Лечение диссекционной аневризмы экстракраниального отдела внутренней сонной артерии отклоняющим поток стентом. Клиническое наблюдение. Обзор литературы

Аневризмы экстракраниальной части внутренней сонной артерии довольно редки. Они могут быть мало симптомными, однако, имеют высокий риск разрыва, развития артериальной эмболии, цереброваскулярной недостаточности. Вмешательства при данной патологии выполняются как сосудистыми хирургами, так и нейрохирургами (интервенционными нейрорадиологами). Доказательные протоколы лечения таких аневризм в настоящее время отсутствуют. Этиология диссекционных аневризм экстракранильного отдела внутренней сонной артерии включает как травматические повреждения, так и соединительнотканные дисплазии, атеросклеротические изменения сосудистой стенки. Мы приводим клиническое наблюдение больной 55 лет с гигантской диссекционной аневризмой экстракраниального сегмента правой внутренней сонной артерии, развившейся на фоне травмы удлиненным шиловидным отростком (шило-каротидный синдром, «Eagle синдром»), успешно вылеченной имплантацией отклоняющего поток стента Silk +.

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