Diagnosis and surgical treatment of occlusive lesions of brachiocephalic arteries

Diagnosis and surgical treatment of occlusive lesions of brachiocephalic arteries

Gulmurod U.T., Sultonov D.D., Gulmurodov T.G.

Observed the results of observation and surgical treatment of 102 patients with occlusions defeat of brachiocephalicus trunk and artery subclavia, caused by atherosclerosis (57), nonspecific aorto-arterition (36), and consequences of traumas of arteries (9). Investigation of regional and a brain haemodynamics has shown that occlusion of trunk brachiocephalicus and I — segment artery subclavia essential decrease a brain blood-groove for the account «steal syndrome» on vertebral and to sleepy arteries.

Choice of a method of operation depended on localization, quantities and extents of defeat of vessels. Shunting operative interventions were applied: intrathoracies (18) and extrathoracies (82). At defeats of left sleepy and subclavia arteries used link sided lateral thoracial access. At occlusion of distal portions of artery subclavia a choice method was roundabout autovenouse shunting.

Optimization of surgical tactics has allowed to reach good results in the nearest postoperative period at 93,1 %, in kept away — at 93,5 % of patients..

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