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Успешная реваскуляризация при хронической окклюзии ВСА

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Pyankov Vasily
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Зарегистрирован: Пн ноя 24, 2008 12:59 am
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Успешная реваскуляризация при хронической окклюзии ВСА

Сообщение Pyankov Vasily » Пт июл 03, 2009 1:12 pm

Chronic Total Symptomatic Carotid Artery Occlusion Treated
Successfully with Stenting and Angioplasty


A B S T R A C T
OBJECTIVE AND IMPORTANCE
Treatment of symptomatic chronic totally occluded carotid artery has been limited to
medical management. An ongoing clinical trial is examining the role of extracranial to
intracranial bypass surgery in select patients with impaired cerebrovascular reserve based
on PET imaging parameters. We describe a case utilizing stenting and angioplasty to treat
a chronic total carotid occlusion as a potential alternative therapy.
CLINICAL PRESENTATION
A 55-year-old woman presented with a right hemispheric ischemic stroke in the setting
due to a right internal carotid artery total occlusion.
INTERVENTION
She was treated medically with antiplatelet therapy and oral vasopressor agents. She
returned with new symptoms 1 month later and was successfully treated with stenting
and angioplasty. At the 9-month follow-up, she remains neurologically intact.
CONCLUSION
Stenting and angioplasty may be a therapeutic option in select patients with chronic
total carotid occlusion. Further study is required to determine the safety profile of this
treatment modality.

Journal of Neuroimaging Volume 19 Issue 1 , Pages 68-71 (January 2009).

http://www3.interscience.wiley.com/cgi- ... 6/PDFSTART

P.S. Интересно а как в РФ обстоят дела с реваскуляризацией магистральных артерий головы? Может быть у кого-нибудь есть статистические данные?

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