medbioМедико-биологические проблемы жизнедеятельностиMedical and Biological Problems of Life Activity2074-2088Республиканский научно-практический центр радиационной медицины и экологии человека10.58708/2074-2088.2026-2(38)-88-95medbio-527Research ArticleОБМЕН ОПЫТОМEXPERIENCE EXCHANGEОпыт гибридного лечения инфаркта головного мозга в острейшем периоде инсультаExperience of hybrid treatment of cerebral infarction in the acute phase of ischemic strokehttps://orcid.org/0009-0002-2388-2205ДроздовА. В.DrozdovA. V.

г. Гомель

leshadrozdov96@yandex.ruБыстренковА. В.BystrenkovА. V.

г. Гомель

ПовелицаЭ. А.PovelitsaE. A.

г. Гомель

СтрельченяА. В.StrelchenyaА. V.

г. Гомель

КапланМ. Л.KaplanM. L.

г. Гомель

ДоманцевичВ. А.DomantsevichV. A.

г. Гомель

УЗ «Гомельская университетская клиника — областной госпиталь инвалидов ВОВ»BelarusУО «Гомельский государственный медицинский университет»BelarusУЗ «Гомельская университетская клиника — областной госпиталь инвалидов ВОВ»; УО «Гомельский государственный медицинский университет»BelarusГУ «РНПЦ радиационной медицины и экологии человека»Belarus202607082026028895Copyright © Дроздов А.В., Быстренков А.В., Повелица Э.А., Стрельченя А.В., Каплан М.Л., Доманцевич В.А., 20262026Дроздов А.В., Быстренков А.В., Повелица Э.А., Стрельченя А.В., Каплан М.Л., Доманцевич В.А.Drozdov A.V., Bystrenkov А.V., Povelitsa E.A., Strelchenya А.V., Kaplan M.L., Domantsevich V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medbio.ejournal.by/jour/article/view/527

В статье представлен опыт на примере пяти гибридных операций в острейшем периоде ишемического инсульта, сочетающих эндоваскулярную тромбаспирацию из среднемозговой артерии с открытой каротидной эндартерэктомией (КЭАЭ) экстракраниального сегмента внутренней сонной артерии (ВСА) с оценкой результативности выполненных операций по шкале визуализации восстановления перфузии при ишемическом инсульте Thrombolysis in Cerebral Infarction score(TICI) и по модифицированной шкале Рэнкин (mRs) при поступлении и в течение 90 дней от начала заболевания. Интраоперационно реканализации интракраниальных артерий удалось добиться в 100% случаев с восстановлением неврологического дефицита менее 2 баллов по mRs у четырёх пациентов.

The article presents an experience based on five hybrid procedures performed in the acute phase of ischemic stroke, combining endovascular aspiration thrombectomy from the middle cerebral artery with open carotid endarterectomy of the extracranial segment of the internal carotid artery, with an assessment of the effectiveness of the procedures using the Thrombolysis in Cerebral Infarction scale and the modified Rankin Scale (mRS) at admission and within 90 days from disease onset. Intraoperatively, recanalization of the intracranial arteries was achieved in 100% of cases, with recovery of the neurological deficit to less than 2 points on the mRS.

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The authors declare that there are no conflicts of interest present.