Comprehensive ultrasound diagnostics for low-flow bypass in patients with symptomatic occlusion of the internal carotid artery
L. T. Khamidova,
N. A. Polunina,
G. K. Guseynova,
V. A. Lukyanchikov,
V. A. Dalibaldyan,
V. V. Krylov https://doi.org/10.63769/1683-3295-2026-28-1-107-118
Abstract
Ultrasound scan is a minimally invasive and highly informative method of examination of patients with atherosclerotic lesions of the brachiocephalic arteries. The article presents an algorithm of examination of patients with symptomatic occlusion of the internal carotid artery who are scheduled for revascularization interventions. The aims and capabilities of ultrasound diagnostics at various stages of treatment of the patients with this pathology are described. Special attention is paid to discussion of indicators predicting failure of extracranial-intracranial low-flow bypasses. Examples of functioning and failed anastomoses are presented.
About the Authors
L. T. Khamidova
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
L. T. Khamidova
3 Bolshaya Sukharevskaya Ploshchad’, Moscow, 129090
N. A. Polunina
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
N. A. Polunina
3 Bolshaya Sukharevskaya Ploshchad’, Moscow, 129090;
1 Ostrovityanova St., Moscow, 117513
G. K. Guseynova
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
G. K. Guseynova
3 Bolshaya Sukharevskaya Ploshchad’, Moscow 129090
V. A. Lukyanchikov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Institute of Functional Neurosurgery, Russian Сenter of Neurology and Neurosciences
Russian Federation
Russian Federation
V. A. Lukyanchikov
3 Bolshaya Sukharevskaya Ploshchad’, Moscow, 129090;
1 Ostrovityanova St., Moscow, 117513;
80 Volokolamskoye Shosse, Moscow, 125367
V. A. Dalibaldyan
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
V. A. Dalibaldyan
3 Bolshaya Sukharevskaya Ploshchad’, Moscow 129090
V. V. Krylov
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Institute of Functional Neurosurgery, Russian Сenter of Neurology and Neurosciences
Russian Federation
Russian Federation
V. V. Krylov
1 Ostrovityanova St., Moscow, 117513;
80 Volokolamskoye Shosse, Moscow, 125367
References
1. Cerebral revascularization surgeries in vascular neurosurgery. Eds. V.V. Krylov, V.L. Lemenev. Moscow: BINOM, 2014. 272 p. (In Russ.).
2. Lebedev V.V., Gelfenbeyn M.S. Problems of surgical treatment of ischemic strokes in the carotid artery territory. Voprosy neyrokhirurgii = Burdenko’s Journal of Neurosurgery 1984;2:53–61. (In Russ.).
3. Lebedev V.V., Krylov V.V. Emergency neurosurgery. Moscow: Meditsina, 2000. 568 p. (In Russ.).
4. Sakovich V.P., Spektor S.M., Zhuravlev A.V. Extracranialintracranial microvascular anastomosis (EICMA) in surgery of arterial cerebral aneurysms. Voprosy neyrokhirurgii = Burdenko’s Journal of Neurosurgery 1987:13–9. (In Russ.).
5. Krylov V.V., Lukyanchikov V.A., Polunina N.A. Surgical revascularization of the brain. Moscow: PRIZ, 2023. 380 p. (In Russ.).
6. Krylov V.V., Lukyanchikov V.A., Tokarev A.S. et al. Surgical prevention of ischaemic strokes by means of an extraintracranial microanastomosis (EICMA) in the carotid basin. Angiologiya i sosudistaya khirurgiya = Angiology and Vascular Surgery 2016;22(4):116–21. (In Russ.).
7. Lukshin V.A., Usachev D.Yu., Shulgina A.A., Shevchenko E.V. Local cerebral hemodynamics following STA-MCA bypass in patients with symptomatic carotid occlusions. Voprosy khirurgii im. N.N. Burdenko = Burdenko’s Journal of Neurosurgery 2019;83(3):29–41. (In Russ.). DOI: 10.17116/neiro20198303129
8. Lelyuk V.G., Lelyuk S.E. Main principles of hemodynamics and ultrasound scanning of the vessels: clinical guidelines on ultrasound diagnostics. In 5 volumes. Ed. V.V. Mitkov. Moscow: Vidar, 2005. V. 4. P. 221–256. (In Russ.).
9. Kulikov V.P. Basics of ultrasound examination of the vessels. Moscow: Vidar-M, 2015. 392 p. (In Russ.).
10. Khamidova L.T., Krylov V.V., Petrikov S.S. Ultrasound and functional diagnostics in patients with ischemic stroke and ruptures of cerebral aneurysms. 2019. 388 p. (In Russ.).
11. Gaidar B.V., Semenutin V.B., Parfenov V.E., Svistov D.V. Transcranial Doppler in neurosurgery. Saint Petersburg: Elbi, 2008. 281 p. (In Russ.).
Review
For citations:
Khamidova L.T., Polunina N.A., Guseynova G.K., Lukyanchikov V.A., Dalibaldyan V.A., Krylov V.V. Comprehensive ultrasound diagnostics for low-flow bypass in patients with symptomatic occlusion of the internal carotid artery. Russian journal of neurosurgery. 2026;28(1):107-118. (In Russ.) https://doi.org/10.63769/1683-3295-2026-28-1-107-118
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