Abstract

The objective — to estimate efficiency and safety of transluminal angioplasty in combinationwith the stenting of internal carotid artery (ICA) in the prophylaxis of the repeated violations of cerebral blood circulation; to improve the life quality in patients with cerebrovascular pathology. Materials and methods. Since the 2009 endovascular neuroradiology operations on stenoticlesion of ICA are conducted in the Zaporizhzhya Regional Clinical Hospital. 29 interventions due to ICA stenosis, 21 angioplasty with carotid arteries stenting have been conducted. One of them — is single- sessionboth-side, another one — single-session stenting of carotid artery and coronary artery. In 6 cases the angioplasty with the stenting of the mouth of thevertebralarterywas done and 2 cases of angioplasty with stenting of subclavia artery in the patient with Steal-syndrome. Patients carrying one or more ischemic strokes are operated in 12 (41.3 %) cases, in 17 (58.7 %) — patients had transient ischemic attack in the same blood circulation basin. Results and discussions. Different types of stents were used for interventions on ICA stenosis. In all cases of carotid arteries stenting following distal protective devices were used. For an angioplasty with the stenting of the mouth of the vertebral artery the cobalt-chromium coronary stent with corresponding diameter and length has been used. The optimal result of stenting is got in all cases. In two cases the prosopalgia on the side of stenting was observed; it has been regressed during twenty- four hours. In 2 (6.9 %) cases the soft tissues hematoma formation in the place of the femoral artery puncture was marked. Any restenosis or repeated cerebrovascular events have not been marked during all observation period. Conclusions. The brachiocephalic arteries stenting is effective and low-impact operation for patients with stenotic lesions of brachiocephalic arteries, which allows achieving optimum results for the restoration of the affected vessel lumen. The endovascular methods using reduces the surgical intervention volume that can be very important in patients with multifocal atherosclerosis and associated somatic pathology. Thus, an angioplasty with the stenting of brachiocephalic arteries is one of the most effective methods of repeated cerebrovascular events prophylaxis.

Authors and Affiliations