title: [Surgical tactics in occlusive lesions of the brachiocephalic and coronary arteries].
abstract: Surgical management of combined arterial occlusions is a difficult problem. Combined lesions of the coronary arteries and brachiocephalic trunk are marked by significant mutual aggravation. The authors examined 48 patients with this pathological condition in the last 4 years, 32 of them underwent restorative surgical interventions. The direct effect was positive in 87% of patients. Four patients died after the operation. Comparative evaluation of the late-term results was carried out by the actuarial method. The authors believe a stage-by-stage character of the intervention to be expedient, except for cases of one-stage critical ischemia carried out simultaneously in two arterial channels and the possibility of simultaneous reconstruction of the sternotomy approach.
authors.forename: I A
authors.initials: IA
authors.lastname: Andrievskikh
authors.forename: A A
authors.initials: AA
authors.lastname: Fokin
authors.forename: V E
authors.initials: VE
authors.lastname: Zakharov
authors.forename: L P
authors.initials: LP
authors.lastname: Verbovetskiĭ
mesh_terms: D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D016122:Brachiocephalic Trunk / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D006801:Humans; D013997:Time Factors
vernacular_title: Khirurgicheskaia taktika pri okkliuzionnykh porazheniiakh brakhiotsefal'nykh i koronarnykh arteriĭ.