LANDMARK OF THE INTERNAL CAROTID ARTERY STENTING, ANTERIOR INTERVENTRICULAR BRANCH OF THE LEFT CORONARY ARTERY AND VERTEBRAL ARTERY IN A PATIENT WITH MULTIFOCAL ATHEROSCLEROSIS

Ter-Akopyan A.V., Tagaev N.B., Pankov A.S., Kalenova I.E., Denisov D.B.
Federal State Facility Clinical Hospital No1 of the RF President’s Affairs Administration,
Moscow, Russia

Presented herein is a clinical case report concerning a 59-year-old male patient suffering from multifocal atherosclerosis after endured repeat acute ischaemic attacks in various arterial basins of the brain. Analysing his case history revealed functional class II-IV angina of effort. Ultrasonographic and angiographic findings showed a haemodynamically significant plaque in the ostium of the left internal carotid artery, hypoplasia of the right vertebral artery, a haemodynamically meaningful narrowing of the left vertebral artery, subtotal stenosis of the anterior interventricular branch and pronounced alterations in the right vertebral artery. The first stage of surgery consisted in stenting of the left internal carotid artery and anterior interventricular branch, followed by the second stage consisting in the stenting of the left vertebral artery with an angiographically good outcome. The check-up CT of the brain and 24-hour ECG monitoring showed no negative dynamics. In July 2005, the patient was subjected to craniocerebral microarterial shunting on the right. No relapses of AIAs have so far been observed.

KEY WORDS: stenting of the internal carotid artery, surgical prevention of acute cerebral ischaemic attack.

P. 136

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