Preview

Translational Medicine

Advanced search

Expert consensus of national medical research centers in the field of cardiovascular surgery and the Russian society of radiologists: principles and technology for using radiology methods in pathology of brachiocephalic vessels

https://doi.org/10.18705/10.18705/2311-4495-2022-9-5-5-19

Abstract

In routine clinical practice, methods of radiation diagnostics are widely used in the provision of medical care to patients with common diseases of the brachiocephalic vessels (BCV). This article provides recommendations on methods for performing time-consuming and expensive radiological methods (ultrasound (US), computed tomography (CT), computed tomography angiography (CTA) arteries, CTA veins, magnetic resonance imaging (MRI)) in patients with diseases of the brachiocephalic vessels. Based on the recommendations of experts, literature sources and practical experience in the application of radiology methods. 

This guide contains structured information regarding the technology of US, CTA and MRI in patients with artery stenosis, artery dissection, vascular malformation, venous sinus thrombosis, and atherosclerosis. These recommendations are universal and are suitable for most medical institutions that perform US, CT and MRI of brachiocephalic vessels.  

Compliance with these rules will improve clinical and economic efficiency in the diagnosis, treatment and rehabilitation of patients with diseases of the brachiocephalic vessels by standardizing procedures of US, CT, MRI, and effectively use the resources of a Healthcare at all levels when performing radiological methods.  

The manual is intended for all categories of medical stuff performing radiological methods in diseases of brachiocephalic vessels (US doctors, functional diagnostics doctors, radiologists) and using their results in clinical practice (cardiologists, cardiovascular surgeons, neurologists, neurosurgeons, anesthesiologists, therapists). 

About the Authors

T. A. Bergen
Meshalkin National Medical Research Center
Russian Federation

Tatyana A. Bergen, M.D., Professor of the Department of Higher and Additional Professional Education, Head of the Research Department of Radology and Instrumental Diagnostics, radiologist

Novosibirsk



G. E. Trufanov
Almazov National Medical Research Centre
Russian Federation

Gennady E. Trufanov, M.D., Professor, Head of the Department of Radiology and Medical Imaging of the Institute of Medical Education, Chief Researcher, Research Department of Radiology

Saint Petersburg



S. A. Alekхandrova
A. N. Bakulev National Medical Research Center of Cardiovascular Surgery
Russian Federation

Svetlana A. Alexandrova, M.D., Head of the MRI Department, Docent of the Department of Cardiology, Functional and Ultrasound Diagnostics with Course in 
pediatric cardiology of the Institute for Training Higher Qualifications and Professional Education

Moscow



V. E. Sinitsyn
Lomonosov Moscow State University
Russian Federation

Valentin E. Sinitsyn, M.D., Professor of the Department of Multidisciplinary Clinical Training, Head of the Course of Radiology and Radiation Therapy

Moscow



M. V. Shumilina
A. N. Bakulev National Medical Research Center of Cardiovascular Surgery
Russian Federation

Margarita V. Shumilina, M.D., Professor of the Department of Cardiology, Functional and Ultrasound Diagnostics with Course in pediatric cardiology of the Institute for Training Higher Qualifications and Professional Education, Head of the Group of Ultrasound Diagnostics of Cardiovascular and Organ Pathology

Moscow



I. E. Rychina
A. N. Bakulev National Medical Research Center of Cardiovascular Surgery
Russian Federation

Inna E. Rychina, M.D., Head of the CT Department

Moscow



A. R. Tarkova
Meshalkin National Medical Research Center
Russian Federation

Alexandra R. Tarkova, M.D., Functional Diagnostics Doctor, Leading Researcher, Research Department of Radiology and Instrumental Diagnostics

Novosibirsk



V. A. Fokin
Almazov National Medical Research Centre
Russian Federation

Vladimir A. Fokin, M.D., Professor of the Department of Radiology and Medical Imaging, Institute of Medical Education

Saint Petersburg



A. Yu. Skripnik
Almazov National Medical Research Centre
Russian Federation

Aleksey Yu. Skripnik, Head of the Radiology Department

Saint Petersburg



A. V. Dorofeev
A. N. Bakulev National Medical Research Center of Cardiovascular Surgery
Russian Federation

Aleksey V. Dorofeev, M.D., Head of the Department of X-ray Diagnostics, CT, MRI

Moscow



M. A. Chernyavskiy
Almazov National Medical Research Centre
Russian Federation

Mikhail A. Chernyavsky, M.D., Head of the Research Department of Vascular and Interventional Surgery, Chief Researcher, Cardiovascular Surgeon

Saint Petersburg



A. M. Chernyavskiy
Meshalkin National Medical Research Center
Russian Federation

Alexandr M. Chernyavsky, M.D., Professor, correspondent member of the Russian Academy of Sciences, General Director,

Novosibirsk



E. Z. Golukhova
A. N. Bakulev National Medical Research Center of Cardiovascular Surgery
Russian Federation

Elena Z. Golukhova, M.D., Professor, Academician of the Russian Academy of Sciences, Director

Moscow



E. V. Schlyakhto
Almazov National Medical Research Centre
Russian Federation

Evgeny V. Shlyakhto, M.D., Professor, Academician of the Russian Academy of Sciences, General Director

Saint Petersburg



References

1. Bonati LH, Kakkos S, Berkefeld J, et al. European Stroke Organisation guideline on endarterectomy and stenting for carotid artery stenosis. Eur Stroke J. 2021; 6(2):I-XLVII. DOI: 10.1177/23969873211012121.

2.

3. Clark M, Unnam S, Ghosh S. A review of carotid and vertebral artery dissection. Br J Hosp Med (Lond). 2022; 83(4):1–11. DOI: 10.12968/hmed.2021.0421

4.

5. Hemingway JF, Singh N. Atherosclerotic Disease of the Carotid Artery Guidelines. https://emedicine.medscape. com/article/463147-guidelines (29 September 2021).

6.

7. Jeong HW, Seo JH, Kim ST, et al. Clinical practice guideline for the management of intracranial aneurysms. Neurointervention. 2014; 9(2):63–71. DOI: 10.5469/ neuroint.2014.9.2.63.

8.

9. Kuo AH, Nagpal P, Ghoshhajra BB, et al. Vascular magnetic resonance angiography techniques. Cardiovasc Diagn Ther. 2019; 9(Suppl 1):S28–S36. DOI: 10.21037/cdt.2019.06.07.

10.

11. Lancellotti P, Płońska-Gościniak E, Garbi M, et al. Cardiovascular imaging practice in Europe: a report from the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015; 16(7):697–702. DOI: 10.1093/ehjci/jev116.

12.

13. Steiner T, Juvela S, Unterberg A, et al. European Stroke Organization. European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage. Cerebrovasc Dis. 2013; 35(2):93–112. DOI: 10.1159/000346087.

14.

15. Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015; 46(8):2368–400. DOI: 10.1161/STR.0000000000000070.

16.

17. Aboyans V, Ricco JB, Bartelink MEL, et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries Endorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018; 39(9):763–816. DOI: 10.1093/eurheartj/ehx095.

18.

19. Vishnyakova MV (Jr). Occlusive carotid disease assessment: history and new diagnostic technologies. Kreativnaya Kardiologiya=Creative Cardiology. 2017; 11 (3): 247–261. In Russian [Вишнякова М.В., мл. Оценка окклюзирующего поражения сонных артерий: история, тенденции развития диагностических технологий. Креативная кардиология. 2017; 11 (3): 247–261.] DOI: 10.24022/1997-3187-2017-11-3-247-261.

20.

21. Pak NT, Kobelev E, Usov WYu, et al. Evaluation of the severity of atherosclerotic degeneration of the aortic arch wall using computed tomographic angiography to predict the risk of stroke in patients with carotid stenosis in the early postoperative period. Creative Cardiology. 2022; 16(1): 77–91. In Russian [Пак Н.Т., Кобелев Е., Усов В.Ю. и др. Оценка выраженности атеросклеротической дегенерации стенки дуги аорты методом компьютерно-томографической ангиографии для прогнозирования риска острых сосудистых событий у пациентов со стенозами сонных артерий в раннем послеоперационном периоде. Креативная кардиология. 2022; 16(1): 77–91.] DOI: 10.24022/1997-3187-2022-16-1-77-91.

22.

23. Приказ Министерства здравоохранения Российской Федерации № 557н от 8 июня 2020 г. «Об утверждении Правил проведения ультразвуковых исследований». https://minjust.consultant.ru/documents/23536 (14 September 2020)

24.

25. Приказ Министерства здравоохранения Российской Федерации № 560н от 9 июня 2020 г. «Об утверждении Правил проведения рентгенологических исследований». https://minjust.consultant.ru/documents/23525 (14 September 2020)

26.

27. Fokin VA. Standardization of MRI Studies Using an Automatic Magnetic Resonance Contrast Agent Injector. Journal of radiology and nuclear medicine. 2020; 101(4):235–243. In Russian [Фокин В.А. К вопросу о стандартизации МРТ-исследований с использованием автоматического инъектора для введения магнитно-резонансных контрастных средств. Вестник рентгенологии и радиологии. 2020; 101(4):235–243.] DOI: 10.20862/0042-4676-2020-101-4-235-243.

28.

29. Shumilina MV. Angiological bases of complex ultrasonic diagnostics of a pathology of vessels. Klinicheskaya Fiziologiya Krovoobrascheniya=Clinical Physiology of Circulation. 2016; 13(1): 5–36. In Russian [Шумилина М.В. Ангиологические основы комплексной ультразвуковой диагностики патологии сосудов. Клиническая физиология кровообращения. 2016; 13(1): 5–36.]

30.

31. Shumilina MV, Mukaseeva AV. Standardization of ultrasound examinations of brachiocephalic vessels. Necessary and sufficient indicators of stenosis of the internal carotid arteries for cardiovascular surgery. Klinicheskaya Fiziologiya Krovoobrascheniya=Clinical Physiology of Circulation. 2012; 4:51–59. In Russian [Шумилина М.В., Мукасеева А.В. Стандартизация ультразвуковых обследований брахиоцефальных сосудов. Необходимые и достаточные показатели стенозов внутренних сонных артерий для кардиоваскулярных операций. Клиническая физиология кровообращения. 2012; 4:51–59.]


Review

For citations:


Bergen T.A., Trufanov G.E., Alekхandrova S.A., Sinitsyn V.E., Shumilina M.V., Rychina I.E., Tarkova A.R., Fokin V.A., Skripnik A.Yu., Dorofeev A.V., Chernyavskiy M.A., Chernyavskiy A.M., Golukhova E.Z., Schlyakhto E.V. Expert consensus of national medical research centers in the field of cardiovascular surgery and the Russian society of radiologists: principles and technology for using radiology methods in pathology of brachiocephalic vessels. Translational Medicine. 2022;9(5):5-19. (In Russ.) https://doi.org/10.18705/10.18705/2311-4495-2022-9-5-5-19

Views: 477


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)