Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №1

Experience in diagnosis and treatment of combined lesions of the extra- and intracranial portions of the internal carotid artery

Khripun A.I.1, Salikov A.V.2, Pryamikov A.D.1,2, Mironkov A.B.1,2, Mikhailenko V.P.2, Asratyan S.A.2, Kemezh Yu.V.2, Abashin M.V.1

1) Chair of Surgery and Endoscopy of the Advanced Medical Training Department of the Russian National Research Medical University named after N.I. Pirogov,
2) Municipal Clinical Hospital No 12, Moscow, Russia

The treatment policy concerning patients with lesions of the extra- and intracranial portions of carotid arteries is currently uncertain. The authors share herein their experience in diagnosis and treatment of 5 patients presenting with lesions of the extracranial portions of the internal carotid artery (stenosis/occlusion/pathological tortuosity) combined with arterial aneurysms and arteriovenous malformations of the brain. Of these, two patients were operated on: the first one was primarily subjected to clipping of the cerebral aneurysm then after several months underwent a reconstructive vascular operation on the ipsilateral side (resection of the internal carotid artery with its readdressing). The second patient with subtotal stenosis of the internal carotid artery who initially underwent clipping of the ipsilateral asymptomatic aneurysm of the middle cerebral artery developed occlusion of the internal carotid artery by the second stage of treatment and was not subjected to vascular operation. There were no ischaemic cerebral complications or lethal outcomes in the operated patients in peri- and postoperative periods at all stages of treatment.

KEY WORDS: lesions of extra- and intracranial portions of internal carotid arteries, clipping of cerebral aneurysm, reconstructive vascular operation.

P. 129

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