Endovascular treatment of extracranial dissecting aneurysms of cervical arteries

Mamonov N.A.; Petrov A.E.; Goroshchenko S.A.; Rozhchenko L.V.; Ivanov A.A.; Samochernykh K.A.

doi:https://doi.org/10.17116/neiro20218506116

Mamonov N.A.

Polenov Research Neurosurgery Institute

Petrov A.E.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Goroshchenko S.A.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Rozhchenko L.V.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Ivanov A.A.

«Kommunarka» Moscow Multidisciplinary Clinical Center of the Moscow City Healthcare Department

ORCID: 0000-0001-5040-8854

Samochernykh K.A.

Almazov National Medical Research Centre, Polenov Neurosurgery Research Institute

ORCID: 0000-0001-5295-4912

Endovascular treatment of extracranial dissecting aneurysms of cervical arteries

Authors:

Mamonov N.A., Petrov A.E., Goroshchenko S.A., Rozhchenko L.V., Ivanov A.A., Samochernykh K.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(6): 16‑24

DOI: 10.17116/neiro20218506116

Read: 3932 times

To cite this article:

Mamonov NA, Petrov AE, Goroshchenko SA, Rozhchenko LV, Ivanov AA, Samochernykh KA. Endovascular treatment of extracranial dissecting aneurysms of cervical arteries. Burdenko's Journal of Neurosurgery. 2021;85(6):16‑24. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20218506116

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

Использование инфографики авторами научных работ

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BACKGROUND

Dissecting aneurysms of extracranial cervical arteries are a rare vascular pathology. To date, there is no consensus on the choice of optimal surgical approach for these aneurysms.

OBJECTIVE

To evaluate the effectiveness of endovascular treatment of various extracranial dissecting aneurysms.

MATERIAL AND METHODS

There were 19 patients with 21 extracranial dissecting aneurysms for the period from January 1, 2013 to October 19, 2020. Clinical examination, ultrasound and neuroimaging data were considered to determine surgical intervention.

RESULTS

Nineteen patients underwent 20 intravascular interventions: aneurysm embolization with detachable coils with stent-assistance (n=9), flow-diverting stent implantation (n=5), arterial reconstruction with a stent for carotid stenting (n=3), aneurysm embolization with balloon assistance (n=1), aneurysm embolization with detachable coils without assistance (n=2). There were no complications. All patients were discharged without neurological impairment after 1—5 days. Long-term results of control angiography were analyzed within 1—19 months in 12 patients. All aneurysms were completely occluded. Asymptomatic occlusion of flow-diverting stent together with aneurysm occurred in 1 patient with low compliance to antiplatelet therapy. Other 6 patients are scheduled for elective angiography.

CONCLUSION

Extracranial dissecting aneurysms of cervical arteries require vigilance due to their rare occurrence and risk of severe complications. In our opinion, intravascular interventions are advisable for these patients as effective and safe procedures.

Keywords:

dissecting aneurysms

extracranial aneurysms

vertebral artery

internal carotid artery

endovascular treatment

Authors:

Mamonov N.A.

Polenov Research Neurosurgery Institute

Petrov A.E.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Goroshchenko S.A.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Rozhchenko L.V.

Prof. A.L. Polenov Russian Research Institute of Neurosurgery — Branch, V.A. Almazov National Medical Research Center of the Ministry of Health of Russia

Ivanov A.A.

«Kommunarka» Moscow Multidisciplinary Clinical Center of the Moscow City Healthcare Department

ORCID: 0000-0001-5040-8854

Samochernykh K.A.

Almazov National Medical Research Centre, Polenov Neurosurgery Research Institute

ORCID: 0000-0001-5295-4912

Received:

11.11.2020

Accepted:

08.10.2021

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