Treatment of patient with atherosclerotic damage of brachiocephalic arteries combined with intracranial aneurysms
https://doi.org/10.17650/1683-3295-2013-0-2-80-85
Abstract
The treatment of patients with cerebrovascular diseases is one of the most significant current medical and social problems. Two-thirds of ischemic strokes are occurred because of occlusive-stenotic pathology of carotid arteries. The significant part of such patients is in need of revascularization operations, among them the most common is carotid endarterectomy. Cerebral aneurysms are revealed at 0,8-7% patients with stenotic atherosclerotic damage of brachiocephalic arteries. We consider MR-angiography or alternative instrumental examination is justified for all patients with hemodynamic significant stenoses of brachiocephalic arteries. While cerebral aneurysm is revealed it should be reasonably operated on as a first stage of surgical treatment. Revascularization operation may be performed as a second stage in several weeks after first operation. This proposed strategy allows not only decreasing the risk of ischemic stroke development but also preventing the rupture of cerebral aneurysm.
About the Authors
V. V. Krylov
МГМСУ; НИИ скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
V. L. Lemenev
НИИ СП им. Н.В. Склифосовского
Russian Federation
Russian Federation
A. A. Murashko
ГКБ № 68 г. Москвы
Russian Federation
Russian Federation
V. A. Lukianchikov
Научно-исследовательский институт Скорой помощи им. Н.В. Склифосовского
Russian Federation
Russian Federation
V. A. Dalibaldian
НИИ СП им. Н.В. Склифосовского
Russian Federation
Russian Federation
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Review
For citations:
Krylov V.V., Lemenev V.L., Murashko A.A., Lukianchikov V.A., Dalibaldian V.A. Treatment of patient with atherosclerotic damage of brachiocephalic arteries combined with intracranial aneurysms. Russian journal of neurosurgery. 2013;(2):80-85. (In Russ.) https://doi.org/10.17650/1683-3295-2013-0-2-80-85
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