Emergency Extra-Intracranial Microanastomosis After Carotid Endarterectomy Complicated With Thrombosis of the Internal Carotid Artery

We report a case of emergency extra- intracranial microanastomosis in a patient with acute thrombosis of the internal carotid artery, formed on the first day after classical carotid endarterectomy using a temporary by-pass under conditions of contralateral occlusion. The causes of the complication are analyzed. A set of instrumental examinations was demonstrated, including multispiral computed tomography with angiography of the brain and extracranial arteries, as well as multispiral computed tomography with the study of parameters of cerebral perfusion after acetazolamide. The main stages of surgical correction, the dynamics of clinical indicators are presented. The conclusion was made about the effectiveness and safety of the chosen revascularization strategy.

carotid endarterectomy, thrombosis of the internal carotid artery, temporary bypass, dissection of the internal carotid artery, emergency extra-intracranial microanastomosis, acute posterior ischemic optic neuropathy, endovascular aspiration of thrombus, thrombextraction, thrombolysis, EICMA

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