DOI: 10.25881/BPNMSC.2019.62.12.029

Authors

Chernyakov I.S., Vinckovskij S.G., Vahitov K.M., Shacman I.G.

Leningrad Region Clinical Hospital, Saint-Petersburg

Abstract

The article presents the case report of a successful treatment of the patient with acute stroke and tandem internal carotid artery lesion.

Keywords: stroke, ICA stenosis, MCA occlusion, tandem ICA lesion, thrombextraction, carotid endarterectomy.

References

1. Bhatia R, Hill MD, Shobha N, et al. Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke: real-world experience and a call for action. Stroke. 2010;41(10):2254–2258. doi: 10.1161/STROKEAHA.110.592535.

2. Department of Health. The national stroke strategy [Internet]. London, UK: COI; 2007 [cited 2019 Sep 30].

3. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke: a Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49(3):e46–e110. doi: 10.1161/STR.0000000000000158.

4. Jauch EC, Saver JL, Adams HpJr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870–947. doi: 10.1161/STR.0b013e318284056a.

5. Johansson EP, Arnerlöv C, Wester P. Risk of recurrent stroke before carotid endarterectomy: the ANSYSCAP study. Int J Stroke. 2013;8(4):220–227. doi: 10.1111/j.1747-4949.2012.00790.x.

6. Marnane M, Duggan CA, Sheehan OC, et al. Stroke subtype classification to mechanism-specific and undetermined categories by TOAST, A-S-C-O, and causative classification system: direct comparison in the North Dublin population stroke study. Stroke. 2010;41(8):1579–1586. doi: 10.1161/STROKEAHA.109.575373.

7. Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics – 2015 update: a report from the American Heart Association. Circulation. 2015;131(4):e29–322. doi: 10.1161/CIR.0000000000000152.

8. Naylor AR. Why is the management of asymptomatic carotid disease so controversial? Surgeon. 2015;13(1):34–43. doi: 10.1016/j.surge.2014.08.004.

9. Nogueira RG, Jadhav AP, Haussen DC, et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med. 2018;378(1):11–21. doi: 10.1056/NEJMoa1706442.

10. Rodrigues FB, Neves JB, Caldeira D, et al. Endovascular treatment versus medical care alone for ischaemic stroke: systematic review and meta-analysis. BMJ. 2016;353:i1754. doi: 10.1136/bmj.i1754.

11. Rothwell PM, Buchan A, Johnston SC. Recent advances in management of transient ischaemic attacks and minor ischaemic strokes. Lancet Neurol. 2006;5(4):323–331. doi: 10.1016/S0140-6736(08)60694-7.

12. Salem MK, Sayers RD, Bown MJ, et al. Rapid access carotid endarterectomy can be performed in the hyperacute period without a significant increase in procedural risks. Eur J Vasc Endovasc Surg. 2011; 41(2):222–228. doi: 10.1016/j.ejvs.2010.10.017.

13. National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333(24):1581–1587. doi: 10.1056/NEJM199512143332401.

14. Tsantilas P, Kühnl A, Kallmayer M, et al. Stroke risk in the early period after carotid related symptoms: a systematic review. J Cardiovasc Surg (Torino). 2015;56(6):845–852.

15. Wardlaw JM, Murray V, Berge E, et al. Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev. 2014;(7):CD000213. doi: 10.1002/14651858.CD000213.pub3.

For citation

Chernyakov I.S., Vinckovskij S.G., Vahitov K.M., Shacman I.G. Acute stroke multidisciplinary management (case report). Bulletin of Pirogov National Medical & Surgical Center. 2019;14(3):145-147. (In Russ.) https://doi.org/10.25881/BPNMSC.2019.62.12.029