Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum94552Research ArticleTransluminal balloon angioplasty with stenting of vertebral arteries: clinical and neurophysiological aspectsMaximovaM. Yuncnmaximova@mail.ruSkrylevS. I-SermagambetovaZh. N-FedinP. A-KoshcheevA. Yu-ShchipakinV. L-SinicynI. A-Research Center of Neurology15092016189323628122021Copyright © 2016, Consilium Medicum2016Transluminal balloon angioplasty with stenting of vertebral arteries (VA) is an effective endovascular technique for improving cerebral blood flow with a low complication rate and good long-term results. The aim of this study was to assessment of quality of life and brainstem disfunction in patients after transluminal balloon angioplasty with stenting of VA. Study group included 50 patients (mean age, 64±6 years) with hemodynamically significant of extracranial VA stenosis. In a cohort of the patients included in research low indicators of life quality were observed before stenting of VA. Patients with hemodynamically significant of extracranial VA stenosis had brainstem auditory evoked potentials abnormalities including elongation of interpeak intervals I-V and V peak latency, reducing I peak amplitude. After transluminal balloon angioplasty with stenting of VA revealed a shortening V peak the latency (compared to preoperative period), reflecting the improved of the brainstem conductive functions. In 6 months after stenting of vertebral arteries indicators of life quality are raised in physical and psychological spheres.transluminal balloon angioplasty with stenting of vertebral arteriesendovascular treatmentatherostenosis of vertebral arteriesshort latency brainstem auditory evoked potentialsquality of lifeтранслюминальная баллонная ангиопластика со стентированием позвоночных артерийэндоваскулярные методы леченияатеростеноз позвоночных артерийкоротколатентные акустические стволовые вызванные потенциалыкачество жизни[Суслина З.А., Гулевская Т.С., Максимова М.Ю., Моргунов В.А. Нарушения мозгового кровообращения: диагностика, лечение, профилактика. М.: МЕДпресс-информ; 2016.][Пирадов М.А., Реброва О.Ю., Максимова М.Ю. Нейросетевой алгоритм диагностики патогенетических подтипов ишемического инсульта Журн. неврологии и психиатрии им. C.C.Корсакова. 2004; 104 (S12): 23-8.][Алекян Б.Г., Анри М., Спиридонов А.А., Тер-Акопян А.В. Эндоваскулярная хирургия при патологии брахиоцефальных артерий. М.: Изд - во НЦССХ им. А.Н.Бакулева, 2001.][Ederle J, Bonati L.H, Dobson J, Featherstone R.L et al. CAVATAS Investigators. Endovascular treatment with angioplasty or stenting versus endarterectomy in patients with carotid artery stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long - term follow - up of a randomised trial. Lancet Neurol 2009; 8 (10): 898-907; doi: 10.1016/S1474-4422(09)70228-5.][Jenkins J.S, Patel S.N, White C.J et al. Endovascular stenting for vertebral artery stenosis. J Am Coll Cardiol 2010; 55 (6): 538-42; doi: 10.1016/j.jacc.2009.08.069.][Pocquet J, Jousset Y, Papon X et al. Surgery of the proximal vertebral artery. Indications and results. J MalVasc 2001; 26 (4): 237-42.][Compter A, van der Worp H.B, Schonewille W.J et al. VAST: Vertebral Artery Stenting Trial. Protocol for a randomised safety and feasibility trial. Trials 2008; 9: 65; doi: 10.1186/1745-6215-9-65.][SSYLVIA Study Investigators. Stenting of symptomatic atherosclerotic lesions in the vertebral or intracranial arteries (SSYLVIA): Study results. Stroke 2004; 35 (6): 1388-92.][Новик А.А., Ионова Т.И., Кайнд П. Руководство по исследованию качества жизни в медицине. СПб.: Нева; М.: Олма-Пресс, 2002.][Гнездицкий В.В. Вызванные потенциалы мозга в клинической практике. М.: МЕДпресс-информ, 2003.][Brott T.G, Halperin J.L, Abbara S et al. Guideline on the management of patients with extracranial carotid and vertebral artery disese. J Am Coll Cardiol 2011; 57 (8): 516-94; doi: 10.1016/j.jacc.2010.11.005.][Guérit J.M, Amantini A, Amodio P et al. Consensus on the use of neurophysiological tests in the intensive care unit (ICU): electroencephalogram (EEG), evoked potentials (EP), and electroneuromyography (ENMG). Neurophysiol Clin 2009; 39 (2): 71-83; doi: 10.1016/j.neucli.2009.03.002.]