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Galyautdinov D.M.

Chazov National Medical Research Center of Cardiology

Vlasova E.E.

Chazov National Medical Research Center of Cardiology

Shiryaev A.A.

Chazov National Medical Research Center for Cardiology

Vasiliev V.P.

Chazov National Medical Research Center of Cardiology

Kurbanov S.K.

Chazov National Medical Research Center of Cardiology

Balakhonova T.V.

Chazov National Medical Research Centre of Cardiology

Pogorelova O.A.

Chazov National Medical Research Centre of Cardiology

Fedotenkov I.S.

Chazov National Medical Research Center of Cardiology

Veselova T.N.

Chazov National Medical Research Center of Cardiology

Akchurin R.S.

Chazov National Medical Research Center for Cardiology

Computed tomography and Doppler ultrasound in choosing surgical strategy for tandem stenosis of common and internal carotid arteries in a patient with coronary artery disease

Authors:

Galyautdinov D.M., Vlasova E.E., Shiryaev A.A., Vasiliev V.P., Kurbanov S.K., Balakhonova T.V., Pogorelova O.A., Fedotenkov I.S., Veselova T.N., Akchurin R.S.

More about the authors

Journal: Russian Cardiology Bulletin. 2023;18(4): 102‑107

DOI: 10.17116/Cardiobulletin202318041102

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Table of contents

COMPUTED TOMOGRAPHY AND DOPPLER ULTRASOUND IN CHOOSING SURGICAL STRATEGY FOR TANDEM STENOSIS OF COMMON AND INTERNAL CAROTID ARTERIES IN A PATIENT WITH CORONARY ARTERY DISEASE
COMPUTED TOMOGRAPHY AND DOPPLER ULTRASOUND IN CHOOSING SURGICAL STRATEGY FOR TANDEM STENOSIS OF COMMON AND INTERNAL CAROTID ARTERIES IN A PATIENT WITH CORONARY ARTERY DISEASE

To cite this article:

Galyautdinov DM, Vlasova EE, Shiryaev AA, et al. . Computed tomography and Doppler ultrasound in choosing surgical strategy for tandem stenosis of common and internal carotid arteries in a patient with coronary artery disease. Russian Cardiology Bulletin. 2023;18(4):102‑107. (In Russ.)
https://doi.org/10.17116/Cardiobulletin202318041102

ЭндоКард
Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To demonstrate a patient with concomitant coronary and tandem carotid lesions regarding the choice of visualization technique.

MATERIAL AND METHODS

A 60-year-old man admitted to cardiovascular department for coronary artery bypass grafting. Preoperative examination revealed significant atherosclerotic lesions of both internal carotid arteries and tandem stenosis of one common carotid artery.

RESULTS

We demonstrate successful surgical treatment of a patient with CAD and complex carotid lesions. Abilities and benefits of ultrasonography and CT-angiography in measurement of carotid stenosis are analyzed.

CONCLUSION

This clinical situation is rather rare, and there is no consensus regarding surgical strategy. Ultrasonography and CT-angiography were valuable to clarify localization and nature of carotid artery lesions. We were able to determine surgical treatment of a «difficult» patient with multifocal atherosclerosis and evaluate the effectiveness of intervention 3 months later.

Keywords:

coronary artery bypass grafting
tandem carotid stenosis
CT
ultrasonography

Authors:

Galyautdinov D.M.

Chazov National Medical Research Center of Cardiology

Vlasova E.E.

Chazov National Medical Research Center of Cardiology

Shiryaev A.A.

Chazov National Medical Research Center for Cardiology

Vasiliev V.P.

Chazov National Medical Research Center of Cardiology

Kurbanov S.K.

Chazov National Medical Research Center of Cardiology

Balakhonova T.V.

Chazov National Medical Research Centre of Cardiology

Pogorelova O.A.

Chazov National Medical Research Centre of Cardiology

Fedotenkov I.S.

Chazov National Medical Research Center of Cardiology

Veselova T.N.

Chazov National Medical Research Center of Cardiology

Akchurin R.S.

Chazov National Medical Research Center for Cardiology

Received:

16.02.2023

Accepted:

16.03.2023

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References:

  1. Brown KR. Treatment of concomitant carotid and coronary artery disease. Decision-making regarding surgical options. Journal of Cardiovascular Surgery (Torino). 2003;44(3):395-399. 
  2. Salasidis GC, Latter DA, Steinmetz OK, Blair JF, Graham AM. Carotid artery duplex scanning in preoperative assessment for coronary artery revascularization: the association between peripheral vascular disease, carotid artery stenosis, and stroke. Journal of Vascular Surgery. 1995;21(1):154-162.  https://doi.org/10.1016/s0741-5214(95)70254-7
  3. Rouleau PA, Huston J 3rd, Gilbertson J, Brown RD Jr, Meyer FB, Bower TC. Carotid artery tandem lesions: frequency of angiographic detection and consequences for endarterectomy. American Journal of Neuroradiology. 1999;20(4):621-625. 
  4. Naylor AR, Bown MJ. Stroke after cardiac surgery and its association with asymptomatic carotid disease: an updated systematic review and meta-analysis. European Journal of Vascular and Endovascular Surgery. 2011;41(5):607-624.  https://doi.org/10.1016/j.ejvs.2011.02.016
  5. Charchyan ER, Stepanenko AB, Belov YuV, Gens AP, Kabanova MN, Turaev MM. One-stage carotid and coronary artery surgeries in the treatment of multifocal atherosclerosis. Cardiologia. 2014;54(9):46-51. (In Russ.).
  6. Aboyans V, Ricco JB, Bartelink MEL, Björck M, Brodmann M, Cohnert T, Collet J-P, Czerny M, De Carlo M, Debus S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylor AR, Roffi M, Röther J, Sprynger M, Tendera M, Tepe G, Venermo M, Vlachopoulos C, Desormais I; ESC Scientific Document Group. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO). The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). European Heart Journal. 2018;39(9):763-816.  https://doi.org/10.1093/eurheartj/ehx095
  7. Matchett WJ, McFarland DR, Eidt JF, Moursi MM. Blue toe syndrome: treatment with intra-arterial stents and review of therapies. Journal of Vascular and Interventional Radiology. 2000;11(5):585-592.  https://doi.org/10.1016/s1051-0443(07)61610-8
  8. Poppe AY, Jacquin G, Roy D, Stapf C, Derex L. Tandem Carotid Lesions in Acute Ischemic Stroke: Mechanisms, Therapeutic Challenges, and Future Directions. American Journal of Neuroradiology. 2020;41(7):1142-1148. https://doi.org/10.3174/ajnr.A6582
  9. Moore JD, Schneider PA. Management of simultaneous common and internal carotid artery occlusive disease in the endovascular era. Seminars in Vascular Surgery. 2011;24(1):2-9.  https://doi.org/10.1053/j.semvascsurg.2011.03.001
  10. Alekyan BG, Pokrovsky AV, Karapetyan NG, Revishvili AS. A multidisciplinary approach in determining of prevalence of coronary artery disease and treatment strategies in patients with pathology of the aorta and peripheral arteries. Russian Journal of Cardiology. 2019;24(8):8-16. (In Russ.).
  11. Akchurin RS, Shiryaev AA, Galyautdinov DM, Vlasova EE, Vasiliev VP, Ismagilov BR, Balakhonova TV. Short-term results of synchronous coronary artery bypass grafting and carotid endarterectomy. Kardiologiya i Serdechno-Sosudistaya Khirurgiya. 2017;10(6):4-8. (In Russ.). https://doi.org/10.17116/kardio20171064-8
  12. de Borst GJ, Hazenberg CE. How should I treat a patient with a tandem carotid artery atherosclerotic stenosis involving the internal carotid artery and the innominate/proximal common carotid artery? European Journal of Vascular and Endovascular Surgery. 2015;50(2):257-258.  https://doi.org/10.1016/j.ejvs.2015.04.006
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