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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. Fedianin
Vishnevsky National Medical Research Centre of High Medical Technologies
Russian Federation

Neurosurgeon, Department of Nervous Diseases and Neurosurgery



Gennadii I. Antonov
Vishnevsky National Medical Research Centre of High Medical Technologies; Russian University of People’s Friendship
Russian Federation

Dr. of Sci. (Med.), Neurosurgeon, Professor of the Department of Nervous Diseases and Neurosurgery



Gennadii Е. Chmutin
Russian University of People’s Friendship
Russian Federation

Dr. of Sci. (Med.) Doctor of Medicine, Neurosurgeon, Head of the Department of Nervous Diseases and Neurosurgery



Egor G. Chmutin
Vishnevsky National Medical Research Centre of High Medical Technologies; Russian University of People’s Friendship
Russian Federation

Neurosurgeon, Assistant in the Department of Nervous Diseases and Neurosurgery



Eduard R. Miklashevich
Vishnevsky National Medical Research Centre of High Medical Technologies
Russian Federation

Neurosurgeon



Stanislav Yu. Gladyshev
Vishnevsky National Medical Research Centre of High Medical Technologies
Russian Federation

Neurosurgeon



Igor I. Shumakov
Vishnevsky National Medical Research Centre of High Medical Technologies
Russian Federation

Neurosurgeon



Sergei V. Melnichuk
Vishnevsky National Medical Research Centre of High Medical Technologies
Russian Federation

Neurosurgeon



Maftunabonu Muminjonova
Russian University of People’s Friendship
Russian Federation

Neurosurgeon, Department of Nervous Diseases and Neurosurgery



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Supplementary files

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

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ISSN 2413-5747 (Print)
ISSN 2587-7828 (Online)