Affiliation:
1. City Aleksandrovskaya Hospital
2. Kuzbass Clinical Cardiology Dispensary named after acad. L.S. Barbarash
3. Kemerovo State Medical University of the Ministry of Health of the Russian Federation
Abstract
We report a case of emergency extra- intracranial microanastomosis in a patient with acute thrombosis of the internal carotid artery, formed on the first day after classical carotid endarterectomy using a temporary by-pass under conditions of contralateral occlusion. The causes of the complication are analyzed. A set of instrumental examinations was demonstrated, including multispiral computed tomography with angiography of the brain and extracranial arteries, as well as multispiral computed tomography with the study of parameters of cerebral perfusion after acetazolamide. The main stages of surgical correction, the dynamics of clinical indicators are presented. The conclusion was made about the effectiveness and safety of the chosen revascularization strategy.
Publisher
The Scientific and Practical Society of Emergency Medicine Physicians
Reference23 articles.
1. Natsional’nye rekomendatsii po vedeniyu patsientov s zabolevaniyami brakhiotsefal’nykh arteriy. Angiologiya i sosudistaya khirurgiya. Moscow; 2013. (In Russ.)
2. Kazantsev AN, Sultanov RV, Burkov NN, Lider RYu, Yakhnis EYa, Bukhtoyarova VI, et al. Long-term results of surgical and conservative treatment of patients with occlusive-stenotic lesions of carotid arteries. Pirogov Russian Journal of Surgery. 2020;(1):67–73. (In Russ.) https://doi.org/10.17116/hirurgia202001167
3. Chechulov PV, Kostenykov AN, Belyaev DA, Stepanischev IV, Parfenov VE. Extracranial-Intracranial Bypass in Patients With Acute Symptomatic Occlusion of Internal Carotid Artery Doesn’t Increase Hospital Morbidity or Mortality. Prospective Study. Russian Neurosurgical Journal Named After Professor Polenov. 2019;11(3):44–50. (In Russ.)
4. Vachev AN, Prozhoga MG, Dmitriev OV. Cerebral Protection from Ischaemia During Carotid Endarterectomy. Angiology and Vascular Surgery. 2020;26(1):96–101. (In Russ.) http://doi.org/10.33529/ANGI02020109
5. Lukshin VA, Usachev DYu, Shulgina AA, Shevchenko EV. Local cerebral hemodynamics following STA-MCA bypass in patients with symptomatic carotid occlusions. Burdenko’s Journal of Neurosurgery. 2019;83(3):29–41. (In Russ.) https://doi.org/10.17116/neiro20198303129
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