Case of successful treatment of a large aneurysm of the cavernous segment of the internal carotid artery with usage of flow-diverter stent
E. G. Kolomin,
L. V. Rozhchenko,
V. V. Bobinov,
A. E. Petrov,
S. A. Goroshchenko,
A. A. Ivanov,
K. A. Samochernykh https://doi.org/10.56618/2071-2693_2024_16_2_193
EDN: IFBJIL
Abstract
Aneurysms of the cavernous segment of the internal carotid artery (ICA) are a rare pathology. Due to their deep localization in an anatomically complex region, these aneurysms are difficult to access for open microsurgical treatment. Due to the development of intravascular methods of treatment, including the appearance of flow-diverter stents, new opportunities in the treatment of this pathology with reconstruction of the affected segment have appeared.
Aim – to describe a case of successful treatment of a large aneurysm of the cavernous segment of the internal carotid artery with significant postaneurysmal stenosis using a flow-diverter stent followed by balloon angioplasty.
Flow-diverter stents is an effective method of treatment of large and giant aneurysms of the cavernous segment of the internal carotid artery. Due to the flow diversion effect, this modality of treatment allows to disconnect the aneurysm from the blood flow with a decrease in its mass effect on the surrounding structures, providing in the remote period the restoration of the function of the oculomotor nerves in the overwhelming number of cases.
About the Authors
E. G. Kolomin
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Egor G. Kolomin – Neurosurgeon, Junior Researcher at the Brain Vascular Surgery Department
2 Akkuratova street, St. Petersburg, 197341
L. V. Rozhchenko
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Larisa V. Rozhchenko – Cand. of Sci. (Med.), Associate Professor, Neurosurgeon, Scientific Director at the Brain Vascular Surgery Department
2 Akkuratova street, St. Petersburg, 197341
V. V. Bobinov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Vasily V. Bobinov – Cand. of Sci. (Med.), Neurosurgeon, Researcher at the Department of Brain Vascular Surgery
2 Akkuratova street, St. Petersburg, 197341
A. E. Petrov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Andrey E. Petrov – Cand. of Sci. (Med.), Associate Professor, Neurosurgeon, Head at the Neurosurgical Department No. 3, Leading Researcher at the Brain Vascular Surgery
2 Akkuratova street, St. Petersburg, 197341
S. A. Goroshchenko
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Sergey A. Goroshchenko – Cand. of Sci. (Med.), Neurosurgeon, Senior Researcher at the Department of Brain Vascular Surgery
2 Akkuratova street, St. Petersburg, 197341
A. A. Ivanov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Arkady A. Ivanov – Cand. of Sci. (Med.), Neurosurgeon at the Neurosurgical Department No. 3, Senior Researcher at the Department of Brain Vascular Surgery
2 Akkuratova street, St. Petersburg, 197341
K. A. Samochernykh
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation
Russian Federation
Konstantin A. Samochernykh – Dr. of Sci. (Med.), Professor of the Russian Academy of Sciences, Neurosurgeon of the Highest Category at the Department of Neurosurgery for Children No. 7, Director
2 Akkuratova street, St. Petersburg, 197341
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For citations:
Kolomin E.G., Rozhchenko L.V., Bobinov V.V., Petrov A.E., Goroshchenko S.A., Ivanov A.A., Samochernykh K.A. Case of successful treatment of a large aneurysm of the cavernous segment of the internal carotid artery with usage of flow-diverter stent. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(2):193-203. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_2_193. EDN: IFBJIL
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