usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494RDS-Media Ltd.usfd-223Research ArticleУльтразвуковая диагностика заболеваний сердца и сосудовCardiovascular UltrasoundВозможности внутрисосудистого ультразвукового исследования с использованием катетерного датчика с фазированной решеткой в диагностике и лечении расслоения аортыValue of Intravascular Phased-Array Probe in Diagnostics and Treatment of Aortic DissectionГольдинаИрина МихайловнаGoldinaI. M.markmgold@gmail.ruТрофимоваЕ. Ю.TrofimovaE. Yu.noemail@neicon.ruКоковЛ. С.KokovL. S.noemail@neicon.ruПархоменкоМ. В.ParkhomenkoM. V.noemail@neicon.ruЧернаяН. Р.ChernayaN. R.noemail@neicon.ruСоколовВ. В.SokolovV. V.noemail@neicon.ruРедкобородыйА. В.RedkoborodyiA. V.noemail@neicon.ruРубцовН. В.RubzovN. V.noemail@neicon.ruГБУЗ г. Москвы “Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского Департамента здравоохранения города Москвы”Sklifosovsky Research Institute of Emergency Medicine201630032024017889Copyright © Гольдина И.М., Трофимова Е.Ю., Коков Л.С., Пархоменко М.В., Черная Н.Р., Соколов В.В., Редкобородый А.В., Рубцов Н.В., 20242024Гольдина И.М., Трофимова Е.Ю., Коков Л.С., Пархоменко М.В., Черная Н.Р., Соколов В.В., Редкобородый А.В., Рубцов Н.В.Goldina I.M., Trofimova E.Y., Kokov L.S., Parkhomenko M.V., Chernaya N.R., Sokolov V.V., Redkoborodyi A.V., Rubzov N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.rdsmedia.ru/jour/article/view/223

Представлены два клинических наблюдения эндоваскулярного лечения расслоения аорты III типа по DeBakey с использованием внутрисосудистого ультразвукового исследования с внутрисосудистым катетерным датчиком с фазированной решеткой и обзор литературы по соответствующей тематике. Заболевание диагностировано на основании результатов ультразвукового исследования аорты, подвздошных артерий и артерий нижних конечностей, мультиспиральной компьютерной томографии аорты и аортографии. Лечение заключалось в проведении эндоваскулярной фенестрации аорты под контролем внутрисосудистого ультразвукового исследования. Ультразвуковое исследование проведено на приборе Acuson Sequoia 512 (Siemens, Германия) с внутрисосудистым катетерным датчиком с фазированной решеткой AcuNav в В-режиме, режимах цветового допплеровского картирования и импульсноволновой допплерографии. Благодаря использованию внутрисосудистого ультразвукового исследования в процедуре эндоваскулярной фенестрации аорты стала возможной оценка гемодинамики в истинном и ложном просветах аорты, ее ветвях. С помощью внутрисосудистого ультразвукового исследования удалось показать, что успешно проведенная процедура фенестрации аорты приводит к выравниванию скоростей кровотока в истинном и ложном просветах аорты. Таким образом, использование внутрисосудистого ультразвукового исследования позволило исследовать гемодинамику в истинном и ложном просветах аорты до, во время и после процедуры фенестрации аорты в динамическом режиме и оценить эффективность процедуры эндоваскулярной фенестрации аорты.

Two clinical cases of the aortic dissection (DeBakey III) endovascular treatment with intravascular phased-array probe use are presented. Literature review is given as well. The disease was diagnosed by the aorta, iliac arteries, and lower extremities arteries ultrasound examination, computed tomography, and aortography. Aortic endovascular fenestration under intravascular ultrasound control was performed. Ultrasound investigation was performed using Acuson Sequoia 512 scanner (Siemens, Germany) equipped with the intravascular phased-array probe AcuNav applying B-mode, colour Doppler, and pulsed Doppler. Intravascular ultrasound allowed assessing hemodynamics in the true and false lumen of aorta and its branches during the aortic endovascular fenestration. Intravascular ultrasound allowed showing that endovascular fenestration makes the blood flow speed in the true aortic lumen equal to the false one. In conclusion, intravascular ultrasound allowed assessing hemodynamics before, during, and after the aortic fenestration and estimate fenestration efficacy.

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