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V.A. Luk'ianchikov

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

R.Kh. Khasauov

Republican Clinical Hospital of the Ministry of Health of the Kabardino-Balkarian Republic, Nalchik, Russia

O.O. Kordonskaya

Sklifosovsky Research Institute of Emergenscy Medicine, Moscow, Russia

V.A. Dalibaldyan

N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russian Federation;
A.I. Evdokimov Moscow Medical University, Moscow, Russian Federation

I.V. Senko

Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

Endoscopy-assisted surgical treatment of carotid artery kinking

Authors:

V.A. Luk'ianchikov, R.Kh. Khasauov, O.O. Kordonskaya, V.A. Dalibaldyan, I.V. Senko

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Journal: Pirogov Russian Journal of Surgery. 2020;(2): 13‑20

DOI: 10.17116/hirurgia202002113

Views: 2079

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Table of contents

ENDOSCOPY-ASSISTED SURGICAL TREATMENT OF CAROTID ARTERY KINKING
ENDOSCOPY-ASSISTED SURGICAL TREATMENT OF CAROTID ARTERY KINKING

To cite this article:

Luk'ianchikov VA, Khasauov RKh, Kordonskaya OO, Dalibaldyan VA, Senko IV. Endoscopy-assisted surgical treatment of carotid artery kinking. Pirogov Russian Journal of Surgery. 2020;(2):13‑20. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202002113

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Objective — to evaluate the results of endoscopy-assisted surgical treatment of patients with «high» tortuosity of the ICA. Material and methods. Endoscopy-assisted surgical reconstruction of high tortuosity of the ICA was made in 11 patients. All procedures were carried out at the Sklifosofsky Research Institute for Emergency Medicine (Moscow) and Republican clinical hospital of Kabardino-Balkaria (Nalchik) for the period from 01.01.18 to 31.12.18. Results. There were no intraoperative and postoperative complications (blood flow velocity increased by 66.2% after surgery). Neurological improvement after surgery was noted in all patients. Partial or complete regression of dizziness was observed in 5 (45.5%) patients. Tinnitus disappeared in 7 (63.6%) patients. Conclusion. Approach to the distal parts of ICA is traumatic, requires the use of additional techniques and considerable surgical experience. Endoscopic technique is valuable to reduce the risk of injury of soft tissues, neurovascular structures and improve functional outcomes.

Keywords:

ICA tortuosity
endoscopic assistance
surgical treatment
outcomes

Authors:

V.A. Luk'ianchikov

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

R.Kh. Khasauov

Republican Clinical Hospital of the Ministry of Health of the Kabardino-Balkarian Republic, Nalchik, Russia

O.O. Kordonskaya

Sklifosovsky Research Institute of Emergenscy Medicine, Moscow, Russia

V.A. Dalibaldyan

N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russian Federation;
A.I. Evdokimov Moscow Medical University, Moscow, Russian Federation

I.V. Senko

Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia

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