SUCCESSFUL TREATMENT OF DISSECTION OF THE INTERNAL CAROTID ARTERY
https://doi.org/10.17709/2409-2231-2018-5-2-13
Abstract
The clinical observation of a successful treatment of a young patient with intima dissection of the internal carotid artery and thrombosis of the lumen of the internal carotid artery and the middle cerebral artery of traumatic genesis is presented. Injury of the internal carotid artery occurred with a large physical load of a rotational nature. Fracture of the styloid process caused a dissection of the internal carotid artery with its thrombosis on the extracranial level and the development of ischemic stroke in the basin of this artery. In an emergency order, a complex of diagnostics was performed-CT CT, CT angiography. The first stage was performed thrombextracion from the internal carotid artery and the middle cerebral artery by the X-ray endovascular method. To fix the intima in the internal carotid artery in the area of her injury we stented her. Complete revascularization was achieved in the basin of the internal carotid artery with almost complete regression of neurologic symptoms. The patient returned to work. The use of x-ray endovascular mini-invasive technologies, thrombus extraction and stenting in the next few hours after the development of AVCC allowed to achieve a good near and distant clinical result.
About the Authors
V. V. Zelenin
Mariinsky City Hospital
Russian Federation
Vyacheslav V. Zelenin, MD, PhD, head of the department of x-ray surgical methods of diagnosis and treatment (cardiovascular surgery)
Russian Federation
Vyacheslav V. Zelenin, MD, PhD, head of the department of x-ray surgical methods of diagnosis and treatment (cardiovascular surgery)
O. I. Kudryavtsev
Mariinsky City Hospital
Russian Federation
Oleg I. Kudryavtsev, resident (cardiovascular surgery, radiosurgical methods of diagnosis and treatment)
Russian Federation
Oleg I. Kudryavtsev, resident (cardiovascular surgery, radiosurgical methods of diagnosis and treatment)
D. V. Merkulov
Mariinsky City Hospital
Russian Federation
Dmitry V. Merkulov, head of computer diagnostics department
Russian Federation
Dmitry V. Merkulov, head of computer diagnostics department
O. P. Verbitskiy
Mariinsky City Hospital
Russian Federation
Oleg P. Verbitskiy, resident of the department of neurosurgery
Russian Federation
Oleg P. Verbitskiy, resident of the department of neurosurgery
V. V. Akhmetov
ФГБОУ ВО «Петрозаводский государственный университет»
Russian Federation
Russian Federation
Vladimir V. Akhmetov, MD, PhD, doctoral student, department of general and faculty surgery, Petrozavodsk State University, vascular surgeon, A.K.Eramishantsev City Clinical Hospital of the Department of Health of Moscow
For correspondence: Address: 15 Lenskaya str., Moscow, 115280, Russia
I. P. Dudanov
Mariinsky City Hospital
Russian Federation
Competing Interests:
Russian Federation
Ivan P. Dudanov, MD, PhD, DSc, professor, corresponding member of RAS, head of the chair of general and faculty surgery, Petrozavodsk State University, the head of the Regional Vascular Center, Mariinsky City Hospital
Competing Interests:
Дуданов Иван Петрович, доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой общей и факультетской хирургии ФГБОУ ВО «Петрозаводский государственный университет», региональный сосудистый центр СПб ГБУЗ «Городская Мариинская больница»
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Review
For citations:
Zelenin V.V., Kudryavtsev O.I., Merkulov D.V., Verbitskiy O.P., Akhmetov V.V., Dudanov I.P. SUCCESSFUL TREATMENT OF DISSECTION OF THE INTERNAL CAROTID ARTERY. Research and Practical Medicine Journal. 2018;5(2):121-129. (In Russ.) https://doi.org/10.17709/2409-2231-2018-5-2-13
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