Perfusion Computed Tomography in the Choice of Treatment Tactics for Chronic Critical Tandem Lesion of the Internal Carotid and Middle Cerebral Artery (Case Report)
A. D. Pryamikov,
A. B. Mironkov,
O. O. Manuylova,
Yu. V. Sidorova,
S. A. Asratyan,
K. V. Savkina,
R. Yu. Loluev https://doi.org/10.52560/2713-0118-2023-6-78-90
Abstract
A clinical case of surgical treatment in patient with tandem ipsilateral lesion of the right internal carotid artery: (95–99 % stenosis at the ostium) and the middle cerebral artery (occlusion) described in the article. Further treatment tactics could be determined with the help of PKT performed on the patient during hospitalization. Changes in the blood supply to the cerebral hemisphere revealed by PKT were of decisive importance in determining the further treatment tactics for this patient. The patient was operated in the range of right side carotid endarterectomy. Control brain tomography perfusion, performed 6 months after surgery, demonstrated the absence of areas with impaired blood flow in the cerebral hemispheres.
About the Authors
A. D. Pryamikov
Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia; Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Pryamikov Alexandr Dmitrievich, M. D, Head of Vascular Surgery Department; Associate Professor of the Department of Surgery and Endoscopy
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (903) 286-25-52
A. B. Mironkov
Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia; Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Mironkov Aleksey Borisovich, M. D., Head of Endovascular Treatment Department; Associate Professor of the Department of Surgery and Endoscopy
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (925) 507-18-42
O. O. Manuylova
Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Manuylova Ol’ga Olegovna, Ph. D., Head of Radiation Diagnostic
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (926) 220-37-25
Yu. V. Sidorova
«Medsi group» JSC
Russian Federation
Russian Federation
Sidorova Yulia Vladimirovna, Candidate of Medical Sciences, radiologist
2nd Botkin passage, 5, k. 4, GKB im. S. P. Botkin, Moscow, 125284, Russia
+7 (910) 433-14-73
S. A. Asratyan
Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Asratyan Sarkis Al’bertovich, Ph. D. Med., Head of Neurosurgery Department
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (925) 507-18-42
K. V. Savkina
Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Savkina Kira Vyacheslavovna, Radiologist of Department of Radiation Diagnostic
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (915) 120-31-63
R. Yu. Loluev
Buyanov City Clinical Hospital, Department of Healthcare of Moscow
Russian Federation
Russian Federation
Loluev Ruslan Yu., Vascular Surgeon
26, ul. Bakinskaya, Moscow, 115516, Russia
+7 (925) 880-00-08
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For citations:
Pryamikov A.D., Mironkov A.B., Manuylova O.O., Sidorova Yu.V., Asratyan S.A., Savkina K.V., Loluev R.Yu. Perfusion Computed Tomography in the Choice of Treatment Tactics for Chronic Critical Tandem Lesion of the Internal Carotid and Middle Cerebral Artery (Case Report). Radiology - Practice. 2023;(6):78-90. (In Russ.) https://doi.org/10.52560/2713-0118-2023-6-78-90
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