Аннотация
Причиной ишемического инсульта в 5–8% наблюдений являются острый тромбоз и острая окклюзия внутренней сонной артерии (ООВСА). Острая окклюзия внутренней сонной артерии связана с летальными исходами, и их частота при острых ишемических событиях составляет 6–15%. Острая ОВСА слабо удаляется с помощью внутривенного тромболизиса и сопровождается неблагоприятными клиническими результатами. Внечерепные и внутричерепные ООВСА имеют различное клиническое течение и схемы визуализации, однако такие окклюзии в области шеи обычно сопровождаются благоприятными клиническими исходами, тандемные окклюзии – неудовлетворительными результатами. При ООВСА нередко требуется диагностическая контрастная ангиография, поскольку использование неинвазивных методов нейровизуализации часто неинформативно. Повторная визуализация сосудов в острой или подострой фазе для определения реканализации ООВСА имеет решающее значение для профилактики рецидива окклюзии.
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Об авторах
- Абдулгасанов Рамиз Алиевич, доктор мед. наук, гл. науч. сотр., orcid.org/0000-0002-2126-3139
- Шогенов Мухамед Асланович, врач – сердечно-сосудистый хирург, orcid.org/0000-0002-9467-3729
- Аракелян Валерий Сергеевич, доктор мед. наук, профессор, заведующий отделением хирургии артериальной патологии, orcid.org/0000-0002-0284-6793
