ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS
The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic...
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| Format: | Article |
| Language: | English |
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Luchevaya Diagnostika, LLC
2017-01-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/188 |
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| author | V. A. Luk'yanchikov Yu. I. Shatokhina E. V. Udodov A. S. Tokarev N. A. Polunina N. E. Kudryashova V. V. Krylov |
| author_facet | V. A. Luk'yanchikov Yu. I. Shatokhina E. V. Udodov A. S. Tokarev N. A. Polunina N. E. Kudryashova V. V. Krylov |
| author_sort | V. A. Luk'yanchikov |
| collection | DOAJ |
| description | The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic stroke. The use of this technique made it possible to determine indications for early carotid endarterectomy for the contralateral internal carotid artery and to evaluate positive postoperative changes in cerebral perfusion and the patient’s neurological status. The authors analyzed the current literature on this problem with a particular emphasis on the possibilities of using dynamic susceptibility contrast-enhanced and arterial spin-labeling contrast-free perfusion MRI in this category of patients. Carotid endarterectomy in the acute period of acute cerebrovascular accident can improve cerebral hemodynamics and the patient’s neurological status and prevent recurrent cerebral circulatory disorders. Indications for this surgery should be determined by taking into consideration the results of perfusion MRI techniques (single-photon computed tomography contrastenhanced and contrast-free perfusion MRI). |
| format | Article |
| id | doaj-art-6ad16538616c41268b0a3b3dfaebd2bb |
| institution | Kabale University |
| issn | 0042-4676 2619-0478 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj-art-6ad16538616c41268b0a3b3dfaebd2bb2025-08-20T03:58:45ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782017-01-0197636537210.20862/0042-4676-2016-97-6-365-372154ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONSV. A. Luk'yanchikov0Yu. I. Shatokhina1E. V. Udodov2A. S. Tokarev3N. A. Polunina4N. E. Kudryashova5V. V. Krylov6N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian Federation; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the RF, ul. Dolgorukovskaya, 4, Moscow, 127006, Russian Federation;N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian FederationA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the RF, ul. Dolgorukovskaya, 4, Moscow, 127006, Russian Federation; N.A. Semashko Republican Clinical Hospital, ul. Kievskaya, 69, Simferopol, 295034, Russian FederationN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian FederationN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian Federation; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the RF, ul. Dolgorukovskaya, 4, Moscow, 127006, Russian FederationN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian FederationN.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow Health Department, Bol’shaya Sukharevskaya Ploshchad’, 3, Moscow, 129010, Russian Federation; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the RF, ul. Dolgorukovskaya, 4, Moscow, 127006, Russian Federation;The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic stroke. The use of this technique made it possible to determine indications for early carotid endarterectomy for the contralateral internal carotid artery and to evaluate positive postoperative changes in cerebral perfusion and the patient’s neurological status. The authors analyzed the current literature on this problem with a particular emphasis on the possibilities of using dynamic susceptibility contrast-enhanced and arterial spin-labeling contrast-free perfusion MRI in this category of patients. Carotid endarterectomy in the acute period of acute cerebrovascular accident can improve cerebral hemodynamics and the patient’s neurological status and prevent recurrent cerebral circulatory disorders. Indications for this surgery should be determined by taking into consideration the results of perfusion MRI techniques (single-photon computed tomography contrastenhanced and contrast-free perfusion MRI).https://www.russianradiology.ru/jour/article/view/188ischemic strokeperfusion magnetic resonance imagingcarotid endarterectomyextra- and intracranial anastomoses |
| spellingShingle | V. A. Luk'yanchikov Yu. I. Shatokhina E. V. Udodov A. S. Tokarev N. A. Polunina N. E. Kudryashova V. V. Krylov ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS Вестник рентгенологии и радиологии ischemic stroke perfusion magnetic resonance imaging carotid endarterectomy extra- and intracranial anastomoses |
| title | ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS |
| title_full | ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS |
| title_fullStr | ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS |
| title_full_unstemmed | ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS |
| title_short | ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS |
| title_sort | assessment of cerebral perfusion in patients with hemodynamic ischemic stroke undergoing reconstructive brachiocephalic artery interventions |
| topic | ischemic stroke perfusion magnetic resonance imaging carotid endarterectomy extra- and intracranial anastomoses |
| url | https://www.russianradiology.ru/jour/article/view/188 |
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