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Clinical case of endovascular treatment of ischemic stroke after carotid endarterectomy

https://doi.org/10.34215/1609-1175-2022-2-97-100

Abstract

The article presents a clinical case of endovascular treatment practice of a patient after carotid endarterectomy complicated by ischemic stroke. It is pointed out that early diagnosis allows well-timed detection of complications in the postoperative period and timely selection of treatment methods. The method of intravascular thromboectomy, which significantly reduces the onset of complications in the first hours after surgery, is described in detail. The tactics of management of patients with acute disorders of cerebral circulation during operations on brachiocephalic arteries are analyzed.

About the Authors

A. G. Shapovalova
Pacific State Medical University; Primorsk Regional Clinical Hospital No. 1
Russian Federation

Shapovalova Anna Gennadievna, graduate student of the Institute of Surgery

690002, Vladivostok, 2. Ostryakova, ave.

tel .: +7 (999) 040-18-88



V. G. Rapovka
Pacific State Medical University; Primorsk Regional Clinical Hospital No. 1
Russian Federation

Rapovka Victor G., doctor of medical sciences, professor of the Institute of Surgery

690002, Vladivostok, 2, Ostryakova ave.

Tel: +7 (914) 791-49-08



N. I. Grachev
Pacific State Medical University; Primorsk Regional Clinical Hospital No. 1
Russian Federation

Grachev Nikita Igorevich, candidate of medical sciences, head of the department of x-ray surgical methods of diagnosis and treatment

690002, Vladivostok, Aleutskaya St., 57

Tel: +7(984)150-97-70



O. A. Sobolevskaya
Pacific State Medical University
Russian Federation

Sobolevskaya Olga Anatolyevna, Candidate of Medical Sciences, Assistant of the Institute of Surgery

690002, Vladivostok, Ostryakov Ave., 2

Tel: +7(950)293-16-09



V. G. Konovalenko
Pacific State Medical University
Russian Federation

Konovalenko Vladimir Georgievich, Candidate of Medical Sciences, Assistant of the Institute of Surgery

690002, Vladivostok, Ostryakov Ave., 2



References

1. Shapovalova A.G., Rapovka V.G., Sobolevskaya O.A., Negoda T.N. Rehabilitation of patients after acute cerebrovascular accident against the background of hemodynamically significant stenoses of the brachiocephalic arteries. Pacific Medical Journal. 2020; 3:25–9. (In Russ.)

2. Sharafutdinov B.M., Ryzhkin S.A., Gaziev E.A. Mechanical thromboextraction using transradial access in the case of the brachiocephalic trunk and the left common carotid artery with a common orifice from the aortic arch. Bulletin of radiology and radiology. 2020; 101(2): 126–30. (In Russ.)

3. Sidorenko A.V., Litvinyuk N.V., Evtyagin S.E., Rudykh K.A. The results of the work of the Regional Vascular Center of the Regional Clinical Hospital (Krasnoyarsk) in terms of the use of endovascular treatment of ischemic stroke: analysis of their own experience. Endovascular surgery. 2019; 6(3):232–41. (In Russ.)

4. Vasilevsky V.P., Vasilchuk L.F., Cherniy V.A. Thrombextraction in endovascular treatment of ischemic stroke in the acute period. Intra-abdominal infection. Issues of diagnosis and treatment. 2020. 168–69. (In Russ.)

5. Skvortsova V.I., Shetova I.M., Kakorina E.P. Organization of care for stroke patients in Russia. Results of 10 years of implementation of the Complex of measures to improve medical care for patients with acute cerebrovascular accidents. Annals of clinical and experimental neurology. 2018; 12(3): 5–12. (In Russ.)

6. Yarikov A.V., Fraerman A.P., Mukhin A.S. Complications of carotid endarterectomy. Continuing Medical Education and Science. 2019; 2(14):24-9. (In Russ.)


Review

For citations:


Shapovalova A.G., Rapovka V.G., Grachev N.I., Sobolevskaya O.A., Konovalenko V.G. Clinical case of endovascular treatment of ischemic stroke after carotid endarterectomy. Pacific Medical Journal. 2022;(2):97-100. (In Russ.) https://doi.org/10.34215/1609-1175-2022-2-97-100

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ISSN 1609-1175 (Print)