Open AccessSecondary prevention of acute disorders of brain-blood circulation in patients with asymptomatic vertebral arteries lesion
Author(s) -
С. М. Карасев,
Д. А. Максимкин,
Z. H. Shugushev
Publication year - 2021
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2021-1-20-31
Subject(s) - asymptomatic , medicine , vertebral artery , lesion , cerebral circulation , cardiology , radiology , pathology
Almost 50% of patients who experience a stroke in the vertebrobasilar pool die within the first year after the stroke, and approximately 80% of patients experience disability. Additionally, the risk of re-stroke in these patients is significantly higher compared with damage to the carotid pool. Prospects for the restoration of brain functions and the ability to work in patients who have had a stroke in the vertebrobasilar pool remain very limited. In this connection, the problem of preventing cerebrovascular disorders in patients with chronic cerebral ischaemia with lesions of the vertebral arteries is currently extremely urgent. Particular attention should be paid to patients with asymptomatic chronic brain ischaemia. Possible reasons for the low efficiency of drug therapy and complications arising against this background are discussed. The feasibility of a more aggressive secondary prevention of cerebrovascular disorders, which includes endovascular interventions in combination with medical therapy, is demonstrated. Received 7 July 2020. Revised 6 August 2020. Accepted 17 September 2020. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest.