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Results of Using Different Brain Reperfusion Methods in Patients with Acute Ischemic Stroke

https://doi.org/10.20862/0042-4676-2024-105-3-170-180

Abstract

Acute ischemic stroke (AIS) occupies one of the leading places in the structure of disability and mortality in adult population throughout the world, which causes a significant social and economic burden of this pathology. Recent advances in AIS diagnosis and treatment have significantly reduced mortality and improved functional outcomes in patients. However, categories of patients with unsatisfactory results and complications of reperfusion therapy still remain. In some of them, mortality may exceed the overall rate. To this day, there are controversial aspects in determining indications and choosing the preferred method of cerebral reperfusion. The presented cases describe the results of using thrombolytic therapy and thromboextraction in AIS patients of different age groups. The importance of various neuroimaging methods (multislice computed tomography, computed angiography, duplex ultrasound of extra- and intracranial arteries) for timely diagnosis and determination of optimal revascularization tactics was noted.

About the Authors

A. G. Khadisova
Mechnikov North-Western State Medical University
Russian Federation

Amina G. Khadisova, Postgraduate, Chair of Radiation Diagnostics

ul. Kirochnaya, 41, Saint Petersburg, 191015



T. V. Zakhmatova
Mechnikov North-Western State Medical University; Almazov National Medical Research Centre
Russian Federation

Tatiana V. Zakhmatova, Dr. Med. Sc., Associate Professor, Chair of Radiation Diagnostics; Associate Professor, Chair of Radiation Diagnostics and Medical Imaging with a Clinic

ul. Kirochnaya, 41, Saint Petersburg, 191015

ul. Akkuratova, 2, Saint Petersburg, 197349



T. V. Sergeeva
Saint Petersburg State Pediatric Medical University; Saint Petersburg State University
Russian Federation

Tatyana V. Sergeeva, Cand. Med. Sc., Associate Professor, Chair of Medical Rehabilitation and Sports Medicine; Assistant Professor, Chair of Neurosurgery and Neurology

ul. Litovskaya, 2Е, Saint Petersburg, 194100

Universitetskaya naberezhnaya, 7-9, Saint Petersburg, 199034



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For citations:


Khadisova A.G., Zakhmatova T.V., Sergeeva T.V. Results of Using Different Brain Reperfusion Methods in Patients with Acute Ischemic Stroke. Journal of radiology and nuclear medicine. 2024;105(3):170-180. (In Russ.) https://doi.org/10.20862/0042-4676-2024-105-3-170-180

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ISSN 0042-4676 (Print)
ISSN 2619-0478 (Online)