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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

Подписка 2025-2 (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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  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
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