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About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
Carotid artery stenosis is a narrowing of the carotid artery that develops as a result of atherosclerosis. Carotid artery stenosis is the main cause of ischemic stroke.
Most people with carotid artery lesions do not have any symptoms. In the presence of symptoms, the risk of ischemic stroke increases several times.
The most common symptoms are transient (i.e. transient) ischemic attacks, which are sometimes called small strokes.
During an ischemic attack, the blood supply to certain areas of the brain decreases. This can cause temporary dizziness, visual disturbances, numbness and tingling of the skin of the extremities, and weakness in the arm or leg, which usually last no more than 30 minutes.
– Tomography: computer (CT) and magnetic resonance (MRI).
– Doppler ultrasound.
– Angiography to contrast-enhanced studies of the carotid artery.
Сarotid endarterectomy (CEA) is an open surgical intervention to remove thrombotic masses from the carotid artery, ensuring normalization of blood supply to the head.
Percutaneous transluminal angioplasty of the carotid artery is a minimally invasive procedure that expands the carotid artery. The procedure consists of inserting a hollow catheter equipped with a balloon into the vascular bed and into the carotid artery. The catheter advances under x-ray control. When the catheter reaches the place of narrowing of the carotid artery, the balloon inflates. Due to the pressure of the balloon, partial destruction of atherosclerotic plaques occurs, increasing the lumen of the vessel and restoring blood flow through it. After performing the control images, the indications are stenting of the carotid artery a stent is inserted (a compressed spring, for the manufacture of which a special alloy is used). The stent is straightened in the artery, resulting in the expansion of the vessel diameter and normalization of blood supply to the head.