DOI: 10.25881/20728255_2022_17_3_38

Authors

Batrashov V.A., Yudaev S.S., Zemlyanov A.V., Marynich A.A.

St. George thoracic and cardiovascular surgery clinic Pirogov National Medical and Surgical Center, Moscow

Abstract

The article presents the immediate and long-term results of conservative and surgical treatment of asymptomatic patients with pathological tortuosity of the internal carotid arteries, assesses the effectiveness of the operation in relation to the development of ischemic events and the presence of cerebral symptoms in patients after the intervention. The values of the linear velocity of blood flow are determined, at which the development of ischemic events is predicted, which is important in choosing indications for surgical correction in this category of patients.

Keywords: pathological tortuosity of internal carotid arteries, linear blood flow velocity, transient ischemic attack, ischemic stroke.

References

1. Skvortsova VI, Evzelman MA. Ischemic stroke. Orel, 2006: 63-70. (In Russ).

2. La Barbera G, La Marca G, Martino et al. Kinking, coiling, and tortuosity of extracranial internal carotid artery: is it the effect of a metaplasia? Surgical and Radiologic Anatomy. 2006; 28(6): 573-580.

3. Nacional’nye rekomendacii po vedeniju pacientov s zabolevanijami brahiocefal’nyh arterij.Rossijskij soglasitel’nyj dokument. 2013: 49-53. (In Russ).

4. Gavrilenko AV, Kuklin AV, Khripkov AS, Abramian AV. Assessment of efficacy of reconstructive operations on carotid arteries in combination of stenosis and pathological tortuosity. Angiologia and sosudistaya hirurgiya. 2014; 20(3): 116-22. (In Russ).

5. Kazakov IuI, Ivanova OV, Pospelova AM, Vardak A. Diagnostic peculiarities, surgical policy, and efficacy of reconstructive operations in pathological tortuosity of internal carotid arteries. Angiologia and sosudistaya hirurgiya. 2015; 21(4): 153-157. (In Russ).

6. Gavrilenko AV, Abramian AV, Kuklin AV. Comparative analysis of the outcomes of surgical and conservative treatment of patients with pathological kinking of carotid arteries. Angiologia and sosudistaya hirurgiya. 2012; 18(4): 93-99. (In Russ).

For citation

Batrashov V.A., Yudaev S.S., Zemlyanov A.V., Marynich A.A. Evaluation of surgical intervention and conservative treatment in asymptomatic patients with pathological tortuosity of internal carotid arteries. Bulletin of Pirogov National Medical & Surgical Center. 2022;17(3):38-41. (In Russ.) https://doi.org/10.25881/20728255_2022_17_3_38