Single-Stage Extracranial and Intracranial Stenting of the Internal Carotid Artery in a Patient with Open Circle of Willis and Associated Renovascular Hypertension

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We describe a case of 72-year-old patient with recurrent transient ischemic attacks in the right internal carotid artery (ICA) territory associated with uncontrolled hypertension. Duplex ultrasonography und carotid angiography showed a < 60% stenosis with signs of a vulnerable plaque in the cervical segment, as well as a < 90% stenosis in the cavernous segment of the right ICA. After further examination the patient was diagnosed with an 80% renal artery stenosis. First, the patient had a single-stage stenting for extracranial and intracranial stenoses of the right ICA, then left renal artery stenting. No intraoperative and postoperative complications were observed. These results show that this surgical treatment is minimally invasive, safe, and effective in symptomatic patients and may be considered for the disease.

作者简介

Maksim Agarkov

Gusev Central District Hospital; Saint-Petersburg Institute of Bioregulation and Gerontology

编辑信件的主要联系方式.
Email: Dr.agarkovmv@gmail.com
ORCID iD: 0000-0002-6304-2553
SPIN 代码: 8861-6321

Chief, Department of interventional radiology

俄罗斯联邦, Gusev; Saint-Petersburg

Alexey Safuanov

Gusev Central District Hospital

Email: annaly-nevrologii@neurology.ru
ORCID iD: 0000-0002-7878-2490

interventional radiologist, Department of interventional radiology

俄罗斯联邦, Gusev

Svetlana Evreeva

Gusev Central District Hospital

Email: evreeva.sveta@yandex.ru
ORCID iD: 0000-0002-8915-3673

interventional radiologist, Department of interventional radiology

俄罗斯联邦, Gusev

Olga Gertsog

Gusev Central District Hospital

Email: annaly-nevrologii@neurology.ru

Сhief doctor

俄罗斯联邦, Gusev

Olga Safuanova

Gusev Central District Hospital

Email: annaly-nevrologii@neurology.ru
ORCID iD: 0000-0002-1333-0071

vascular surgeon

俄罗斯联邦, Gusev

Vitaly Popov

City Hospital No. 40

Email: annaly-nevrologii@neurology.ru
ORCID iD: 0000-0003-2073-8080

Cand. Sci. (Med.), interventional radiologist, Department of interventional radiology

俄罗斯联邦, Sestroretsk

Anton Khilchuk

City Hospital No. 40

Email: annaly-nevrologii@neurology.ru
ORCID iD: 0000-0002-7199-0502

Cand. Sci. (Med.), interventional radiologist, Department of interventional radiology

俄罗斯联邦, Sestroretsk

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