Reconstruction of pathological tortuosity of subcranial part of internal carotid artery using dopplerographic control
https://doi.org/10.22328/2413-5747-2023-9-3-113-119
Abstract
Tortuosity of the internal carotid artery with dysplastic changes in the form of aneurysms and diverticula should be attributed to a rare pathology. The pathology of this localization makes open surgery difficult due to access trauma and a high risk of arterio-arterial embolism with the development of cerebrovascular accident. The method of reconstructive intervention is offered, using ultrasound dopplerographic control and there is a result of successful application of the method in the patient with pathological tortuosity of subcranial part of the internal carotid artery combined with diverticula.
About the Authors
Aleksei V. FedianinRussian Federation
Neurosurgeon, Department of Nervous Diseases and Neurosurgery
Gennadii I. Antonov
Russian Federation
Dr. of Sci. (Med.), Neurosurgeon, Professor of the Department of Nervous Diseases and Neurosurgery
Gennadii Е. Chmutin
Russian Federation
Dr. of Sci. (Med.) Doctor of Medicine, Neurosurgeon, Head of the Department of Nervous Diseases and Neurosurgery
Egor G. Chmutin
Russian Federation
Neurosurgeon, Assistant in the Department of Nervous Diseases and Neurosurgery
Eduard R. Miklashevich
Russian Federation
Neurosurgeon
Stanislav Yu. Gladyshev
Russian Federation
Neurosurgeon
Igor I. Shumakov
Russian Federation
Neurosurgeon
Sergei V. Melnichuk
Russian Federation
Neurosurgeon
Maftunabonu Muminjonova
Russian Federation
Neurosurgeon, Department of Nervous Diseases and Neurosurgery
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Supplementary files
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1. Fig. 1. CT angiography of the brachiocephalic arteries. The arrow indicates the coilings of the ICA | |
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2. Fig. 2. Intraoperative photo - mobilization of the coiling ICA, a – diverticulum of the ICA; б – bends of the coiling ICA | |
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3. Fig. 3. Locating the direction of blood flow using a Doppler contact sensor 16 mhz. | |
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4. Fig. 4. Intraoperatively, using Doppler ultrasound, the direction of blood flow in the proximal and distal parts of the reduundant ICA is visualized. a – direction of blood flow to the sensor; б — the direction of the blood flow from the sensor | |
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5. Fig. 5. The general view of the end-to-end anastomosis of the ICA is shown by the blue arrow. 1 – ICA; 2 – external carotid artery | |
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6. Fig. 6. Redundant ICA with diverticulum is resected | |
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Review
For citations:
Fedianin A.V., Antonov G.I., Chmutin G.Е., Chmutin E.G., Miklashevich E.R., Gladyshev S.Yu., Shumakov I.I., Melnichuk S.V., Muminjonova M. Reconstruction of pathological tortuosity of subcranial part of internal carotid artery using dopplerographic control. Marine Medicine. 2023;9(3):113-119. (In Russ.) https://doi.org/10.22328/2413-5747-2023-9-3-113-119