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THE COURSE OF CEREBRAL VASCULAR INSUFFICIENCY IN PATHOLOGIC TORTUOSITY OF CAROTID ARTERIES, ITS ROLE IN INDICATIONS FOR SURGICAL TREATMENT

https://doi.org/10.51523/2708-6011.2014-11-3-18

Abstract

The article describes the effect of pathologic tortuosity of carotid arteries on cerebral circulation, variants of the course of vascular cerebral insufficiency and clinical manifestations, their role in indication for surgical treatment. The pathologic tortuosity of carotid arteries is revealed by the clinical picture of vascular cerebral insufficiency in carotid and/or vertebrobasilar basins. The work assesses the role of spiral computed tomography with contrasting and magnetic resonance imaging in the verification of signs of episodes of focal neurologic deficiency in patients with the tortuosity of carotid arteries and the potential for application of transcranial Doppler for evaluation of cerebral blood flow disorders in different variants of cerebral vascular insufficiency. The article covers the problems of analysis of the received data for indication for surgical treatment for the tortuous internal carotid artery and presents the long-term results of the surgical treatment of the patients with tortuosity of carotid artery (dynamics of neurological symptoms and the absence of cerebral infarction on the area of the surgery).

About the Authors

M. L. Kaplan
Gomel State Medical University
Belarus


D. N. Bontsevich
Gomel State Medical University
Belarus


References

1. Когда нужно оперировать патологическую деформацию внутренней сонной артерии? / А. В. Покровский [и др.] // Ангиология и сосудистая хирургия. - 2010. - Т. 16, № 4. - С. 116-122.

2. Клиническая ангиология: руководство для врачей / А. В. Покровский [и др.]; под общ. ред. А. В. Покровского. - М.: Медицина, 2004. - Т. 2.

3. Cronenwett, J. L. Rutherford: Vascular Surgery / J. L. Cronenwett, K. W. Johnston. - 6th ed. - Philadelphia: Saunders, 2005. - Vol. 2.

4. Патологическая извитость сонных артерий, как причина развития неврологической симптоматики и ее хирургическая коррекция / В. К. Гринь [и др.] // Нейронауки: теоретические и практические аспекты. - 2007. - Т. 3, № 1-2. - С. 93-96.

5. Казанчян, П. О. Патологические деформации внутренних сонных и позвоночных артерий / П. О. Казанчян. - М.: МЭИ, 2005. - 136 c.

6. Kinking of the internal carotid artery clinical significance and surgical management / R. Vannix [et al.] // The American J. of Surgery. - 1977. - Vol. 134. - P. 82-89.

7. Kinking, coiling, and tortuosity of extracranial internal carotid artery: is it the effect of a metaplasia? / G. L. Barbera [et al.] // Surg Radiol Anat. - 2006. - Vol. 28. - P. 573-580.

8. Kinking of the internal carotid artery: clinical significance and surgical management / H. Van Damme [et al.] //Cardiovascular Surgery. - 1995. - Vol. 3. - P. 46-53.

9. Morphological variations of the internal carotid artery: prevalence, characteristics and association with cerebrovascular disease / S. Sacco [et al.] // International J. of Angiology. - 2007. - Vol. 16, № 2. - P. 59-61.

10. Carotid artery tortuosity, kinking, coiling: stroke risk factor, marker, or curiosity? / C. Togay-Isikay [et al.] // Acta Neurologica Belgica. - 2005. - Vol. 105. - P. 68-72.

11. Родин, Ю. В. Исследование потоков крови при патологической S-образной извитости сонных артерий / Ю. В. Родин // Междунар. неврол. журн. [Электронный ресурс]. - 2006. - Т. 4, № 8. - Режим доступа: http://www.mif-ua.com/archive/issue-2443/article-2465. - Дата доступа: 19.01.2013.

12. Профилактика повторных ишемических инсультов / А. В. Гавриленко [и др.] // Ангиология и сосудистая хирургия. - 2008. - Т. 14, № 3. - С. 143-148.

13. Surgical vs medical treatment for isolated internal carotid artery elongation with coiling or kinking in symptomatic patients: A prospective randomized clinical study / E. Ballotta [et al.] // J. of Vascular Surgery. - 2005. - Vol. 42, № 5. - P. 838-846.

14. Каплан, М. Л. Влияние формы патологической извитости сонных артерий на церебральную гемодинамику / М. Л. Каплан, Д. Н. Бонцевич // Ангиология и сосудистая хирургия. - 2013. - Т. 19, № 3. - С. 102-106.


Review

For citations:


Kaplan M.L., Bontsevich D.N. THE COURSE OF CEREBRAL VASCULAR INSUFFICIENCY IN PATHOLOGIC TORTUOSITY OF CAROTID ARTERIES, ITS ROLE IN INDICATIONS FOR SURGICAL TREATMENT. Health and Ecology Issues. 2014;(3):95-100. (In Russ.) https://doi.org/10.51523/2708-6011.2014-11-3-18

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)