CAROTID-ARTERY ULTRASONOGRAPHY AND BRAIN ANGIOGRAPHY IN PATIENTS WITH RECURRENT CEREBROVASCULAR DISEASE: AN ANALYSIS
Objective To study the features of carotid and intracranial vasculopathy in patients with recurrent cerebrovascular disease.Methods The data of carotid-vascular ultrasonography and digital substraction angiography(DSA) were analyzed in 30 patients.Results The positive rate of ultrasonography was 70.0%,DSA showed the coincidence of the vascular abnormality of extracranial portion was higher(75.0%-92.3%) than sonography.The intracranial vasculopathy was 36.7% detected by DSA.Conclusion Carotid-vascular ultrasonography has higher accuracy in detecting recurrent stroke,but DSA is of greater value in diagnosing and treating the young and middle-aged patients because their intra-and extracranial vasculopathy was inconsistent.
The authors present a clinical case report and review of literature concerning treatment of extremely complicated pathology - thoracoabdominal aortic aneurysm, also reflecting the most difficult problems and complications of classical surgical treatment. A successful clinical example showed advantages of a new, less invasive approach, i.e., hybrid surgery. Based on analysing literature sources, the authors describe controversial points of carrying out a hybrid operation and its results. Accumulating experience in and improving technology of the hybrid operation would make it possible to further improve therapeutic outcomes.