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Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome

Vertebrobasilar insufficiency (VBI) is one of the most common forms of cerebrovascular pathology. The progression of the VBI, especially in the context of inadequate therapy, often leads to the formation of a persistent neurological deficits within the framework of dyscirculatory encephalopathy and...

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Autores principales: Chmutin, Gennady, Antonov, Gennady, Chmutin, Egor, Fedyanin, Aleksei, Livshitz, Matvey, Oleynikov, Boris, Zokhidov, Zokirzhon, Shumadalova, Alina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150087/
https://www.ncbi.nlm.nih.gov/pubmed/35651687
http://dx.doi.org/10.3389/fsurg.2022.901759
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author Chmutin, Gennady
Antonov, Gennady
Chmutin, Egor
Fedyanin, Aleksei
Livshitz, Matvey
Oleynikov, Boris
Zokhidov, Zokirzhon
Shumadalova, Alina
author_facet Chmutin, Gennady
Antonov, Gennady
Chmutin, Egor
Fedyanin, Aleksei
Livshitz, Matvey
Oleynikov, Boris
Zokhidov, Zokirzhon
Shumadalova, Alina
author_sort Chmutin, Gennady
collection PubMed
description Vertebrobasilar insufficiency (VBI) is one of the most common forms of cerebrovascular pathology. The progression of the VBI, especially in the context of inadequate therapy, often leads to the formation of a persistent neurological deficits within the framework of dyscirculatory encephalopathy and the consequences of a stroke in the vertebrobasilar system. This study demonstrate the importance of objective methods of patient investigation to optimize the choice of the most effective methods of surgical treatment for VBI in cases of ineffective medical treatment. We have shown that the optimization of the diagnostic algorithm contributes to the correct individualized determination of types of surgical treatment for patients with VBI. It was found that, in addition to traditional diagnostic methods, the use of radiographic methods (ultrasound Doppler, multispiral computed tomography with contrast enhancement) is invaluable for choosing the tactics of surgical treatment. We propose a significant outcome indicator like the blood flow reactivity index to determine the postoperative improvement of blood flow in the vertebral arteries. In addition, the need to perform cerebral angiography and consultations with related specialists to exclude pathologies with a similar clinical picture is emphasized.
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spelling pubmed-91500872022-05-31 Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome Chmutin, Gennady Antonov, Gennady Chmutin, Egor Fedyanin, Aleksei Livshitz, Matvey Oleynikov, Boris Zokhidov, Zokirzhon Shumadalova, Alina Front Surg Surgery Vertebrobasilar insufficiency (VBI) is one of the most common forms of cerebrovascular pathology. The progression of the VBI, especially in the context of inadequate therapy, often leads to the formation of a persistent neurological deficits within the framework of dyscirculatory encephalopathy and the consequences of a stroke in the vertebrobasilar system. This study demonstrate the importance of objective methods of patient investigation to optimize the choice of the most effective methods of surgical treatment for VBI in cases of ineffective medical treatment. We have shown that the optimization of the diagnostic algorithm contributes to the correct individualized determination of types of surgical treatment for patients with VBI. It was found that, in addition to traditional diagnostic methods, the use of radiographic methods (ultrasound Doppler, multispiral computed tomography with contrast enhancement) is invaluable for choosing the tactics of surgical treatment. We propose a significant outcome indicator like the blood flow reactivity index to determine the postoperative improvement of blood flow in the vertebral arteries. In addition, the need to perform cerebral angiography and consultations with related specialists to exclude pathologies with a similar clinical picture is emphasized. Frontiers Media S.A. 2022-05-16 /pmc/articles/PMC9150087/ /pubmed/35651687 http://dx.doi.org/10.3389/fsurg.2022.901759 Text en Copyright © 2022 Chmutin, Antonov, Chmutin, Fedyanin, Livshitz, Oleynikov, Zokhidov and Shumadalova. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Chmutin, Gennady
Antonov, Gennady
Chmutin, Egor
Fedyanin, Aleksei
Livshitz, Matvey
Oleynikov, Boris
Zokhidov, Zokirzhon
Shumadalova, Alina
Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title_full Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title_fullStr Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title_full_unstemmed Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title_short Diagnostic Investigations as a Basis for Optimising Surgical Management of Vertebrobasilar Insufficiency Syndrome
title_sort diagnostic investigations as a basis for optimising surgical management of vertebrobasilar insufficiency syndrome
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150087/
https://www.ncbi.nlm.nih.gov/pubmed/35651687
http://dx.doi.org/10.3389/fsurg.2022.901759
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