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Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Drakina O.V.

Sechenov First Moscow State Medical University

Dutikova E.F.

Petrovsky National Research Center of Surgery

Baidin S.P.

Sechenov First Moscow State Medical University (Sechenov University)

Functional assessment of internal carotid artery tortuosity in patients with multifocal atherosclerosis

Authors:

Zagorulko O.I., Medvedeva L.A., Drakina O.V., Dutikova E.F., Baidin S.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(5): 146‑151

DOI: 10.17116/hirurgia2024051146

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Table of contents

FUNCTIONAL ASSESSMENT OF INTERNAL CAROTID ARTERY TORTUOSITY IN PATIENTS WITH MULTIFOCAL ATHEROSCLEROSIS
FUNCTIONAL ASSESSMENT OF INTERNAL CAROTID ARTERY TORTUOSITY IN PATIENTS WITH MULTIFOCAL ATHEROSCLEROSIS

To cite this article:

Zagorulko OI, Medvedeva LA, Drakina OV, Dutikova EF, Baidin SP. Functional assessment of internal carotid artery tortuosity in patients with multifocal atherosclerosis. Pirogov Russian Journal of Surgery. 2024;(5):146‑151. (In Russ.)
https://doi.org/10.17116/hirurgia2024051146

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The review is devoted to diagnosis and treatment of internal carotid artery tortuosity. The authors consider modern classification, epidemiology and diagnostic options using neuroimaging or ultrasound-assisted functional stress tests depending on medical history and complaints. In addition to standard Doppler ultrasound, rotational and orthostatic tests are advisable due to possible changes of local shape and hemodynamic parameters following body position changes, especially in patients with concomitant atherosclerotic stenosis. Thus, a personalized approach is especially important for treatment and diagnostics of internal carotid artery tortuosity.

Keywords:

tortuosity
ultrasound
rotational test
orthostatic test

Authors:

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Drakina O.V.

Sechenov First Moscow State Medical University

Dutikova E.F.

Petrovsky National Research Center of Surgery

Baidin S.P.

Sechenov First Moscow State Medical University (Sechenov University)

Received:

12.02.2024

Accepted:

11.03.2024

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References:

  1. Pokrovsky AV, Beloyarthev DF, Timina IE, Adyrhaev ZA. When should the pathological deformity of the internal carotid artery be operated on? Angiologiya i sosudistaya khirurgiya. 2010;16(4):116-122. (In Russ.).
  2. Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, Kamel H, Kernan WN, Kittner SJ, Leira EC, Lennon O, Meschia JF, Nguyen TN, Pollak PM, Santangeli P, Sharrief AZ, Smith SC Jr, Turan TN, Williams LS. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021;52(7):e364-e467. https://doi.org/10.1161/STR.0000000000000375
  3. Du J, Wang Y, Che B, Miao M, Bao A, Peng Y, Ju Z, Xu T, He J, Zhang Y, Zhong C. The relationship between neurological function trajectory, assessed by repeated NIHSS measurement, and long-term cardiovascular events, recurrent stroke, and mortality after ischemic stroke. International Journal of Stroke. 2023;18(8):1005-1014. https://doi.org/10.1177/17474930231180446
  4. Wouters A, Nysten C, Thijs V, Lemmens R. Prediction of outcome in patients with acute ischemic stroke based on initial severity and improvement in the first 24 h. Frontiers in Neurology. 2018;9:308. 
  5. Sajobi TT, Menon BK, Wang M, Lawal O, Shuaib A, Williams D, Poppe AY, Jovin TG, Casaubon LK, Devlin T, Dowlatshahi D, Fanale C, Lowerison MW, Demchuk AM, Goyal M, Hill MD; ESCAPE Trial Investigators. Early Trajectory of Stroke Severity Predicts Long-Term Functional Outcomes in Ischemic Stroke Subjects: Results From the ESCAPE Trial (Endovascular Treatment for Small Core and Anterior Circulation Proximal Occlusion With Emphasis on Minimizing CT to Recanalization Times). Stroke. 2017;48(1):105-110.  https://doi.org/10.1161/STROKEAHA.116.014456
  6. Ielasi A, Latib A, Godino C, Sharp AS, Al Lamee R, Montorfano M, Airoldi F, Carlino M, Chieffo A, Sangiorgi GM, Colombo A. Clinical outcomes following protected carotid artery stenting in symptomatic and asymptomatic patients. Journal of Endovascular Therapy. 2010;17(3):298-307.  https://doi.org/10.1583/09-2997.1
  7. Shevchenko YuL, Batrashov VA, Yudaev SS, Zemlyanov AV. Staged surgical treatment of pathological tortuosities of the internal carotid and vertebral arteries. Vestnik Nacional’nogo mediko-hirurgicheskogo Centra im. N.I. Pirogova. 2020;4(15):134-137. (In Russ.).
  8. Dadashov SA, Lavrentev AV, Frolov KB, Vinogradov OA, Dzyundzya AN, Ulyanov ND. Surgical treatment of pathological tortuosity of the internal carotid artery. Angiologiya i sosudistaya hirurgiya. 2012;18(3):116-121. (In Russ.).
  9. Pokrovskij AV, Golovyuk AL. State of vascular surgery in the Russian Federation in 2018. Angiologiya i sosudistaya hirurgiya. 2019;25(2):8. (In Russ.).
  10. Chernyavsky MA, Irtyuga OB, Yanishevsky SN, Alieva AS, Samochernykh KA, Abramov KB, Vavilova TV, Lukyanchikov VA, Kurapeev DI, Vanyurkin AG, Chernova DV, Shelukhanov NK, Kozlyonok AV, Kavteladze ZA, Malevanny MV, Vinogradov RA, Khafizov TN, Ivanova GE, Zhukovskaya NV, Fokin AA, Ignatiev IM, Karpenko AA, Ignatenko PV, Astapov DA, Semenov VYu, Porkhanov VA, Krylov VV, Usachev DYu, Svetlikov AV, Alekyan BG, Akchurin RS, Chernyavsky AM, Konradi AO, Shlyakhto EV. Russian consensus statement on the diagnosis and treatment of patients with carotid stenosis. Russian Journal of Cardiology. 2022;27(11):5284. (In Russ.). https://doi.org/10.15829/1560-4071-2022-5284
  11. Medvedeva LA, Zagorulko OI, Belov Iu V, Dutikova EF, Malenkova EYu. An analysis of blood flow indicators in pathological kinked internal carotid arteries with their orthostatic and rotational positions. Zhurnal Nevrologii I Psikhiatriiimeni S.S. Korsakova. 2019;119(8):68-74. (In Russ.). https://doi.org/10.17116/jnevro201911908168
  12. Weibel J, Fields WS. Tortuisity, coiling, and kinking of the internal carotid artery. I. Etiology and radiographic anatomy. Neurology. 1965;15:7-18. 
  13. Metz H, Murray-Leslie RM, Bannister RG, Bull JW, Marshall J. Kinking of the ICA in relation o cerebrovascular disease. Lancet. 1961;25:424-426. 
  14. Stankevich YuA. Possibilities of magnetic resonance imaging in assessing the hemodynamic significance of pathological tortuosity of the ICA: Dis. ... kand. med. nauk. Novosibirsk. 2016. (In Russ.). https://www.tomo.nsc.ru/gnti/%D0%B0%D0%B2%D1%82%D0%BE%D1%80%D0%B5%D1%84%D0%B5%D1%80%D0%B0%D1%82%D1%8B/%D0%A1%D1%82%D0%B0%D0%BD%D0%BA%D0%B5%D0%B2%D0%B8%D1%87%20%D0%AE%D0%BB%D0%B8%D1%8F%20%D0%90%D0%BB%D0%B5%D0%BA%D1%81%D0%B0%D0%BD%D0%B4%D1%80%D0%BE%D0%B2%D0%BD%D0%B0.pdf
  15. Claassen JAHR, Thijssen DHJ, Panerai RB, Faraci FM. Regulation of cerebral blood flow in humans: physiology and clinical implications of autoregulation. Physiological reviews. 2021;101(4):1487-1559. https://doi.org/10.1152/physrev.00022.2020
  16. Zhao J, Nan G, Shen G, Zhao S, Ito H. Bilateral Medial Medullary Infarction Accompanied by Cerebral Watershed Infarction: A case report. Journal of Radiology Case Reports. 2020;14(4):1-7.  https://doi.org/10.3941/jrcr.v14i4.3905
  17. La Barbera G, La Marca G, Martino A, Lo Verde R, Valentino F, Lipari D, Peri G, Cappello F, Valentino B. Kinking, coiling, and tortuosity of extracranial internal carotid artery: is it the effect of a metaplasia? Surgical and Radiologic Anatomy. 2006;28(6):573-580.  https://doi.org/10.1007/s00276-006-0149-1
  18. Brown DL, Levine DA, Albright K, Kapral MK, Leung LY, Reeves MJ, Sico J, Strong B, Whiteley WN; American Heart Association Stroke Council. Benefits and Risks of Dual Versus Single Antiplatelet Therapy for Secondary Stroke Prevention: A Systematic Review for the 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack. Stroke. 2021;52(7):e468-e479. Epub 2021 May 24. PMID: 34024115. https://doi.org/10.1161/STR.0000000000000377
  19. Pokrovsky AV, Ivandaev AS. The state of vascular surgery In Russia in 2017. Angiologiya i sosudistaya khirurgiya. 2018;Sapl. 24(3):66. (In Russ.).
  20. Gavrilenko AV, Abramyan AV, Kuklin AV, Ofosu D. Internal carotidartery kinking. The clinic, diagnosis and surgical treatment. Kardiologiya i serdechno-sosudistaya khirurgiya. 2016;9(1):29-33. (In Russ.). https://doi.org/10.17116/kardio20169129-33
  21. Pancera P, Ribul M, Presciuttini B, Lechi A. Prevalence of carotid artery kinking in 590 consecutive subjects evaluated by Echocolordoppler. Is there a correlation with arterial hypertension? Journal of Internal Medicine. 2000;248(1):7-12.  https://doi.org/10.1046/j.1365-2796.2000.00611.x
  22. Ballotta E, Thiene G, Baracchini C, Ermani M, Militello C, Da Giau G, Barbon BA. Angelini Surgical vs medical treatment for isolated internal carotid artery elongation with coiling or kinking in symptomatic patients: a prospective randomized clinical study. Journal of Vascular Surgery. 2005;42(5):838-846. 
  23. Illuminati G, Calió FG, Papaspyropoulos V, Montesano G, D’Urso A. Revascularization of the internal carotid artery for isolated, stenotic, and symptomatic kinking. The Archives of Surgery. 2003;138(2):192-7.  https://doi.org/10.1001/archsurg.138.2.192
  24. Karymov ShI, Tursunov BZ, Sunnatov RD, et al. Diagnosis and surgical treatment of pathological deformities of the carotid arteries. Angiologiya I sosudistaya khirurgiya. 2010;16(4):108-115. (In Russ.).
  25. Grego F, Lepidi S, Cognolato D, Frigatti P, Morelli I, Deriu GP. Rationale of the surgical treatment of carotid kinking. Journal of Cardiovascular Surgery. 2003;44(1):79-85. 
  26. Singh R, Tubbs RS. Histological verification of atherosclerosis due to bends and bifurcations in carotid arteries predicted by hemodynamic model. Jornal Vascular Brasileiro. 2018;17(4):280-289.  https://doi.org/10.1590/1677-5449.004118
  27. Amin HP, Madsen TE, Bravata DM, Wira CR, Johnston SC, Ashcraft S, Burrus TM, Panagos PD, Wintermark M, Esenwa C; American Heart Association Emergency Neurovascular Care Committee of the Stroke Council and Council on Peripheral Vascular Disease. Diagnosis, Workup, Risk Reduction of Transient Ischemic Attack in the Emergency Department Setting: A Scientific Statement From the American Heart Association. Stroke. 2023;54(3):e109-e121. Epub 2023 Jan 19. PMID: 36655570. https://doi.org/10.1161/STR.0000000000000418
  28. Rodin YV. Hemodynamic view of the pathological tortuosity of the carotid arteries. Novoe v angiologii i sosudistoi khirurgii. 2005;2:250-252. (In Russ.).
  29. Родин Ю.В. Гемодинамические взгляды на патологическую извитость сонных артерий. Новое в ангиологии сосудистой хирургии. 2005;2:150-152. 
  30. Sadovnikov VI, Sandrykov VA, Ziyaeva YuV, Dutikona EF, Gavrilenko AV. Cerebral hemodynamics in patients with the pathology of the brachiocephalic arteries. Funktsional’naya Diagnostika. 2013;4:19-24. (In Russ.).
  31. Dutikova EF, Ziyaeva YV, Medvedeva LA, Tchederkina IO. Neuromonitoring and intracerebral hemodynamics in the reconstruction of the brachiocephalic arteries. Funktsional’naya diagnostika. 2013;2:108-116. (In Russ.).
  32. Alekyan BG, Grigoryan AM, Staferov AV, Karapetyan NG. X-ray endovascular diagnosis and treatment of heart and vascular diseases in the Russian Federation. Endovascular surgery. 2019;6:2:5-188. (In Russ.).
  33. Krylov VV, Lemenev VL. Brain revascularization operations in vascular surgery. M.: Binom; 2014. (In Russ.).
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