neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-23-3-85-92neurosurgery-1081Research ArticleЛЕКЦИЯLECTUREАльтернативы трансфеморальному доступу при эндоваскулярном лечении ишемического инсульта в случаях сложной сосудистой анатомииA feasible alternative to transfemoral artery access for endovascular revascularization in acute ischemic stroke in cases with difficult vessel anatomyhttps://orcid.org/0000-0002-9680-9722ПрозоровС. А.ProzorovS. A.

Сергей Анатольевич Прозоров 

129090 Москва, Большая Сухаревская пл., 3

Sergey A. Prozorov 

3 Bolshaya Sukharevskaya Sq., Moscow 129090

surgeonserge@mail.ruГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Health DepartmentRussian Federation2021241020212338592Copyright © Прозоров С.А., 20212021Прозоров С.А.Prozorov S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1081

Эндоваскулярное вмешательство при остром ишемическом инсульте обычно выполняют через бедренный доступ. Но катетеризации могут препятствовать некоторые особенности строения сосудов: неблагоприятная анатомия дуги аорты, извитость сонных артерий, стеноз устья сосудов, коарктация аорты, окклюзия подвздошных артерий. В об‑ зоре оценивается возможность применения других сосудистых доступов в лечении острого ишемического инсульта: транскаротидного и транcрадиального, а также анализируются связанные с этим риски.

Endovascular treatment in acute ischemic stroke is usually performed via a transfemoral approach. Catheterization can be problematic in cases with difficult anatomy: unfavorable arch type, vessel tortuosity and ostial stenosis, aorta coarc‑ tation, iliac artery occlusion. The aim of this review is to describe the place of another arterial approach in the manage‑ ment in acute ischemic stroke: direct common carotid 

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The authors declare that there are no conflicts of interest present.