery named after Academician B.V. Petrovsky”; I.M. Sechenov First Moscow State Medical University (Sechenov University)
2. Federal State University “Russian Scientifi c Center for Surgery named after Academician B.V. Petrovsky”
3. Russian National Research Medical University named after N.I. Pirogov
Abstract
No multicenter randomized clinical trial has been conducted worldwide to date on indications, types of surgery and their comparison with conservative treatment in patients with PI BSA.Aims: of the study is to improve the results of surgical treatment in patients with pathological tortuosity of the internal carotid arteryMaterial and methods. Тhe study included 115 patients (38 (33%) men and 77 (67%) women) with PI ICA aged 35 to 72 years (average age 54.2 ± 7.5 years) divided into 2 groups. 61 patients (53%) of group I underwent BSA resection with lower mouth and 54 patients (47%) of group II underwent BSA prosthetics. Depending on the degree of neurological disorders, patients were distributed according to the classifi cation of A.V. Pokrovsky.Results. In patients with СМН1, the clinical eff ect was due to the absence of cerebrospinal and focal neurological symptoms. As a result of surgical treatment of PI BSA in group I, a clinical eff ect was achieved in 54 (89%) patients. In group II, regression of clinical-neurological symptoms was observed in 40 (74%) patients.Conclusions. Resection and prosthetics of BSA PI in order to stop neurological symptoms and prevent ischemic stroke in patients with this pathology is a safe and eff ective method of surgical treatment.
Publisher
Medical Informational Agency Publishers
Subject
Psychiatry and Mental health,Neurology (clinical),Neurology
Reference34 articles.
1. Vlasov S.K. Changes in the organ of vision in pathological tortuosity and atherosclerotic stenosis of the carotid arteries. Vestnik oftalmologii. 2010;5:58–62. (In Russ.)].
2. Stankevich Y.A., Bogomyakova O.B., Shraibman L.A., Tulupov A.A. MR-criteria the hemodynamic signifi cance of pathologic deformation of internal carotid arteries. Vestnik novosibirskogo gosudarstvennogo universiteta. Seriya: biologiya, klinicheskaya meditsina. 2015;13(4):40–46. (In Russ.)].
3. Ali F. AbuRahma, Dennis F. Bandyč. Noninvasive Vascular Diagnosis: A Practical Guide to Therapy. London: Springer Science & Business Media; 2013.
4. Antonov G.I., Kim E.A., Gizatullin Sh.Kh. Analysis of neurological symptoms depending on the location and shape of abnormal deformation of the main arteries of the head. Klinicheskaya nevrologiya. 2013;3:9–12. (In Russ.)].
5. Gavrilenko A.V., Abramyan A.V., Kuklin A.V., Omarzhanova I.I. Indications to surgical prevention of cerebrovascular insuffi ciency in patients with pathologic tortuosity of internal carotid arter. Annals of surgery. 2011;6:16–22. (In Russ.)].