Dissection as the cause of thrombosis of internal carotid artery and the target for interventional treatment of the acute ischemic stroke
https://doi.org/10.21292/2078-5658-2019-16-4-84-89
Abstract
Acute ischemic stroke is a common cause of disability and mortality. In some rare cases, it can result from the structural changes in the major extracranial arteries, including vascular dissection. Due to the low incidence, the management of the acute period of dissection-associated stroke is not completely understood.
In the clinical case presented, we describe the medical history of a forty years old patient in the acute period of cerebral infarction related to the dissection of the internal carotid artery, including the techniques and possible results of endovascular therapy. In this clinical scenario of acute stroke period, emergency angioplasty and stenting of carotid artery have been shown to be a highly effective approach.
About the Authors
V. A. Saskin
Regional Neurovascular Center, City Clinical Hospital no. 1; Northern State Medical University
Russian Federation
Russian Federation
Vitaly A. Saskin - Candidate of Medical Sciences.
1, Suvorova St., Arkhangelsk, 163000, Phone: +7 (8182) 63‒27‒-60
I. A. Pankov
Regional Neurovascular Center, City Clinical Hospital no. 1
Russian Federation
Russian Federation
Ivan A. Pankov - Anesthesiologist and Emergency Physician of of Anesthesiology and Intensive Care Department.
1, Suvorova St., Arkhangelsk, 163000, Phone: +7 (8182) 63‒28‒61
A. A. Zorin
Regional Neurovascular Center, City Clinical Hospital no. 1
Russian Federation
Russian Federation
Aleksey A. Zorin - Surgeon of X-Ray Diagnostic and Treatment Department.
1, Suvorova St., Arkhangelsk, 163000, Phone: +7 (8182) 63‒28‒06
M. V. Chasnyk
Regional Neurovascular Center, City Clinical Hospital no. 1
Russian Federation
Russian Federation
Mikhail V. Chasnyk - Surgeon of X-Ray Diagnostic and Treatment Department.
1, Suvorova St., Arkhangelsk, 163000, Phone: +7 (8182) 63‒28‒06
E. V. Nedashkovsky
Northern State Medical University
Russian Federation
Russian Federation
Eduard V. Nedashkovsky - Doctor of Medical Sciences, Professor of Anesthesiology and Intensive Care Department.
51, Troitsky Ave., Arkhangelsk, 163000, Phone: +7 (8182) 63‒27–30References
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For citations:
Saskin V.A., Pankov I.A., Zorin A.A., Chasnyk M.V., Nedashkovsky E.V. Dissection as the cause of thrombosis of internal carotid artery and the target for interventional treatment of the acute ischemic stroke. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(4):84-89. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-4-84-89
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