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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

Views: 767

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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

Подписка 2025 (Russian Cardiology Bulletin)
 
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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

List of references:

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  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
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  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
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  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
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