Journal «Angiology and Vascular Surgery» • 

2010 • VOLUME 16 • №4

HYBRID OPERATIVE INTERVENTIONS IN MULTILEVEL LESIONS OF THE BRACHIOCEPHALIC ARTERIES IN PATIENTS WITH CEREBROVASCULAR INSUFFICIENCY

Karpenko A.A., Starodubtsev V.В., Chernyavskii M.A., Vinogradova Т.E., Chernyavskii A.M.
Centre for Surgery of the Aorta, Coronary and Peripheral Arteries Federal State Facility «Novosibirsk Scientific Research Institute for Circulatory Pathology named after Academician E.N. Meshalkin under the Federal Agency for High-Technology Medical Care»,
Novosibirsk, Russia

The authors share herein their experience with hybrid surgical interventions for multilevel lesions of the brachiocephalic arteries (stenting and an open operation) in a total of eleven patients presenting with cerebrovascular insufficiency. Our first experience gained in performing hybrid operations confirmed a possibility of correcting tandem stenoses of the brachiocephalic arteries from the standard approach to the common carotid artery bifurcation. No intraoperative complications were encountered. Hybrid interventions made it possible to reliably correct multiple arterial stenoses, necessitating neither additional bypass grafting nor prosthetic repair.

KEY WORDS: brachiocephalic arteries, carotid endarterectomy, brachiocephalic artery stenting.

P. 130-134

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