An anastomosis between the internal carotid and vertebral arteries in the treatment of a patient with bilateral carotid arteries occlusions

Usachev D.Iu.; Lukshin V.A.; Shmigel'skiĭ A.V.; Akhmedov A.D.

doi:https://doi.org/10.17116/neiro201680272-77

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Shmigel'skiĭ A.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhmedov A.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

An anastomosis between the internal carotid and vertebral arteries in the treatment of a patient with bilateral carotid arteries occlusions

Authors:

Usachev D.Iu., Lukshin V.A., Shmigel'skiĭ A.V., Akhmedov A.D.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(2): 72‑77

DOI: 10.17116/neiro201680272-77

Read: 7689 times

To cite this article:

Usachev DIu, Lukshin VA, Shmigel'skiĭ AV, Akhmedov AD. An anastomosis between the internal carotid and vertebral arteries in the treatment of a patient with bilateral carotid arteries occlusions. Burdenko's Journal of Neurosurgery. 2016;80(2):72‑77. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201680272-77

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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Abstract:

The article presents a case of successful surgical treatment of a patient with progressive chronic cerebral ischemia due to occlusions of both internal carotid arteries combined with occlusion of the vertebral artery in the first and second segments. We describe a surgical technique that includes an auto arterial carotid-subclavian bypass in the third segment of the vertebral artery, with an extracranial portion of the occluded internal carotid artery (after preliminary thromboendarterectomy) being used as a shunt. Previously, the patient had undergone surgery for creating bilateral EICMA. We analyzed the indications for each phase of the surgery with allowance for the peculiarities of compensatory collateral circulation and possible complications of the surgical treatment.

Keywords:

cerebral artery occlusion

cerebral revascularization

chronic cerebral ischemia

Authors:

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Shmigel'skiĭ A.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhmedov A.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

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References:

AbuRahma AF, Copeland SE. Bilateral internal carotid artery occlusion: natural history and surgical alternatives Cardiovasc Surg. 1998;6:6:579-583.
Lazarides M, Kalodiki E, Williams M, Christopoulos D, Nicolaides AN. Natural history of chronic bilateral internal carotid artery occlusion. Int Angiol. 1991;10:4:209-212.
Persoon S, Klijn CJ, Algra A, Kappelle LJ. Bilateral carotid artery occlusion with transient or moderately disabling ischaemic stroke: clinical features and long-term outcome. J Neurol. 2009;256:10:1728-1735. doi: 10.1007/s00415-009-5194-3
Thanvi B, Robinson T. Complete occlusion of extracranial internal carotid artery: clinical features, pathophysiology, diagnosis and management. Postgrad Med J. 2007;83:976:95-99. doi: 10.1136/pgmj.2006.048041
Tatemichi TK, Desmond DW, Prohovnik I, Eidelberg D. Dementia associated with bilateral carotid occlusions: neuropsychological and haemodynamic course after extracranial to intracranial bypass surgery. J Neurol Neurosurg Psychiatry. 1995;58:5:633-636.
Vereshchagin N, Varakin Y. Stroke registers in Russia: results and methodological aspects of the problem. Insult. 2001;1:34-40. (In Russ.).
Norris JW, Krajewski A, Bornstein NM. The clinical role of the cerebral collateral circulation in carotid occlusion. J Vasc Surg. 1990;12:2:113-118.
Carney AL, Anderson EM. Carotid Distal Vertebral Bypass for Carotid Occlusion: Case Report and Technique. Сlinical electroencephalography. 1978;9:3:105-109.
Antonov G, Miklashevich E, Gladyshev S, Bogdanovich I. New surgical treatment for vertebral artery pseudoaneurysm at the boundary between the V2 and V3 segments. Voprosy neirokhirurgii imeni NN Burdenko. 2015;79:3:90-95. (In Russ.).
Kieffer E, Praquin B, Chiche L, Koskas F, Bahnini A. Distal vertebral artery reconstruction: long-term outcome. J Vasc Surg. 2002;36:3:549-554.
Coleman DM, Obi A, Criado E, Arya S, Berguer R.Contemporary outcomes after distal vertebral reconstruction. J Vasc Surg. 2013;58:1:152-157. doi: 10.1016/j.jvs.2012.12.067