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.
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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:
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