Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions
https://doi.org/10.35401/2500-0268-2022-25-1-53-60
Abstract
In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication as ischemic stroke, in most cases surgeons refuse to perform the operation. Endovascular surgery is often the only option for these patients. After analyzing the world experience in the treatment of hemodynamically significant lesions of the arteries of the brachiocephalic basin and applying in practice various methods of endovascular interventions in patients with complex stenotic lesions of the internal carotid arteries, we were convinced that endovascular correction of such lesions is often the main method of treatment for patients with multifocal atherosclerosis, and can also be used as a primary method of treatment, as it demonstrates high effectiveness, low risk of complications and good long-term results.
About the Authors
A. I. Beliy
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Anton I. Beliy, Surgeon, X-ray Endovascular Diagnostics and Treatment Department
1 Maya str., 167, Krasnodar, 350086
E. S. Suslov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Evgeny S. Suslov, Surgeon, X-ray Endovascular Diagnostics and Treatment Department
Krasnodar
V. V. Efimov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Vitaliy V. Efimov, Surgeon, X-ray Endovascular Diagnostics and Treatment Department
Krasnodar
A. N. Fedorchenko
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Aleksey N. Fedorchenko, Dr. Sci. (Med.), Head of the X-ray Endovascular Diagnostics and Treatment Department
Krasnodar
References
1. Thom T, Haase N, Rosamond W, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006;113(6):e85–151. PMID: 16407573. https://doi.org/10.1161/CIRCULATIONAHA.105.171600
2. Kleindorfer D, Panagos P, Pancioli A, et al. Incidence and short-term prognosis of transient ischemic attack in a population-based study. Stroke. 2005;36(4):720–723. PMID: 15731465. http://doi.org/10.1161/01.STR.0000158917.59233.b7
3. White H, Boden-Albala B, Wang C, et al. Ischemic stroke subtype incidence among whites, blacks, and Hispanics; the Northern Manhattan Study. Circulation. 2005;111(10):1327–1331. PMID: 15769776. http://doi.org/10.1161/01.CIR.0000157736.19739.D0
4. Bonita R, Stewart A, Beaglehole R. International trends in stroke mortality: 1970–1985. Stroke. 1990;21(7):989–992. PMID: 2368114. http://doi.org/10.1161/01.str.21.7.989
5. Mohr JP, Caplan LR, Melski JW, et al. The Harvard Cooperative Stroke Registry: a prospective registry. Neurology. 1978;28(8):754–762. PMID: 567291. https://doi.org/10.1212/WNL.28.8.754
6. Bockeria LA, Alekyan BG. X-ray endovascular surgery for diseases of the great vessels. Moscow: 2008;1. (In Russ.).
7. Bogousslavsky J, Van MG, Regli F. The Lausanne Stroke Registry: analysis of 1000 consecutive patients with first stroke. Stroke. 1988;19(9):1083–1092. PMID: 3413804. http://doi.org/10.1161/01.str.19.9.1083
8. Foulkes MA, Wolf PA, Price TR, et al. The Stroke Data Bank: design, methods, and baseline characteristics. Stroke. 1988;19(5):547–554. PMID: 3363586. http://doi.org/10.1161/01.str.19.5.547
9. Inzitari D, Eliasziw M, Gates P, et al. The causes and risk of stroke in patients with asymptomatic internal-carotid-artery stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 2000;342(23):1693–1700. PMID: 10841871. http://doi.org/10.1056/NEJM200006083422302
10. Timsit SG, Sacco RL, Mohr JP, et al. Early clinical differentiation of cerebral infarction from severe atherosclerotic stenosis and cardioembolism. Stroke. 1992;23(4):486–491. PMID: 1561677. http://doi.org/10.1161/01.str.23.4.486
11. Brott TG, Halperin JL, Abbara S, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/ SVM/SVS Guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary. Stroke. 2011;42(8):e464–540. PMID: 21282493. http://doi.org/10.1161/STR.0b013e3182112cc2
12. Bates ER, Babb JD, Casey DE, et al. ACCF/SCAI/SVMB/ SIR/ASITN 2007 clinical expert consensus document on carotid stenting: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol. 2007;49(1):126–170. PMID: 17207736. http://doi.org/10.1016/j.jacc.2006.10.021
13. Horio Y, Takemoto K, Sakamoto S, et al. Endovascular reconstruction for a kinked internal carotid artery after carotid endarterectomy. Surg Neurol Int. 2018;13(9):135. PMID: 30090667. http://doi.org/10.4103/sni.sni_431_17
Review
For citations:
Beliy A.I., Suslov E.S., Efimov V.V., Fedorchenko A.N. Scope of endovascular surgery in correction of stenotic lesions of the internal carotid artery in complex anatomic conditions. Innovative Medicine of Kuban. 2022;(1):53-60. (In Russ.) https://doi.org/10.35401/2500-0268-2022-25-1-53-60
Views:
364
Email this article 
