Vol. 26 No. 4 (2022)
CASE REPORTS

Endovascular treatment of multilevel brachiocephalic artery lesions in asymptomatic patients: a case series

pdf (Русский)
  • A.G. Vanyurkin,
  • A.V. Soboleva,
  • N.V. Susanin,
  • Yu.K. Belova,
  • V.A. Soloviev,
  • M.A. Chernyavskiy
A.G. Vanyurkin
Almazov National Medical Research Centre
Bio
A.V. Soboleva
Almazov National Medical Research Centre
N.V. Susanin
Almazov National Medical Research Centre
Yu.K. Belova
Almazov National Medical Research Centre
V.A. Soloviev
Almazov National Medical Research Centre
M.A. Chernyavskiy
Almazov National Medical Research Centre
Варианты сочетаний стеноза каротидной бифуркации
DOI: https://doi.org/10.21688/1681-3472-2022-4-52-59

Published 2022-12-29

Keywords

  • Angioplasty,
  • Carotid Artery, Internal,
  • Case Report,
  • Dysarthria,
  • Hematoma,
  • Ischemic Stroke,
  • Stents
    • ...More
    Less

How to Cite

Vanyurkin, A., Soboleva, A., Susanin, N., Belova, Y., Soloviev, V., & Chernyavskiy, M. (2022). Endovascular treatment of multilevel brachiocephalic artery lesions in asymptomatic patients: a case series. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 26(4), 52–59. https://doi.org/10.21688/1681-3472-2022-4-52-59

Copyright (c) 2022 Vanyurkin A.G., Soboleva A.V., Susanin N.V., Belova Yu.K., Soloviev V.A., Chernyavskiy M.A.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Objective: To evaluate the outcomes of complete endovascular carotid revascularization in asymptomatic patients with tandem lesions of common carotid arteries (CCA) and internal carotid arteries (ICA) and to demonstrate the endovascular technique.
Methods: Endovascular treatment of two-level brachiocephalic artery lesions was performed in 23 patients at the Almazov National Medical Research Centre from 2017 to 2022. The mean age of the patients was 71.3 years. The lesions were localized in the left CCA and ICA in 11 patients, in the right CCA and ICA in 7 patients, and in the brachiocephalic trunk and right ICA in 5 patients. All patients were asymptomatic on the affected side.
Results: Completed with successful stent implantation, all the procedures were effective, with no complications at the access site (hematoma, dissection, bleeding) and no perioperative mortality or residual stenoses. Postoperative neurological disorders developed in two patients including ipsilateral neurological symptoms (NIHSS score 4, Rankin score 1) in one of them and moderate aphasia and dysarthria NIHSS score 2, Rankin score 1) in the other. Brain MSCT showed signs of ischemic stroke that did not require any additional surgical treatment in the second patient. Following the rehabilitation, the neurological symptoms regressed. The mean hospital stay was 4 days. Two years after the intervention two patients required reintervention, i.e. repeat angioplasty of the ICA stent, due to in-stent restenosis.
Conclusion: The outcomes in a series of patients with tandem brachiocephalic artery lesions indicate the efficacy of complete endovascular intervention with good short-term results.

Received 23 June 2022. Revised 31 July 2022. Accepted 23 August 2022

Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.

Funding: The study did not have sponsorship.

Conflict of interests: Authors declare no conflict of interest.

Contribution of the authors
Literature review: A.V. Soboleva, V.A. Soloviev
Drafting the article: A.G. Vanyurkin, Yu.K. Belova
Critical revision of the article: M.A. Chernyavskiy
Surgical treatment: M.A. Chernyavskiy, A.G. Vanyurkin, N.V. Susanin
Final approval of the version to be published: A.G. Vanyurkin, A.V. Soboleva, N.V. Susanin, Yu.K. Belova, V.A. Soloviev, M.A. Chernyavskiy

pdf (Русский)

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