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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9150087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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