inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-103Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL RESEARCHУСПЕШНАЯ АСПИРАЦИЯ ТРОМБОТИЧЕСКИХ МАСС ИЗ ПРОСВЕТА ЛЕВОЙ ВНУТРЕННЕЙ СОННОЙ АРТЕРИИ С ПРИМЕНЕНИЕМ УСТРОЙСТВА ПРОКСИМАЛЬНОЙ ПРОТИВОЭМБОЛИЧЕСКОЙ ЗАЩИТЫ В УСЛОВИЯХ ПРОВЕДЕНИЯ ТРОМБОЛИТИЧЕСКОЙ ТЕРАПИИSUCCESSFUL ASPIRATION OF THROMBOTIC MASSES OUT OF THE LEFT INTERNAL CAROTID ARTERY LUMEN USING A PROXIMAL EMBOLIC PROTECTION DEVICE IN THE CONDITIONS OF THROMBOLYTIC THERAPY PERFORMANCEНекрасовА. С.NekrasovA. S.alexandr_nekrasov1984@mail.ruБелыйА. И.BeliyA. I.kkb1@mail.ruВолколупО. С.VolkolupO. S.kkb1@mail.ruТупикинР. А.TupikinP. A.kkb1@mail.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthRussian Federation201730122017843741Copyright © Некрасов А.С., Белый А.И., Волколуп О.С., Тупикин Р.А., 20172017Некрасов А.С., Белый А.И., Волколуп О.С., Тупикин Р.А.Nekrasov A.S., Beliy A.I., Volkolup O.S., Tupikin P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/103

Комбинированные методики лечения ишемического инсульта все чаще используют в рутинной работе специализированных бригад. Одна из них, основанная на сочетании системной тромболитической терапии и эндоваскулярных методов, характеризуется высоким процентом благоприятных исходов. Однако стоит помнить, что для достижения успеха необходимо уложиться в строго отведенное «терапевтическое окно», в противном случае внутривенное введение тромболитика будет противопоказано, что может существенно повлиять на положительный результат. В данной статье представлено клиническое наблюдение сочетания системной тромболитической терапии и эндоваскулярной механической тромбаспирации с использованием устройства проксимальной противоэмболической защиты при тотальном тромбозе просвета левой внутренней сонной артерии.

Combined techniques of treatment for ischemic stroke are even more often included into routine work of specialized teams. One of them based on a combination of systemic thrombolytic therapy and endovascular methods is characterized by a high rate of favorable outcomes. However, it is worth remembering that to achieve success it is necessary to keep within strictly limited therapeutic window, otherwise intravenous administration of a thrombolytic agent will be contraindicated that can significantly affect a positive outcome. Clinical observation for a combination with systemic thrombolytic therapy and endovascular mechanical thromboaspiration with use of the proximal embolic protection device at a total thrombosis of the left internal carotid artery lumen is presented in this article.

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The authors declare that there are no conflicts of interest present.