[Surgical treatment of vertebrobasilar insufficiency].
The results of surgical correction of blood flow in the vertebrobasilar basin in 58 patients ranging in age from 32 to 65 years were analysed. In 75.9% of cases, the disease was secondary to atherosclerosis. The tortuosity of the vertebral artery was noted in 12% of the patients. Transitory symptoms of ischemia were observed in 20.6% of the patients, chronic vascular cerebral insufficiency--in 53.6%, sequelae to the ischemic insult--in 25.8%. For diagnosis, the Doppler ultrasound, rheoencephalography, computerized tomography were used. The preference was given to extracranial operative interventions: +carotid-subclavian shunting was performed in 19, +intimo-thrombectomy from the subclavian and ostium of the vertebral artery--in 22, ++aorto-subclavian shunting--in 3 patients. Plasty of the vertebral artery was accomplished in 12 patients. The positive dynamics of neurologic status was noted in 91.3% of the patients.
Sukharev
I I
II
Nikul'nikov
P I
PI
Grigorash
G A
GA
Cherniak
V A
VA
Guch
A A
AA
D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000601:surgery* / Q000637:transplantation; D013349:Subclavian Steal Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014711:Vertebral Artery / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
Khirurgicheskoe lechenie vertebrobaziliarnoĭ nedostatochnosti.