neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.24412/2587-7569-2025-1-84-90neurosurgery-1656Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEЭндоваскулярное лечение гигантской расслаивающей аневризмы сонной артерии вследствие травматической диссекции (клиническое наблюдение и обзор литературы)Endovascular treatment of giant posttraumatic dissecting aneurysm of internal carotid artery (clinical case and literature review)https://orcid.org/0000-0003-3124-2443БелопасоваА. В.BelopasovaA. V.

Белопасова Анастасия Владимировна.

125367 Москва, Волоколамское шоссе, 80

Anastasia V. Belopasova.

80 Volokolamskoye Shosse, Moscow 125367

belopasova@neurology.ruhttps://orcid.org/0000-0001-6862-6980СиницынИ. А.SinitsynI. A.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0001-8862-654XМакароваА. Г.MakarovaA. G.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0002-5172-5904ЗасыпкинаЕ. С.ZasypkinaE. S.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0002-7554-9052ДревальМ. В.DrevalM. V.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0002-8726-8928ЧечеткинА. О.ChechetkinA. O.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0003-1428-2769ЩипакинВ. Л.ShchipakinV. L.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

https://orcid.org/0000-0001-9929-2725ДобрынинаЛ. А.DobryninaL. A.

125367 Москва, Волоколамское шоссе, 80

80 Volokolamskoye Shosse, Moscow 125367

ФГБНУ «Научный центр неврологии»РоссияResearch Center of NeurologyRussian Federation2025190420252718490Copyright © Белопасова А.В., Синицын И.А., Макарова А.Г., Засыпкина Е.С., Древаль М.В., Чечеткин А.О., Щипакин В.Л., Добрынина Л.А., 20252025Белопасова А.В., Синицын И.А., Макарова А.Г., Засыпкина Е.С., Древаль М.В., Чечеткин А.О., Щипакин В.Л., Добрынина Л.А.Belopasova A.V., Sinitsyn I.A., Makarova A.G., Zasypkina E.S., Dreval M.V., Chechetkin A.O., Shchipakin V.L., Dobrynina L.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/1656

Травматическое расслоение (диссекция) внутренней сонной артерии нередко является следствием дорожно-транспортных происшествий. Нарастание интрамуральной гематомы приводит к стенозу или окклюзии сосуда, формированию аневризмы стенки. Клинические проявления диссекции варьируют от локального болевого синдрома до развития преходящего или стойкого неврологического дефицита. В случае неэффективности медикаментозной терапии показаны хирургические или эндоваскулярные подходы к лечению.

В статье представлен случай успешного эндоваскулярного лечения гигантской посттравматической аневризмы внутренней сонной артерии. Обсуждаются вопросы выбора тактики ведения пациентов, устройств для стентирования расслаивающих аневризм.

Traumatic dissection of the internal carotid artery is often the result of motor vehicle accidents. The growth of intramural hematoma leads to stenosis or occlusion of the vessel, the formation of a dissecting aneurysm. Clinical manifestations of dissection vary from local pain to the development of a transient or persistent neurological deficit. When medical therapy is not effective, surgical or endovascular approaches are indicated.

This article presents a case of successful endovascular treatment of a giant post-traumatic aneurysm of the internal carotid artery. The issues of choosing tactics for managing patients, devices for stenting dissecting aneurysms are discussed.

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