[Endovascular treatment of extracranial dissecting aneurysms of cervical arteries].

Autor:	Mamonov NA; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia., Petrov AE; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia., Goroshchenko SA; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia., Rozhchenko LV; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia., Ivanov AA; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia., Samochernykh KA; Polenov Research Neurosurgery Institute, Saint-Petersburg, Russia.
Jazyk:	ruština
Zdroj:	Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2021; Vol. 85 (6), pp. 16-24.
DOI:	10.17116/neiro20218506116
Abstrakt:	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.
Databáze:	MEDLINE
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