[Diagnosis and surgical treatment of pathological kinking of internal carotid arteries].
Analysed herein are the outcomes of a comprehensive (clinical, ultrasonographic and magnetic-resonance) examination of 322 patients with symptomatology of ischemic disorders of cerebral circulation, undergoing treatment at a neurological hospital. Of these, a total of 194 (60 %) patients were found to have various types of pathology of the internal carotid arteries (ICA). Pathological kinking of the internal carotid arteries was revealed in 56 (17.4%) subjects. Based on the findings of the clinical and instrumental examination we managed to specify the definition of pathological kinking. Also determined were peculiarities of the circle of Willis, promoting manifestations of cerebral circulation insufficiency in patients presenting with pathological kinking. Studied were the long-term outcomes (up to 4 years) of surgical treatment of 56 patients with pathological kinking of the ICA. Good immediate outcomes of surgical operations were observed, to be followed by considerably decreased neurological symptomatology in the remote postoperative period.
Kalitko
I M
IM
Kovalenko
V I
VI
Berezova
N Iu
NIu
Kazantseva
I V
IV
Shebriakov
V V
VV
Kochubeĭ
V P
VP
Beliakova
T N
TN
D000328:Adult; D000368:Aged; D002340:Carotid Artery Diseases / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000453:epidemiology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000453:epidemiology; D017678:Sex Distribution; D014656:Vascular Surgical Procedures / Q000379:methods*