RECONSTRUCTION OF BILATERAL DOLICHOARTERIOPATHY OF THE INTERNAL CAROTID ARTERY: CASE REPORT
Currently, in patients with bilateral dolichoarteriopathy of the internal carotid artery (DICA), the optimal tactics of surgical treatment has not been determined. We report the case of a 59-year-old woman with a history of transient ischemic attack. The patient was examined, ultrasound duplex scanning (USDS) of the brachiocephalic arteries revealed a bilateral DICA with an acceleration of the linear blood flow velocity (LBFV) at the site of angulation, up to 1.7 m/s on the right, up to 1.6 m/s on the left. Computed tomography (CT) of intra- and extracranial arteries with contrast confirmed the presence of a DICA. The patient was operated stage-by-stage on both sides.
USDS of the carotid arteries (CA) and CT of the extra- and intracranial arteries with contrast were performed 6 months after the second operation. Both showed normal results.
The result of surgical treatment of bilateral DICA showed that the right treatment tactics can lead to regression of cerebral and focal neurological symptoms.
Yerbol K. Dogalbaev1-3, https://orcid.org/0000-0001-8239-563X
Alesandr B. Fursov1, https://orcid.org/0000-0002-6992-8646
Tokan A. Sultanaliev2, https://orcid.org/0000-0003-1732-9489
Irlan N. Sagandykov2, https://orcid.org/0000-0002-9597-198X
Serik S. Suleymenov2, https://orcid.org/0000-0002-4103-4130
Kuralay B. Іlbekova1, https://orcid.org/0000-0001-9950-9808
1 NJSC "Semey Medical University", Astana, Republic of Kazakhstan;
2 National research oncology center, Center for vascular surgery, Astana, Republic of Kazakhstan;
3 Corporate Foundation University Medical Center, Intervention radiology unit, Astana, Republic of Kazakhstan.
1. Batrashov V. A., Yudaev S.S., Zemlyanov A.V. Surgical correction of pathological tortuosities of internal carotid arteries: current state of the problem // Pirogov National Medical and Surgical Center, Moscow. 2021. Т.16. Р. 61-67. doi:10.25881/20728255_2021_16_3_61
2. Di Pino L., Franchina A.G. et al. Prevalence and morphological changes of carotid kinking and coiling in growth: an echo-color Doppler study of 2856 subjects between aged 0 to 96 years // Int J Cardiovasc Imaging. 2021. Т.37. Р. 479–484. https://doi.org/10.1007/s10554-020-02014-0
3. Dilba K, van Dam-Nolen DHK, Crombag GAJC, et al. Dolichoarteriopathies of the extracranial internal carotid artery: The Plaque At RISK study // European Journal of Neurology. 2021. Т.28. Р. 3133-3138. doi:10.1111/ene.14982
4. Gavrilenko A.V., Abramyan A.V. et al. Pathological tortuosity of the internal carotid artery: clinical picture, diagnosis and surgical treatment // Cardiology and Cardiovascular Surgery. 2016. Т.9. Р. 29-33. doi:10.17116/kardio20169129-33
5. Hao J., Zhang L., Lin K., et al. Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery // Vascular and Endovascular Surgery. 2016. Т. 50. №7. Р. 470-474. doi:10.1177/1538574416671246
6. Hye R.J., Voeks J.H. et al. Anesthetic type and risk of myocardial infarction after carotid endarterectomy in the Carotid Revascularization Endarterectomy versus Stenting Trial // Journal of vascular surgery. 2016. Т.64. Р. 3-8. https://doi.org/10.1016/j.jvs.2016.01.047
7. Kfoury E. et al. Carotid endarterectomy under local and/or regional anesthesia has less risk of myocardial infarction compared to general anesthesia: an analysis of national surgical quality improvement program database // Vascular. 2015. Т. 23. Р. 113-119. doi:10.1177/1708538114537489
8. Medvedeva L., Zagorulko O., et al. An analysis of blood flow indicators in pathological kinked internal carotid arteries with their orthostatic and rotational positions // S.S. Korsakov Journal of Neurology and Psychiatry. 2019. Т. 119. №8. Р. 68-69. https://doi.org/10.17116/jnevro201911908168
9. Paltseva E., Oskolkova S. et al. The structure of the internal carotid artery wall in pathological tortuosity // Pathology archive. 2015. Р. 77: 3-8. doi:10.17116/patol20157753-8
10. Wang J, Lu J, Qi P, et al. Association between kinking of the cervical carotid or vertebral artery and ischemic stroke/TIA // Front. Neurol 2022. Т.13. doi:10.3389/fneur.2022.1008328
11. Yu J. Current Understanding of Dolichoarteriopathies of the Internal Carotid Artery: A Review // Int J Med Sci. 2017. Т.14. №8. Р.772-784. doi:10.7150/ijms.19229.
Number of Views: 423
Category of articles:
Clinical case
Bibliography link
Dogalbaev Ye.K., Fursov A.B., Sultanaliev T.A., Sagandykov I.N., Suleymenov S.S., Іlbekova K.B. Reconstruction of bilateral dolichoarteriopathy of the internal carotid artery: case report // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 4, pp. 274-277. doi 10.34689/SH.2023.25.4.033Related publications:
THE COURSE OF SECONDARY SYPHILIS AT THE MODERN TIME
HEPATO-RENAL SYNDROME IN CIRRHOSIS OF THE LIVER. CLINICAL CASE.
A CLINICAL CASE OF NON-SMALL CELL THERAPY LUNG CANCER WITH PD-L1 EXPRESSION
RABIES - AN INFECTIOUS DISEASE WITH A FATAL OUTCOME (CLINICAL CASE)
ACTIVATION OF OPPOSITE PROCESSES – OSTEOPOROSIS AND OSTEOGENESIS IN ANKYLOSING SPONDYLITIS USING THE CLINICAL CASES