Strategy for endovascular treatment of a patient with combined coronary and carotid artery atherosclerosis: a case report
https://doi.org/10.15829/1728-8800-2022-3442
Abstract
Treatment of patients with combined coronary and carotid artery atherosclerosis is a difficult task due to the increased risk of surgical intervention in this cohort of patients. Lack of timely treatment can lead to a decrease in the quality of life of patients, as well as to death. In some cases with combined coronary and carotid artery atherosclerosis, the choice of surgical intervention may depend on vascular bed involvement. In a case report, open surgery was associated with a very high risk of perioperative complications; so the only way of myocardial revascularization was minimally invasive endovascular surgery. The article presents a case of the treatment of a patient with a combined multivessel coronary and bilateral carotid artery atherosclerosis.
About the Authors
F. B. Shukurov
https://www.gnicpm.ru/Employee/310
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Moscow
B. А. Rudenko
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
D. A. Feshchenko
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
D. K. Vasiliev
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
M. T. Taliuridze
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
References
1. Shukurov FB, Bulgakova ES, Rudenko BA, et al. Modern advances in endovascular and surgical interventions for patients with carotid artery disease. Cardiosomatics. 2017;8(1):104-8. (In Russ.) doi:10.26442/CS45860.
2. Tvorogova TV, Bulgakova ES, Shukurov FB, et al. Endovascular Treatment of Carotid Atherosclerosis: Concerns and Perspectives. Rational Pharmacotherapy in Cardiology 2017;13(1):80-7. (In Russ.) doi:10.20996/1819-6446-2017-13-1-80-87.
3. Cassar A, Poldermans D, Rihal CS, et al. The management of combined coronary disease and peripheral vascular disease. Eur Heart J. 2010;31:1565-72. doi:10.1093/eurheartj/ehq186.
4. Chernyavsky AM, Edemsky AG, Chernyavsky MA, et al. Hybrid technologies in the surgical treatment of combined atherosclerotic lesions of the coronary and carotid arteries. PKiK. 2013;1:45-53. (In Russ.) doi:10.21688/1681-3472-2013-1-45-53.
5. Naylor AR, Cuffe RL, Rothwell PM, et al. A systematic review of outcomes following staged and synchronous carotid endarterectomy and coronary artery bypass. Eur J Vasc Endovasc Surg. 2003;25:380-9. doi:10.1053/ejvs.2002.1895.
6. Tarasov RS, Kazantsev AN, Kagan ES, et al. Personalized model for selecting optimal revascularization strategy in patients with simultaneous carotid and coronary artery disease: prognosis of in-hospital outcomes. Complex Issues of Cardiovascular Diseases. 2017;6(4):60-70. (In Russ.) doi:10.17802/2306-1278-2017-6-4-60-70.
7. Tarasov RS, Kazantsev AN, Zinets MG, et al. Prospective testing of the program for selecting the optimal surgical strategy in multifocal atherosclerosis. Russ J Card Cardiovasc Surg. 2019;12(5):402-9. (In Russ.) doi:10.17116/kardio201912051402.
8. Kazantsev AN, Khasanova DD, Alpatskaya AD, et al. CarotidSCORE.RU — risk stratification for complications after carotid endarterectomy. Russian Journal of Cardiology. 2022;27(5):5031. (In Russ.) doi:10.15829/1560-4071-2022-5031.
9. Drakopoulou M, Oikonomou G, Soulaidopoulos S. Management of patients with concomitant coronary and carotid artery disease. Expert Rev Cardiovasc Ther. 2019;17(8):575-83. doi:10.1080/14779072.2019.1642106.
10. Schofer J, Schlueter M, Tuebler T, et al. New focal ischemia of brain after carotid artery stenting despite distal protection. JACC. 2002;39(Suppl A):67A. doi:10.1016/s0735-1097(02)80289-3.
11. Bonati LH, Kakkos S, Berkefeld J, et al. European Stroke Organisation guideline on endarterectomy and stenting for carotid artery stenosis. Eur Stroke J. 2021;6(2):I-XLVII. doi:10.1177/23969873211012121.
12. Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC/AHA/ SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022;79(2):e21-129. doi:10.1016/j.jacc.2021.09.006.
Supplementary files
Review
For citations:
Shukurov F.B., Rudenko B.А., Feshchenko D.A., Vasiliev D.K., Taliuridze M.T. Strategy for endovascular treatment of a patient with combined coronary and carotid artery atherosclerosis: a case report. Cardiovascular Therapy and Prevention. 2022;21(12):3442. (In Russ.) https://doi.org/10.15829/1728-8800-2022-3442
Views:
704
Email this article 
