2. Анализ истории поиска методов защиты головного мозга при операциях на внутренней сонной артерии

Авторы

  • М.Н. Конысов Атырауский областной кардиологический центр, Атырау, Республика Казахстан
  • В.А. Батрашов Национальный медико-хирургический центр имени Н.И. Пирогова Министерства здравоохранения Российской Федерации. Москва
  • Т.В. Сухарева City hospital of the city of Korolev, Moscow
  • Е.К. Мадешов Атырауский областной кардиологический центр, Атырау, Республика Казахстан
  • К.М. Морозов Клиника MMC Москва
  • Ж.E. Кадыров Атырауский областной кардиологический центр, Атырау, Республика Казахстан
  • С.А.. Конысова

DOI:

https://doi.org/10.35805/BSK2023IV002

Загрузки

Аннотация

В обзоре освещены первые исследования сосудов головного мозга. Приведена история зарождения и развития учения о защите головного мозга при операциях на сонных артериях. Обобщен опыт первых операций на сонных артериях и развития учения о хирургической защите головного мозга при пережатии сонных артерий. Проведен анализ существовавших и существующих методов. На основании приведенного анализа, намечены пути дальнейшего развития методов защиты головного мозга при операциях на сонных артериях.

Ключевые слова

Хирургия, внутренняя сонная артерия, защита мозга, сжатие сонной артерии

Библиографические ссылки

  1. Pokrovskij A. Klassicheskaja karotidnaja jendarterjektomija. Angiologija i sosudistaja hirurgija. 2001;7(1):101-104
  2. DE BAKEY ME, CRAWFORD ES, COOLEY DA, MORRIS GC. Surgical considerations of occlusive disease of innominate, carotid, subclavian, and vertebral arteries. Ann Surg. May 1959;149(5):690-710. doi:10.1097/00000658-195905000-00010
  3. DeBakey ME. Successful carotid endarterectomy for cerebrovascular insufficiency. Nineteen-year follow-up. JAMA. Sep 08 1975;233(10):1083-5
  4. EASTCOTT HH, PICKERING GW, ROB CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet. Nov 13 1954;267(6846):994-6. doi:10.1016/s0140-6736(54)90544-9
  5. Barnett HJM, Taylor DW, Haynes RB, et al. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. Aug 15 1991;325(7):445-53. doi:10.1056/NEJM199108153250701
  6. Barnett HJ, Taylor DW, Eliasziw M, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. Nov 12 1998;339(20):1415-25. doi:10.1056/NEJM199811123392002
  7. Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA. May 10 1995;273(18):1421-8
  8. Halliday A, Mansfield A, Marro J, et al. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet. May 08 2004;363(9420):1491-502. doi:10.1016/S0140-6736(04)16146-1
  9. Dalley AF. Thomas Willis 1621-1675. Clin Anat. Jan 2002;15(1):2-3. doi:10.1002/ca.1083
  10. Matas R. I. Testing the Efficiency of the Collateral Circulation as a Preliminary to the Occlusion of the Great Surgical Arteries. Ann Surg. Jan 1911;53(1):1-43. doi:10.1097/00000658-191101000-00001
  11. Zingerman L. Angiograficheskaja simptomatika i nekotorye mehanizmy kompensacii okkljuzionnyh porazhenij grudnoj aorty i ee vetvej: Avtoref. diss.… d-ra med. nauk. M; 1969
  12. Zingerman L, Glosovskaja M, Rabotnikov V. Okkljuzionnye porazhenija vetvej dugi aorty po dannym klinicheskogo, angiograficheskogo i morfologicheskorgo issledovanija. Grudnaja hirurgija. 1968;(2):24-29
  13. Moulakakis KG, Mylonas SN, Sfyroeras GS, Andrikopoulos V. Hyperperfusion syndrome after carotid revascularization. J Vasc Surg. Apr 2009;49(4):1060-8. doi:10.1016/j.jvs.2008.11.026
  14. Krotenkova MV. Diagnostika ostrogo insul’ta: nejrovizualizacionnye algoritmy. Gosudarstvennoe uchrezhdenie Nauchnyj centr nevrologii; 2011
  15. Bivard A, Levi C, Spratt N, Parsons M. Perfusion CT in acute stroke: a comprehensive analysis of infarct and penumbra. Radiology. May 2013;267(2):543-50. doi:10.1148/radiol.12120971
  16. Sergeeva A, Konovalov R, Sergeev D, et al. Cerebral perfusion changes in patients with internal carotid artery stenoses after surgical revascularization. Human Physiology. 2016;42:891-897
  17. Bobrikova E, Shherban’ N, Haneev V, et al. Ocenka sostojanija ateroskleroticheskih bljashek brahiocefal’nyh arterij sredstvami vysokorazreshajushhej kontrastirovannoj MRT: vzaimosvjaz’ s ishemicheskim povrezhdeniem golovnogo mozga. Medicinskaja vizualizacija. 2013;(1):26-32
  18. Bobrikova E. Kontrastirovannaja MR-tomografija ateroskleroticheskih bljashek brahiocefal’nyh arterij v ocenke riska ishemicheskih povrezhdenij golovnogo mozga. Rossijskij jelektronnyj zhurnal luchevoj diagnostiki. 2013;3(3):76-84
  19. Strazden’ E, Sharija M, Tararak Je, Ustjuzhanin D, Radjuhina N. Ocenka struktury ateroskleroticheskoj bljashki metodom magnitno-rezonansnoj tomografii s cel’ju and in the TDU + EEG group increased almost 2 times.124,126 There are conflicting opinions regarding the need for drug sedation of patients during CEA under RA. According to Lawrence P. F., drug sedation should not be used or used minimally when the patient is restless and agitated, since there is a need for constant monitoring of the patient’s neurological status during surgery under RA.115 Currently, modern medicine has a limited range of drugs that in clinical practice can prevent ischemic and reperfusion complications. When choosing drugs for neuroprotection, it would be desirable to use mechanisms that not only reduce the intensity of metabolic processes in the brain, but also correct cellular neuronal hypoxia.129
  20. Wardlaw JM, Smith EE, Biessels GJ, et al. Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration. Lancet Neurol. Aug 2013;12(8):822-38. doi:10.1016/S1474-4422(13)70124-8
  21. Naylor AR, Ricco JB. Response to «Re: Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)». Eur J Vasc Endovasc Surg. Jun 2018;55(6):902. doi:10.1016/j.ejvs.2018.03.023
  22. Meshalkin E, Vereshhagin I. Okkljuzii v uslovijah neglubokoj gipotermicheskoj zashhity. 1985;
  23. Petrovskij B, Chazov E, Andreev S. Aktual’nye problemy gemostaziologii. MiNauka, 1979-198 s. 1981;
  24. Plam F, Pozner DB. Diagnostika stupora i komy. M: Medicina. 1986:79
  25. Hochachka P, Lashkevich JuI. Strategija biohimicheskoj adaptacii: per. s angl. Mir; 1977
  26. Labori G. Metabolicheskie i farmakologicheskie osnovy nejrofiziologii. M: Medicina. 1974;15
  27. Gruzman A, Hapij H. Uglevodnyj obmen v golovnom mozge pri komatoznyh sostojanijah. Mehanizmy gljukoneogeneza. Mehanizmy gljukoneogeneza Anest i reanimatol. 1991;3:17-21
  28. Gusev EI, Skvorcova VI. Ishemija golovnogo mozga. Medicina; 2001
  29. Brouns R, De Deyn PP. The complexity of neurobiological processes in acute ischemic stroke. Clin Neurol Neurosurg. Jul 2009;111(6):483-95. doi:10.1016/j.clineuro.2009.04.001
  30. Zivin JA. Factors determining the therapeutic window for stroke. Neurology. Mar 1998;50(3):599-603. doi:10.1212/wnl.50.3.599
  31. Hossmann KA. Viability thresholds and the penumbra of focal ischemia. Ann Neurol. Oct 1994;36(4):557-65. doi:10.1002/ana.410360404
  32. Obrenovitch TP. The ischaemic penumbra: twenty years on. Cerebrovasc Brain Metab Rev. 1995;7(4):297-323
  33. Astrup J, Siesjö BK, Symon L. Thresholds in cerebral ischemia - the ischemic penumbra. Stroke. 1981;12(6):723-5. doi:10.1161/01.str.12.6.723
  34. Furlan M, Marchal G, Viader F, Derlon JM, Baron JC. Spontaneous neurological recovery after stroke and the fate of the ischemic penumbra. Ann Neurol. Aug 1996;40(2):216-26. doi:10.1002/ana.410400213
  35. Fisher M, Garcia JH. Evolving stroke and the ischemic penumbra. Neurology. Oct 1996;47(4):884-8. doi:10.1212/wnl.47.4.884
  36. Moskowitz MA, Lo EH, Iadecola C. The science of stroke: mechanisms in search of treatments. Neuron. Jul 29 2010;67(2):181-98. doi:10.1016/j.neuron.2010.07.002
  37. Brainin M, Heiss W-D. Textbook of stroke medicine. Cambridge University Press; 2019
  38. Fedin A. Sovremennaja koncepcija patogeneza i lechenija ostroj ishemii mozga. 2001:5-23
  39. Guyton AC. Text book of medical physiology. China; 2006
  40. Grozovskij Ju, Sultanov D, Stranin V, et al. Regionarnyj mozgovoj krovotok u bol’nyh s odnostoronnim porazheniem bifurkacii sonnoj arterii. Hirurgija. 1985;5:54-59
  41. Dirden N. Ispol’zovanie monitoringa saturacii kisloroda v lukovice jaremnoj veny. Aktual’nye problemy anesteziologi i reanimatologii Osvezhajushhij kurs lekcij. 1997:154-159
  42. Litasova E, Lomivorotov V, Postnov V. Besperfuzionnaja uglublennaja gipotermicheskaja zashhita. Novosibirsk: Nauka; 1988
  43. Karas’kov A. Gipotermija v hirurgii otkrytogo serdca. Novosibirsk; 1999
  44. Bunjatjan A, Seleznev M, Sablin I, Pozharnov A. Anestezija i zashhita mozga pri rekonstruktivnyh operacijah na brahiocefal’nyh arterijah. Anesteziologija i reanimatologija. 1993;(3):3-6
  45. Croughwell N, Smith LR, Quill T, et al. The effect of temperature on cerebral metabolism and blood flow in adults during cardiopulmonary bypass. J Thorac Cardiovasc Surg. Mar 1992;103(3):549-54
  46. Hartung J, Cottrell JE. Mild hypothermia and cerebral metabolism. J Neurosurg Anesthesiol. Jan 1994;6(1):1-3. 47. van der Linden J. Cerebral hemodynamics after low-flow versus no-flow procedures. Ann Thorac Surg. May 1995;59(5):1321-5. doi:10.1016/0003-4975(95)00173-i
  47. Ginsberg MD, Sternau LL, Globus MY, Dietrich WD, Busto R. Therapeutic modulation of brain temperature: relevance to ischemic brain injury. Cerebrovasc Brain Metab Rev. 1992;4(3):189-225
  48. Wass CT, Lanier WL. Hypothermia-associated protection from ischemic brain injury: implications for patient management. Int Anesthesiol Clin. 1996;34(4):95-111. doi:10.1097/00004311-199603440-00008
  49. Dietrich WD, Busto R, Alonso O, Globus MY, Ginsberg MD. Intraischemic but not postischemic brain hypothermia protects chronically following global forebrain ischemia in rats. J Cereb Blood Flow Metab. Jul 1993;13(4):541-9. doi:10.1038/jcbfm.1993.71
  50. Derjagin MN. Kraniocerebral’naja gipotermija v hirurgii sonnyh arterij. Diss kand med nauk, Novosibirsk. 2004;
  51. Kazanchjan P, Skrylev S, Matjushov Ju, Rudakova T. Hirurgicheskoe lechenie okkljuzirujushhih porazhenij podkljuchichnyh arterij. Hirurgija. 1994;(7):8
  52. Werz MA, Macdonald RL. Barbiturates decrease voltage-dependent calcium conductance of mouse neurons in dissociated cell culture. Mol Pharmacol. Sep 1985;28(3):269-77
  53. Svetlova NJu. Sravnitel’naja harakteristika metodov zashhity mozga pri hirurgicheskoj korrekcii patologii koronarnyh arterij. [NC serdech.-sosudistoj hirurgii im. AN Bakuleva RAMN] M.; 2004
  54. Sandmann W, Kolvenbach R, Willeke F. Risks and Analysis of the history of the search for methods of protecting the brain during operations on the internal carotid artery benefits of shunting in carotid endarterectomy. Stroke. 1993;24(7):1098-1099
  55. Gumerlock MK, Neuwelt EA. Carotid endarterectomy: to shunt or not to shunt. Stroke. Dec 1988;19(12):1485-90. doi:10.1161/01.str.19.12.1485
  56. Beeching NJ, Fletcher TE, Beadsworth MBJ. Covid-19: testing times. BMJ. Apr 08 2020;369:m1403. doi:10.1136/bmj.m1403
  57. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg. Dec 2004;40(6):1126-35. doi:10.1016/j.jvs.2004.08.048
  58. Tan TW, Garcia-Toca M, Marcaccio EJ, Carney WI, Machan JT, Slaiby JM. Predictors of shunt during carotid endarterectomy with routine electroencephalography monitoring. J Vasc Surg. Jun 2009;49(6):1374-8. doi:10.1016/j.jvs.2009.02.206
  59. Bond R, Warlow C, Naylor A, Rothwell P. Variation in surgical and anaesthetic technique and associations with operative risk in the European carotid surgery trial: implications for trials of ancillary techniques. European journal of vascular and endovascular surgery. 2002;23(2):117-126
  60. Lubnin A, Shmigel’skij A, Ostrovskij A. Cerebral’nyj oksimetr INVOS-3100. Anest i reanimatol. 1995;(4):68
  61. Karavaev B, Gavrilenko A, Zolicheva N, Skrylev M. Seljutin. Perioperacionnajagdiagnostika cerebral’noj ishemii pri rekonstruktivnyh operacijah na sonnyh arterijah. Anesteziologija i reanimatologija. 1999;(5):71-71
  62. Lebedeva R, Gavrilenko A, Karavaev B, Skrylev S. Intraoperacionnaja diagnostika cerebral’noj ishemii pri rekonstruktivnyh operacijah na sonnyh arterijah metodom transkranial’noj oksimetrii. Angiologija i sosudistaja hirurgija. 1999;5(4):41-46
  63. Shmigel’skij A, Lubnin A, Sazonova O. Cerebral’naja oksimetrija u nejrohirurgicheskih bol’nyh s sosudistoj patologiej golovnogo mozga. Anesteziologija i reanimatologija. 2000;(4):19-24
  64. Gavrilenko A, Karavaev B, Bondarenko A, Skrylev S, Zolicheva N, Voronov D. Cerebral’naja oksimetrija i karotidnaja jendarterjektomija: kontrol’ urovnja oksigenacii golovnogo mozga v period operativnogo vmeshatel’stva i ocenka ego jeffektivnosti. Angiol i sosud hir. 2002;1:67-71
  65. Bokerija LA, Pokrovskij AV, Sokurenko G, et al. Nacional’nye rekomendacii po vedeniju pacientov s zabolevanijami brahiocefal’nyh arterij. 2013;
  66. Koköfer A, Nawratil J, Opperer M. [Regional anesthesia for carotid surgery : An overview of anatomy, techniques and their clinical relevance]. Anaesthesist. Apr 2017;66(4):283-290. doi:10.1007/s00101-017-0270-z
  67. Kfoury E, Dort J, Trickey A, et al. Carotid endarterectomy under local and/or regional anesthesia has less risk of myocardial infarction compared to general anesthesia: An analysis of national surgical quality improvement program database. Vascular. Apr 2015;23(2):113-9. doi:10.1177/1708538114537489
  68. Youngberg JA. Pro: regional anesthesia is preferable to general anesthesia for carotid artery surgery. J Cardiothorac Anesth. Oct 1987;1(5):479-82. doi:10.1016/s0888-6296(87)97274-7
  69. Rich NM, Hobson RW. Carotid endarterectomy under regional anesthesia. Am Surg. Apr 1975;41(4):253-9
  70. Hobson RW, Wright CB, Sublett JW, Fedde CW, Rich NM. Carotid artery back pressure and endarterectomy under regional anesthesia. Arch Surg. Nov 1974;109(5):682-7. doi:10.1001/archsurg.1974.01360050076017
  71. Cedergreen P, Swiatek F, Nielsen HB. Local anaesthesia for carotid endarterectomy: Pro: protect the brain. Eur J Anaesthesiol. Apr 2016;33(4):236-7. doi:10.1097/EJA.0000000000000370
  72. Licker M. Regional or general anaesthesia for carotid endarterectomy: Does it matter? Eur J Anaesthesiol. Apr 2016;33(4):241-3. doi:10.1097/EJA.0000000000000376
  73. Leichtle SW, Mouawad NJ, Welch K, Lampman R, Whitehouse WM, Heidenreich M. Outcomes of carotid endarterectomy under general and regional anesthesia from the American College of Surgeons’ National Surgical Quality Improvement Program. J Vasc Surg. Jul 2012;56(1):81-8.e3. doi:10.1016/j.jvs.2012.01.005
  74. Unic-Stojanovic D, Babic S, Neskovic V. General versus regional anesthesia for carotid endarterectomy. J Cardiothorac Vasc Anesth. Dec 2013;27(6):1379-83. doi:10.1053/j.jvca.2012.09.021
  75. Guay J. Regional or general anesthesia for carotid endarterectomy? Evidence from published prospective and retrospective studies. J Cardiothorac Vasc Anesth. Feb 2007;21(1):127-32. doi:10.1053/j.jvca.2006.07.022
  76. Ciccozzi A, Angeletti C, Guetti C, et al. Regional anaesthesia techniques for carotid surgery: the state of art. J Ultrasound. Sep 2014;17(3):175-83. doi:10.1007/s40477-014-0094-5
  77. Ladak N, Thompson J. General or local anaesthesia for carotid endarterectomy? Continuing Education in Anaesthesia, Critical Care & Pain. 2012;12(2):92-96
  78. Forssell C, Takolander R, Bergqvist D, Johansson A, Persson NH. Local versus general anaesthesia in carotid surgery. A prospective, randomised study. Eur J Vasc Surg. Dec 1989;3(6):503-9. doi:10.1016/s0950-821x(89)80124-0

Опубликован

2023-12-22

Выпуск

Раздел

Статьи