inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-121Research ArticleСЛУЧАИ ИЗ ПРАКТИКИCASE REPORTSКЛИНИЧЕСКИЙ СЛУЧАЙ КОМБИНИРОВАННОГО ИСПОЛЬЗОВАНИЯ МЕХАНИЧЕСКОЙ ТРОБЭКТОМИИ С АНГИОПЛАСТИКОЙ И СТЕНТИРОВАНИЕМ ПРИ ОСТРОЙ ОККЛЮЗИИ БАЗИЛЯРНОЙ АРТЕРИИCLINICAL CASE PRESENTING COMBINED TREATMENT WITH MECHANICAL THROMBECTONY WITH ANGIOPLASTY AND STENTING FOR ACUTE OCCLUSION OF THE BASILAR ARTERYhttps://orcid.org/0000-0002-4392-7848ЕфимовВ. В.EfimovV. V.vitaliy_efimov_84@mail.ruhttps://orcid.org/0000-0001-5589-2040ФедорченкоА. Н.FedorchenkoA. N.fedorchenko@mail.ruhttps://orcid.org/0000-0003-0572-1395ПорхановВ. А.PorhanovV. A.vladimirporhanov@mail.ruhttps://orcid.org/0000-0002-3385-9247БелыйА. И.BeliyA. I.alexandr_nekrasov1984@mail.ruhttps://orcid.org/0000-0003-0102-2546ВолколупО. С.VolkolupO. S.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 Federation201830032018014145Copyright © Ефимов В.В., Федорченко А.Н., Порханов В.А., Белый А.И., Волколуп О.С., 20182018Ефимов В.В., Федорченко А.Н., Порханов В.А., Белый А.И., Волколуп О.С.Efimov V.V., Fedorchenko A.N., Porhanov V.A., Beliy A.I., Volkolup O.S.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/121

Пациенты с острой окклюзией базилярной артерии имеют плохой прогноз без реканализации. Смертность без лечения является самой высокой среди всех подтипов ишемического инсульта. Во многих случаях острый тромбоз сосуществует с атеросклеротическим стенозом, поэтому нередко требуется лечение обеих патологий в течение одного внутрисосудистого вмешательства. Пациенты, которым выполнена успешная реканализация базилярной артерии, имеют более низкую смертность. Учитывая все опубликованные исследования, смертность при невосстановленном кровотоке в артерии составляет 87% по сравнению с 39% при успешной реканализации. В настоящей статье представлен клинический случай успешного лечения пациента с острой окклюзией базилярной артерии при помощи комбинированного использования механической тромбэктомии с ангиопластикой и стентированием стеноза, явившегося причиной развития закупорки артерии.

Mortality without treatment shows the highest rate among all ischemic stroke subtypes. In most cases acute thrombosis coexists with an atherosclerotic stenosis therefore treatment of both pathologies during one intravascular intervention is required quite often. Patients who underwent successful recanalization of the basilar artery have lower mortality rate. Considering all published reports, mortality for not restored blood flow in this artery is 87% vs 39% for successful recanalization. The clinical case of a successfully treated patient with an acute occlusion of a basilar artery using of a mechanical thrombectomy with angioplasty and stenosis stenting which was a reason for arterial occlusion development is presented in this article.

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