inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2023-8-4-110-117inovmed-758Research ArticleСЛУЧАИ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИCASE REPORTSВнутрисосудистое лечение диссекции экстракраниального отдела внутренней сонной артерииIntravascular Treatment of Extracranial Internal Carotid Artery Dissectionhttps://orcid.org/0000-0002-4392-7848ЕфимовВ. В.EfimovV. V.

Ефимов Виталий Владимирович, специалист по рентгенэндоваскулярной диагностике и лечению, отделение рентгенохирургических методов диагностики и лечения

350086, Краснодар, ул. 1 Мая, 167

Vitaliy V. Efimov, Specialist in X-­Ray­-Guided Endovascular Diagnostics and Treatment, Unit of X-­Ray-­Guided Endovascular Diagnostics and Treatment

ulitsa 1 Maya 167, Krasnodar, 350086

 

vitaliy_efimov_84@mail.ruhttps://orcid.org/0000-0001-5589-2040ФедорченкоА. Н.FedorchenkoA. N.

Федорченко Алексей Николаевич, д. м. н., заведующий отделением рентгенохирургических методов диагностики и лечения,

Краснодар

Alexey N. Fedorchenko, Dr. Sci. (Med.), Head of the Unit of X­Ray­-Guided Endovascular Diagnostics and Treatment

Krasnodar

 

https://orcid.org/0000-0002-3385-9247БелыйА. И.BeliyA. I.

Белый Антон Игоревич, специалист по рентгенэндоваскулярной диагностике и лечению, отделение рентгенохирургических методов диагностики и лечения

Краснодар

Anton I. Beliy, Specialist in X-­Ray-­Guided Endovascular Diagnostics and Treatment, Unit of X-­Ray-­Guided Endovascular Diagnostics and Treatment

Krasnodar

 

https://orcid.org/0000-0002-5662-1864СусловЕ. С.SuslovE. S.

Суслов Евгений Сергеевич, специалист по рентгенэндоваскулярной диагностике и лечению, отделение рентгено-хирургических методов диагностики и лечения

Краснодар

Evgeniy S. Suslov, Specialist in X-­Ray­-Guided Endovascu- lar Diagnostics and Treatment, Unit of X-­Ray-­Guided Endovas- cular Diagnostics and Treatment

Krasnodar

 

Научно-исследовательский институт – Краевая клиническая больница №1 им. проф. С.В. ОчаповскогоРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1Russian Federation20233012202304110117Copyright © Ефимов В.В., Федорченко А.Н., Белый А.И., Суслов Е.С., 20232023Ефимов В.В., Федорченко А.Н., Белый А.И., Суслов Е.С.Efimov V.V., Fedorchenko A.N., Beliy A.I., Suslov E.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/758Цель

Цель: Оценить эффективность и безопасность эндоваскулярного лечения диссекции экстракраниального отдела внутренней сонной артерии, а также псевдоаневризмы, которая ассоциирована с диссекцией.

Клинические случаи

Клинические случаи: В настоящей статье мы сообщаем о результатах эндоваскулярного лечения двух пациентов с ятрогенной и спонтанной диссекцией шейного сегмента внутренней сонной артерии.

Заключение

Заключение: Диссекция (расслоение) внутренней сонной артерии может привести к значительному сужению просвета сосуда, окклюзии или формированию псевдоаневризмы с последующим гемодинамическим или эмболическим инсультом, несмотря на антикоагулянтную терапию. В ряде случаев эндоваскулярное стентирование диссекции является безопасным и эффективным методом восстановления целостности просвета сосуда с хорошим клиническим исходом.

Objective

Objective: To evaluate the efficacy and safety of endovascular treatment of extracranial dissection of the internal carotid artery, as well as pseudoaneurysm associated with dissection.

Clinical cases

Clinical cases: In this article we report the results of endovascular treatment of 2 patients with iatrogenic and spontaneous dissection of the cervical segment of the internal carotid artery.

Conclusions

Conclusions: Internal carotid artery dissection can lead to significant narrowing of the vessel lumen, occlusion or pseudoaneurysm followed by hemodynamic or embolic stroke despite anticoagulant therapy. In some cases, endovascular stenting for dissection is a safe and effective method of restoring vessel lumen integrity with a good clinical outcome.

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