DOI: 10.25881/20728255_2023_18_3_148

Authors

Mirzakhamdamov Zh.M.1, 2, Chuvarayan G.A.2, Arakelov S.E.2, Syomochkina N.I.2

1 Pirogov National Medical and Surgical Center, Moscow

2 GKB №13, Moscow

Abstract

To date, endovascular treatment of patients with acute coronary syndrome and acute cerebrovascular accident is the most effective method of treatment to reduce disability and mortality rates. This article presents a clinical case of treatment of a patient with intraoperative development of ischemic stroke. Despite the low incidence of ischemic stroke during percutaneous coronary intervention, the specialists of the department of Endovascular surgery must have the skills and a full range of tools to provide specialized care.

Keywords: percutaneous coronary intervention; acute coronary syndrome; acute violation of cerebral circulation; ischemic stroke; thrombectomy.

References

1. Skrypnik DV, Manchurov VN, Anisimov KV, Oskanov MB. Thromboextraction from the coronary and cerebral arteries in a patient with sensitive myocardial infarction and embolic ischemic stroke. Endovascular surgery. 2018; 5(4): 461-467. (In Russ.) doi: 10.24183/2409-4080-2018-5-4-461-467.

2. Murakami T, Sakakura K, Jinnouchi H, Taniguchi Y, Tsukui T, Watanabe Y, Yamamoto K, Seguchi M, Wada H, Fujita H. Acute Ischemic Stroke and Transient Ischemic Attack in ST-Segment Elevation Myocardial Infarction Patients Who Underwent Primary Percutaneous Coronary Intervention. J Clin Med. 2023; 12(3): 840. doi: 10.3390/jcm12030840.

3. Ogryzko EV, Ivanova MA, Odinets AV, et al. Dynamics of morbidity in the adult population with acute forms of coronary heart disease and mortality from them in the Russian Federation in 2012–2017. Preventive medicine. 2019; 22(5): 23-26. (In Russ.)

4. Nguyen TN, Strbian D. Endovascular Therapy for Stroke due to Basilar Artery Occlusion: A BASIC Challenge at BEST. Stroke. 2021; 52(10): 3410-3413. doi: 10.1161/STROKEAHA.121.035948.

5. Gruber K, Misselwitz B, Steinmetz H, Pfeilschifter W, Bohmann FO. Evaluation of Endovascular Treatment for Acute Basilar Occlusion in a State-Wide Prospective Stroke Registry. Front Neurol. 2021; 12: 678505. doi: 10.3389/fneur.2021.678505.

6. Litvinyuk NV, Fedchenko YaO, Sidorenko AV, Rudykh KA, Kazanskii NA, Protopopov AV. Acute ischemic cerebrovascular accident as an intraoperative complication of percutaneous coronary intervention in a patient with acute myocardial infarction. Endovascular surgery. 2019; 6(1): 63-68. (In Russ.) doi: 10.24183/2409-4080-2019-6-1-63-68.

For citation

Mirzakhamdamov Zh.M., Chuvarayan G.A., Arakelov S.E., Syomochkina N.I. Acute cerebrovascular accident(stroke) in acute coronary syndrome without ST segment elevation. Bulletin of Pirogov National Medical & Surgical Center. 2023;18(3):148-150. (In Russ.) https://doi.org/10.25881/20728255_2023_18_3_148