vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2021.1.CLIN.2vmireaviz-148Research ArticleКлиническая медицинаClinical medicineВыбор устройств церебральной защиты при каротидном стентированииChoice of cerebral protection devices for carotid stentinghttps://orcid.org/0000-0002-8414-9261КоробковА. О.KorobkovA. O.

Коробков Александр Олегович, ассистент кафедры сердечно-сосудистой хирургии

Москва

Moscow

akorobkov86@gmail.comhttps://orcid.org/0000-0002-3735-449XВолковС. В.VolkovS. V.

Волков Сергей Владимирович, доцент кафедры сердечно-сосудистой хирургии

Москва

Moscow

docvolkov@inbox.ruhttps://orcid.org/0000-0002-7462-9691БагинС. А.BaginS. A.

Багин Сергей Андреевич, ассистент кафедры сердечно-сосудистой хирургии

Москва

Moscow

dr.bagin@mail.ruhttps://orcid.org/0000-0002-4323-614XЛавренкоС. В.LavrenkoS. V.

Лавренко Светлана Владимировна, врач функциональной диагностики

Москва

Moscow

lavrenko.sveta@mail.ruРоссийский университет дружбы народовРоссияRussian Peoples Friendship UniversityRussian FederationНМИЦ «Лечебно-реабилитационный центр» Министерства здравоохранения Российской ФедерацииRussian FederationTreatment and Rehabilitation Center of the Ministry of Health of the Russian FederationRussian Federation202122032021012937Copyright © Коробков А.О., Волков С.В., Багин С.А., Лавренко С.В., 20212021Коробков А.О., Волков С.В., Багин С.А., Лавренко С.В.Korobkov A.O., Volkov S.V., Bagin S.A., Lavrenko S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/148

В статье проанализирован ретроспективный анализ отдаленных результатов 316-ти каротидных стентирований, выполненных у пациентов с атеросклеротическими стенозами экстракраниальных отделов внутренних сонных артерий при использовании различных типов устройств церебральной защиты – фильтры и устройства проксимальной защиты и их комбинации. В результате проведенного анализа получены данные о влиянии выбора устройств церебральной защиты на риски развития ишемических осложнений. Рассматриваемая тема будет интересна специалистам по рентгенэндоваскулярной диагностике и лечению, сердечно-сосудистым хирургам, неврологам.

The article analyzes a retrospective analysis of long-term results of 316 carotid stentings performed in patients with atherosclerotic stenosis of the extracranial parts of the internal carotid arteries using various types of cerebral protection devices – filters and proximal protection devices and their combinations. As a result of the analysis, we obtained data on the influence of the choice of cerebral protection devices on the risks of ischemic complications. The topic under consideration will be of interest to specialists in X-ray endovascular diagnostics and treatment, cardiovascular surgeons, and neurologists.

каротидное стентированиестентустройства церебральной защитыфильтрустройство проксимальной защитычастота инсультаотдаленные результатыcarotid stentingstentcerebral protection devicesfilterproximal protection devicestroke frequencylong-term resultsReferencesBokeriya L.A., Stupakov I.N., Gudkova R.G. Analiz pokazateley zabolevayemosti razlichnymi formami bolezney sistemy krovoobrashcheniya v federal′nykh okrugakh RF. Zdravookhraneniye. 2015;6:66-75.Bokeriya L.A. Analiz pokazateley zabolevayemosti razlichnymi formami bolezney sistemy krovoobrashcheniya v federal′nykh okrugakh RF / Bokeriya L.A., Stupakov I.N., Gudkova R.G. // Zdravookhraneniye – 2015. – № 6. – S.66-75.Suslina Z.A., Piradov M.A. Insul′t: diagnostika, lecheniye, profilaktika. 2-e izd. Moscow: MEDpress-inform –2009. (in Russ).Suslina Z.A., Piradov M.A. Insul′t: diagnostika, lecheniye, profilaktika. //– izd-e 2-e – M.: MEDpress-inform – 2009.Mozaffarian D., Benjamin E.J., Go A.S. Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation. 2016;133(4):e38-e360.Mozaffarian D, Benjamin EJ, Go AS. Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. // Circulation. – 2016 Jan 26. – 133(4). – e38-e360.Stakhovskaya L.V., Skvortsova V.I., Chazova I.E. Vtorichnaya profilaktika ishemicheskogo insul′ta. Consilium Medicum. 2003;5(8). (in Russ).Stakhovskaya L.V., Skvortsova V.I., Chazova I.E. Vtorichnaya profilaktika ishemicheskogo insul′ta// Consilium Medicum. – 2003. – T.5. – №8.Silver F.L. et al. Safety of stenting and endarterectomy by symptomatic status in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST). Stroke. 2011;42:675-680.Silver FL, et al. Safety of stenting and endarterectomy by symptomatic status in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) // Stroke – 2011. – Vol. 42. – P. 675–680.IEderle J, Dobson J, Featherstone RL et al. Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet. 2010;375:985-997.IEderle J, Dobson J, Featherstone RL et al. Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial // Lancet – 2010. – Vol. 375. – P.985-97.Yadav JS, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493-1501.Yadav JS, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients // N Engl J Med. – 2004. – Vol. 351. – R.1493–1501.Rudarakanchana N., Dialynas M., Halliday A. Asymptomatic Carotid Surgery Trial-2 (ACST-2): Rationale for a randomised clinical trial comparing carotid endarterectomy with carotid artery stenting in patients with asymptomatic carotid artery stenosis. Eur J Vasc Endovasc Surg. 2009;38:239-242.Rudarakanchana N, Dialynas M, Halliday A. Asymptomatic Carotid Surgery Trial-2 (ACST-2): Rationale for a randomised clinical trial comparing carotid endarterectomy with carotid artery stenting in patients with asymptomatic carotid artery stenosis // Eur J Vasc Endovasc Surg. – 2009. – Vol. 38 – R.239–242.Stabile E. et al. Cerebral embolic lesions detected with diffusion-weighted magnetic resonance imaging following carotid artery stenting: A meta-analysis of 8 studies comparing filter cerebral protection and proximal balloon occlusion. JACC Cardiovasc Interv. 2014;7:1177-1183.Stabile E, et al. Cerebral embolic lesions detected with diffusion-weighted magnetic resonance imaging following carotid artery stenting: A meta-analysis of 8 studies comparing filter cerebral protection and proximal balloon occlusion // JACC Cardiovasc Interv – 2014. – Vol. 7. – P. 1177–1183.European Stroke Organization et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2011;32:2851–2906.European Stroke Organization, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries:The Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC) // Eur Heart J. – 2011. – Vol. 32 – P. 2851–2906.Brott T.G. et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: Executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Neuro-Interventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Circulation. 2011;124:489-532.Brott TG, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: Executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Neuro-Interventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery // Circulation. – 2011. – Vol. 124. – P. 489–532.Pokrovskiy A.V. i soavt. Natsional′nyye rekomendatsii po vedeniyu patsiyentov s zabolevaniyami brakhiotsefal′ nykh arteriy. Angiologiya i sosudistaya khirurgiya. 2013;2:1-72. (in Russ).Pokrovskiy A.V. i soavt. Natsional′nyye rekomendatsii po vedeniyu patsiyentov s zabolevaniyami brakhiotsefal′nykh arteriy // Angiologiya i sosudistaya khirurgiya. – 2013. – T. 2. – S. 1-72.Mousa A.Y. et al. Current update of cerebral embolic protection devices. J Vasc Surg. 2012;56:1429-1437.Mousa AY, et al. Current update of cerebral embolic protection devices // J Vasc Surg. – 2012. – Vol. 56 – P. 1429–1437.Stabile E., Salemme L., Sorropago G. et al. Proximal endovascular occlusion for carotid artery stenting: results from a prospective registry of 1,300 patients. J Am Coll Cardiol. 2010;55:1661-1667.Stabile E, Salemme L, Sorropago G et al. Proximal endovascular occlusion for carotid artery stenting: results from a prospective registry of 1,300 patients // J Am Coll Cardiol. – 2010. – Vol. 55 – P.1661-7.Lam R.C. Contemporary review of embolic distal protection strategies in carotid artery stenting. J Invasive Cardiol. 2009;21:413-414.Lam RC. Contemporary review of embolic distal protection strategies in carotid artery stenting // J Invasive Cardiol. – 2009. – Vol. 21. – P. 413-4.Kassavin D.S., Clair D.G. An update on the role of proximal occlusion devices in carotid artery stenting. J Vasc Surg. 2017;65:271-275.Kassavin DS., Clair DG. An update on the role of proximal occlusion devices in carotid artery stenting // J Vasc Surg. – 2017. – Vol. 65. – P.271-275.Brott T.G., Hobson R.W. 2nd, Howard G et al; CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363:11-23.Brott TG, Hobson RW 2nd, Howard G et al; CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis // N Engl J Med. – 2010. – Vol. 363. – P. 11-23.Carotid Stenting Trialists’ Collaboration, Bonati L.H., Dobson J., Algra A. et al. Short-term outcome after stenting versus endarterectomy for symptomatic carotid stenosis: a preplanned meta-analysis of individual patient data. Lancet. 2010;376:1062-1073.Carotid Stenting Trialists’ Collaboration, Bonati LH, Dobson J, Algra A et al. Short-term outcome after stenting versus endarterectomy for symptomatic carotid stenosis: a preplanned meta-analysis of individual patient data // Lancet. – 2010. – Vol. 376. – P.1062-73.Clair D.G., Hopkins L.N., Mehta M. et al. EMPiRE Clinical Study Investigators. Neuroprotection during carotid artery stenting using the GORE flow reversal system: 30-day outcomes in the EMPiRE Clinical Study. Catheter Cardiovasc Interv. 2011;77:420-429.Clair DG, Hopkins LN, Mehta M et al; EMPiRE Clinical Study Investigators. Neuroprotection during carotid artery stenting using the GORE flow reversal system: 30-day outcomes in the EMPiRE Clinical Study // Catheter Cardiovasc Interv. – 2011. – Vol. 77. – P.420-9.Ansel G.M., Hopkins L.N., Jaff M.R. et al. Investigators for the ARMOUR Pivotal Trial. Safety and effectiveness of the INVATEC MO.MA proximal cerebral protection device during carotid artery stenting: results from the ARMOUR pivotal trial. Catheter Cardiovasc Interv. 2010;76:1-8.Ansel GM, Hopkins LN, Jaff MR et al; Investigators for the ARMOUR Pivotal Trial. Safety and effectiveness of the INVATEC MO.MA proximal cerebral protection device during carotid artery stenting: results from the ARMOUR pivotal trial // Catheter Cardiovasc Interv. – 2010. – Vol. 76. – P.1-8.Bersin R.M., Stabile E., Ansel G.M. et al. A meta-analysis of proximal occlusion device outcomes in carotid artery stenting. Catheter Cardiovasc Interv. 2012;80:1072-1078.Bersin RM, Stabile E, Ansel GM et al. A meta-analysis of proximal occlusion device outcomes in carotid artery stenting // Catheter Cardiovasc Interv. – 2012. – Vol. 80. – P.1072-8.Bisdas T., Egorova N., Moskowitz A.J. et al. The impact of gender on in-hospital outcomes after carotid endarterectomy or stenting. Eur J Vasc Endovasc Surg. 2012. Vol. 44. P. 244-250.Bisdas T, Egorova N, Moskowitz AJ et al. The impact of gender on in-hospital outcomes after carotid endarterectomy or stenting // Eur J Vasc Endovasc Surg. – 2012. – Vol. 44. – P. 244-50.Sfyroeras G.S., Moulakakis K.G., Markatis F. et al. Results of carotid artery stenting with transcervical access. J Vasc Surg. 2013;58:1402-1407.Sfyroeras GS, Moulakakis KG, Markatis F. et al. Results of carotid artery stenting with transcervical access // J Vasc Surg. – 2013. – Vol. 58. – P.1402-7.Jim J., Dillavou E.D., Upchurch G.R. Jr et al. SVS Outcomes Committee. Gender-specific 30-day outcomes after carotid endarterectomy and carotid artery stenting in the Society for Vascular Surgery Vascular Registry. J Vasc Surg. 2014;59:742-748.Jim J, Dillavou ED, Upchurch GR Jr et al; SVS Outcomes Committee. Gender-specific 30-day outcomes after carotid endarterectomy and carotid artery stenting in the Society for Vascular Surgery Vascular Registry // J Vasc Surg. – 2014. – Vol. 59. – P.742-8.Kwolek C.J., Jaff M.R., Leal J.I. et al. Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal. J Vasc Surg. 2015;62:1227-1234.Kwolek CJ, Jaff MR, Leal JI et al. Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal // J Vasc Surg. – 2015. – Vol. 62 – P.1227-34.Rosenfield K., Matsumura J.S., Chaturvedi S. et al. ACT I Investigators. Randomized trial of stent versus surgery for asymptomatic carotid stenosis. N Engl J Med. 2016;374:1011-1020.Rosenfield K, Matsumura JS, Chaturvedi S et al; ACT I Investigators. Randomized trial of stent versus surgery for asymptomatic carotid stenosis //N Engl J Med. – 2016. – Vol. 374. – P. 1011-20.H.S. Gurm et al. Long term results of carotid stenting versus endarterectomy (SAPPHIRE) in high-risk patients. N. Engl. J. Med. 2008;358(15):1572-1579.H.S. Gurm et al. Long term results of carotid stenting versus endarterectomy (SAPPHIRE) in high-risk patients // N. Engl. J. Med. – 2008. – Vol.358, № 15. – R. 1572-1579.Paraskevas K.I., Kalmykov E.L., Naylor A.R. Stroke/death rates following carotid artery stenting and carotid endarterectomy in contemporary administrative dataset registries: a systematic review. Eur J Vasc Endovasc Surg. 2016;51:3-12.Paraskevas KI, Kalmykov EL, Naylor AR. Stroke/death rates following carotid artery stenting and carotid endarterectomy in contemporary administrative dataset registries: a systematic review // Eur J Vasc Endovasc Surg. – 2016. – Vol. 51. – P. 3-12.Schluter M. et al. Focal ischemia of the brain after neuroprotected carotid artery stenting. J Am Coll Cardiol. 2003;42:1007–1013.Schluter M, et al. Focal ischemia of the brain after neuroprotected carotid artery stenting // J Am Coll Cardiol. – 2003. – Vol. 42. – P.1007–1013.Lovblad K.O. et al. Diffusion-weighted MRI for monitoring neurovascular interventions. Neuroradiology. 2000; 42:134-138.Lovblad KO, et al. Diffusion-weighted MRI for monitoring neurovascular interventions // Neuroradiology. – 2000. – Vol. 42. – P.134–138.Jaeger H.J. et al. Cerebral ischemia detected with diffusionweighted MR imaging after stent implantation in the carotid artery. AJNR Am J Neuroradiol. 2002;23:200-207.Jaeger HJ, et al. Cerebral ischemia detected with diffusionweighted MR imaging after stent implantation in the carotid artery // AJNR Am J Neuroradiol. – 2002. – Vol. 23. – P.200–207.Moody D.M., Brown W.R., Challa V.R. et al. Brain microemboli associated with cardiopulmonary bypass: a histologic and magnetic resonance imaging study. Ann Thorac Surg. 1995;59:1304-1307.Moody DM, Brown WR, Challa VR. et al. Brain microemboli associated with cardiopulmonary bypass: a histologic and magnetic resonance imaging study // Ann Thorac Surg. – 1995. – Vol. 59. – P.1304-7.Moody M., Panerai R.B., Eames P.J. Cerebral and systemic hemodynamic changes during cognitive and motor activation paradigms. Am J Physiol Regul Integr Comp Physiol. 2005;288(6):1581-1588.Moody M, Panerai RB, Eames PJ. Cerebral and systemic hemodynamic changes during cognitive and motor activation paradigms // Am J Physiol Regul Integr Comp Physiol. – 2005. – Vol. 288(6). – P.1581-8.Lee J.H., Sohn H.E., Chung S.Y. et al. Clinical Analysis Comparing Efficacy between a Distal Filter Protection Device and Proximal Balloon Occlusion Device during Carotid Artery Stenting. J Korean Neurosurg Soc. 2015; 58(4):316-320.Lee JH, Sohn HE, Chung SY et al. Clinical Analysis Comparing Efficacy between a Distal Filter Protection Device and Proximal Balloon Occlusion Device during Carotid Artery Stenting // J Korean Neurosurg Soc. – 2015. – Vol. 58(4). – P. 316–320.Omran J., Mahmud E., White C.J. Proximal balloon occlusion versus distal filter protection in carotid artery stenting: A meta-analysis and review of the literature. Catheter Cardiovasc Interv. 2017;89(5):923-931.Omran J, Mahmud E, White CJ. Proximal balloon occlusion versus distal filter protection in carotid artery stenting: A meta-analysis and review of the literature // Catheter Cardiovasc Interv. – 2017. – Vol. 89(5). – P. 923-931Leal I. et al. A diffusion-weighted magnetic resonance imaging based study of transcervical carotid stenting with flow reversal versus transfemoral filter protection. J Vasc Surg. 2012;56:1585-1590.Leal I, et al. A diffusion-weighted magnetic resonance imaging based study of transcervical carotid stenting with flow reversal versus transfemoral filter protection // J Vasc Surg. – 2012. – Vol. 56. – P.1585–1590.

The authors declare that there are no conflicts of interest present.