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«Клиническая физиология кровообращения»

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Каталог статей ➤ КФК. 2023; 20 (3): 203-320 ➤ Аневризмы экстракраниального отдела позвоночных артерий

Аневризмы экстракраниального отдела позвоночных артерий

Авторы: Дмитриев О.В.1, Степанов М.Ю.1, Терёшина О.В.2, Вачёв А.Н.1

Организация:
1 ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России, Самара, Российская Федерация
2 Королевская больница Бромптона, Лондон, Великобритания

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

DOI: https://doi.org/10.24022/1814-6910-2023-20-3-231-241

УДК: 616.134.9-007.64

Библиографическая ссылка: Клиническая физиология кровообращения. 2023; 3 (20): 231-241

Цитировать как: Дмитриев О.В., Степанов М.Ю., Терёшина О.В., Вачёв А.Н.. Аневризмы экстракраниального отдела позвоночных артерий. Клиническая физиология кровообращения. 2023; 3 (20): 231-241. DOI: 10.24022/1814-6910-2023-20-3-231-241

Ключевые слова: аневризма позвоночной артерии, диссекция позвоночной артерии, фиброзно-мышечная дисплазия, травма позвоночной артерии, стентирование позвоночной артерии, шунтирование дистальной части позвоночной артерии

Поступила / Принята к печати:  21.07.2023 / 31.08.2023

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Аннотация

Аневризмы экстракраниального отдела позвоночной артерии – редкое заболевание, которое встречается не более чем в 0,5% случаев от всех аневризм. В обзоре представлены данные литературы о частоте, этиологии, клинических проявлениях, диагностике заболевания. Большое количество разнообразных причин, приводящих к возникновению аневризм экстракраниального отдела позвоночной артерии, размытая клиническая картина и малое количество опубликованных наблюдений приводят к отсутствию выработанной тактики лечения этой группы пациентов. Из-за малого количества наблюдений не проведены крупные исследования и невозможно сделать выводы об отдаленных результатах лечения у больных с аневризмами экстракраниального отдела позвоночных артерий. Основным методом лечения данной патологии является хирургический. В работе представлены все современные хирургические методики – как эндоваскулярные вмешательства, так и открытые операции. В проанализированной литературе сообщается о непосредственных благоприятных исходах лечения, и только в единичных случаях отдаленный период наблюдения отдельных пациентов в среднем не превышал 5 лет.

Литература

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****
  1. Koos W.T., Perneczky A. Timing of surgery for ruptured aneurysms experience from 800 consecutive cases. Acta neurochir (Wien). 1982; 63 (14): 125–33. DOI: 10.1007/bf01728864
  2. Drake C.G., Peerless S.J., Hernesniemi J.A. Surgery of vertebrobasilar aneurysms. New York: Springer; 1996. DOI: 10.1007/978-3-7091-9409-6
  3. Lehto H., Niemelä M., Kivisaari R., Laakso А., Jahromi B.R., Hijazyet F. et al. Intracranial vertebral artery aneurysms: Clinical features and outcome of 190 patients. World Neurosurg. 2015; 4 (2): 380–9. DOI: 10.1016/j.wneu.2015.03.034
  4. Muresian H. Arterial revascularization of the head and neck. Text atlas for prevention and management of stroke. Editorial SPRINGER; 2016. DOI: 10.1007/978-3-319-34193-4
  5. George В., Laurian С. The vertebral artery. Pathology and Surgery. Wien: Springer-Verlag; 1987. DOI: 10.1007/978-3-7091-6967-4
  6. De Bakey M.E., Simeone F.A. Battle injuries of the arteries in World War II. Ann. Surg. 1946; 123: 534–41. DOI: 10.1097/00000658-194604000-00005
  7. Moniz E. L'encephalographie arterie1le, son importance dans la localization des tumeurs cerebrales. Rev. Neurol. 1927; 2: 72–81.
  8. De Bakey M.E., Crawford E.S., Cooley D.A. Cerebral arterial insufficiency: one to eleven years result following arterial reconstructive operation. Ann. Surg. 1965; 161: 921–45. DOI: 10.1097/00000658-196506000-00011
  9. Willie E.J., Ehrenfeld W.K. Surgical techniques in extracranial occlusive cerebro-vascular disease. Diagnosis and management. London: Saunders Company; 1970. 10. Carney A.L., Emmanuele R., Anderson E.M. Surgery of the vertebral artery. Chicago: Medicam A.V. Productions; 1976.
  10. Clark K., Perry M.U. Carotid vertebral anastomosis: an alternative technic for repair of the subclavian steal syndrome. Ann. Surg. 1966; 163 (3): 414–6. DOI: 10.1097/00000658-196603000-00014
  11. Corkill G., French B.H., Michas C., Cobb C.A., Mims T.J. External carotid vertebral artery anastomosis for vertebrobasilar insufficiency. Surg. Neurol. 1977; 7 (3): 109–15.
  12. Berguer R., Andaya L.V., Bauer R.B. Vertebral artery bypass. Arch. Surg. 1976; 111 (9): 976–9. DOI: 10.1001/archsurg.1976.01360270048009
  13. Cormier J.M., Laurian C. Surgical management of vertebro-basilar insufficiency. J. Cardiovasc. Surg. 1976; 17 (3): 205–23.
  14. Carney A.L., Anderson E.M. Carotid distal vertebral artery bypass for carotid artery occlusion. Clin. E. E. G. 1978; 9 (3): 105–9. DOI: 10.1177/155005947800900302
  15. George B., Laurian C., Houdart R. Lesions de l'artere vertebrale. Possibilites therapeutiques. Indications chirurgicales. Rev. Neurol. 1979; 135: 10–74.
  16. Spetzler R.F., Hadley M.N., Martin N.A., Hopkins L.N., Carter L.P., Budny J. Vertebrobasilar insufficiency. Part 1: Microsurgical treatment of extracranial vertebrobasilar disease. J. Neurosurg. 1987; 66 (5): 648–61. DOI: 10.3171/jns.1987.66.5.0648
  17. Mabuchi S., Kamiyama H., Abe H. Distal ligation and revascularization from external carotid to vertebral artery with radial artery graft for treatment of extracranial vertebral artery dissection. Report of a case. Acta Neurochir. (Wien). 1993; 125 (1–4): 192–5. DOI: 10.1007/bf01401852
  18. Guglielmi G., Viñuela F., Dion J., Duckwiler G. Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience. J. Neurosurg. 1991; 75 (1): 8–14. DOI: 10.3171/jns.1991.75.1.0008
  19. Yamaura I., Tani E., Yokota M., Nakano A., Fukami M., Kaba K. et al. Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils. J. Neurosurg. 1999; 90 (5): 853–6. DOI: 10.3171/jns.1999.90.5.0853
  20. Siddiqui A.H., Abla A.A., Kan P., Dumontet T.M., Jahshan S., Britz G.W. et al. Panacea or problem: flow diverters in the treatment of symptomatic large or giant fusiform vertebrobasilar aneurysms. J. Neurosurg. 2012; 116 (6): 1258–66. DOI: 10.3171/2012.2.jns111942
  21. Burbelko M.A., Dzyak L.A., Zorin N.A., Grigoruk S.P., Golyk V.A. Stent-graft placement for wide-neck aneurysm of the vertebrobasilar junction. Am. J. Neuroradiol. 2004; 25 (4): 608–10.
  22. Berguer R. Function and surgery of the carotid and vertebral arteries. Philadelphia, PA USA: Lippincott Williams & Wilkins; 2014.
  23. Schittek A. Pseudoaneurysm of the vertebral artery. Tex. Heart Inst. J. 1999; 26 (1): 90–5. DOI: 10.3171/jns. 1999.90.2.0376a
  24. Sherman D.G., Hart R.G., Easton J.D. Abrupt change in head position and cerebral infarction. Stroke. 1981; 12 (1): 2–6. DOI: 10.1161/01.стр.12.1.2
  25. Katirji M.B., Reinmuth O.M., Latchaw R.E. Stroke due to vertebral artery injury. Arch. Neurol. 1985; 42: 242–8. DOI: 10.1001/archneur.1985.04060030060010
  26. Krueger B.R., Okazaki H. Vertebrobasilar distribution. Infarction following chiropractic manipulation. Mayo Clin. Proc. 1980; 55 (5): 322–32.
  27. Redekop G.J. Extracranial carotid and vertebral artery dissection: a review. Can. J. Neurol. Sci. 2008; 35 (2): 146–52. DOI: 10.1017/s0317167100008556
  28. Wilkinson I.M.S. The vertebral artery. Extracranial and intracranial structure. Arch. Neurol. 1972; 27 (5): 392–6. DOI: 10.1001/archneur.1972.00490170024004 Alexander J.J., Glagov S., Zamis C.K. Repair of a vertebral artery dissection. Case report. J. Neurosurg. 1986; 64 (4): 662–5. DOI: 10.3171/jns.1986.64.4.0662
  29. Chiras J., Marciano S., Vega Molia J., Touboul J., Poirier B., Boris J. Spontaneous dissecting aneurysm of the extracranial vertebral artery (20 cases). Neuroradiology. 1985; 27 (4): 327–33. DOI: 10.1007/BF00339566
  30. Fisher C.M., Ojeman R.G., Roberson G.H. Spontaneous dissection of cervicocerebral arteries. Can. J. Neurol. Sci. 1978; 5 (1): 9–19.
  31. Ringel S.P., Harrison S.H., Norenberg M.D., Austin J.H. Fibromuscular dysplasia: multiple “spontaneous” dissecting aneurysms of the major cervical arteries. Ann. Neurol. 1977; 1 (3): 301–4. DOI: 10.1002/ana.410010320
  32. Ding H., Zhu Y., Wang H., Luo S., Liu Y., Huang W. et al. Management of type B aortic dissection with an isolated left vertebral artery. J. Vasc. Surg. 2019; 70 (4): 1065–71. DOI: 10.1016/j.jvs.2018.11.052
  33. Yasui T., Sakamoto H., Kishi H., Komiyama M., Iwai Y., Yamanaka K. et al. Bilateral dissecting aneurysms of the vertebral arteries resulting in subarachnoid hemorrhage: case report. Neurosurgery. 1998; 42 (1): 162–4; disc. 165. DOI: 10.1097/00006123-199801000-00035
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Об авторах

  • Дмитриев Олег Владимирович, д-р мед. наук, доцент, заведующий отделением сердечно-сосудистой хирургии № 1 Клиники факультетской хирургии; ORCID
  • Степанов Михаил Юрьевич, невролог; ORCID
  • Терёшина Ольга Владимировна, канд. мед. наук, доцент, высший специалист-эхокардиографист; ORCID
  • Вачёв Алексей Николаевич, д-р мед. наук, профессор, заведующий кафедрой и клиникой факультетской хирургии Клиник СамГМУ; ORCID

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