Results of surgical treatment of patients with internal carotid artery kinking depending on methods of its reconstruction

Gavrilenko A.V.

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow, Russia;
Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of the Russia, Moscow, Russia

Abramyan A.V.

B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Kuklin A.V.

B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Kосhеtkоv V.A.

I.M. Sесhеnоv First Mоsсоw Statе Mеdiсal Univеrsitу, Mоsсоw, Russia

Results of surgical treatment of patients with internal carotid artery kinking depending on methods of its reconstruction

Authors:

Gavrilenko A.V., Abramyan A.V., Kuklin A.V., Kосhеtkоv V.A.

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ARTICLE WITHDRAWN (RETRACTED) 17.08.2019

Information about the withdrawal of the article is sent to all databases where is indexed Pirogov Russian Journal of Surgery.

Journal: Pirogov Russian Journal of Surgery. 2014;(11): 4‑9

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Gavrilenko AV, Abramyan AV, Kuklin AV, Kосhеtkоv VA. Results of surgical treatment of patients with internal carotid artery kinking depending on methods of its reconstruction. Pirogov Russian Journal of Surgery. 2014;(11):4‑9. (In Russ.)

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It was analyzed the results of surgical treatment of 60 patients with internal carotid artery kinking operated in the department of vascular surgery of acad. B.V. Petrovsky Russian Scientific Center of Surgery of RAN. Indications for surgery included symptoms of cerebrovascular insufficiency (CVI) and instrumentally confirmed hemodynamically significant kinking of ICA. Criteria for surgical treatment were linear flow velocity gradient more than 2 and turbulent blood flow in the kinking segment diagnosed by ultrasonic scanning. All patients were divided into 2 groups depending on methods of surgery. The first group included 36 (60%) patients who underwent resection of ICA with orifice bringing down. The second group included 8 (13%) patients after ICA replacement and 16 (27%) cases with eversion endarterectomy, resection of ICA and orifice bringing down. The analysis of immediate surgery results did not reveal significant differences in dynamics of CVI and velocity parameters in reconstructed ICA (p>0.05). The index "stroke+mortality from stroke" was higher in the second group (p<0.05). Thrombosis of ICA reconstruction area has been developing more frequent (p<0.05) after ICA replacement (8%) in comparison with resection of ICA with orifice bringing down (0) and eversion endarterectomy, resection of ICA and orifice bringing down (0). Our data show that resection of ICA with orifice bringing down is preferable for surgical treatment of ICA kinking. ICA replacement is associated with significantly more frequent complications. Eversion endarterectomy with resection of ICA is optimal in case of combination of kinking with stenosis of ICA.

Keywords:

kinking of internal carotid artery

methods of ICA reconstruction

Authors:

Gavrilenko A.V.

Abramyan A.V.

B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Kuklin A.V.

B.V. Petrovsky Russian Research Center of Surgery, Moscow, Russia

Kосhеtkоv V.A.

I.M. Sесhеnоv First Mоsсоw Statе Mеdiсal Univеrsitу, Mоsсоw, Russia

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