title: [Diagnosis of lesions of the brachiocephalic artery by ultrasound dopplerography before and after roentgeno-endovascular dilatation].
abstract: The technique and methodology of diagnosis of brachicephalic arterial lesions by means of ultrasonic dopplerography before and after roentgeno-endovascular dilatation are described. Angiographic and ultrasonic studies were conducted in 21 patients who were eventually subjected to roentgeno-endovascular dilatation (RED) of stenosed and occluded segments of aortic arch branches (atherosclerosis in 19 cases, and nonspecific aorto-arteritis in 2). The stenosis was located in the brachiocephalic trunk in 1 case, in the right internal carotid artery in another one and in the subclavian arteries in the rest: stenosis of the right subclavian artery in 4 patients and first-portion left-subclavian artery in 11, and occlusion of first-segment left subclavian artery in 4. The diagnostic capacity of ultrasonic dopplerography was 94% in detecting brachiocephalic arterial stenosis of 50% and more, while angiographic investigation was more reliable in detecting subclavian occlusions (4 cases). A few clinical examples of the diagnoses of lesions in aortic arch branches and treatment thereof by transcutaneous roentgeno-endovascular dilatation are quoted.
authors.forename: I Kh
authors.initials: IKh
authors.lastname: Rabkin
authors.forename: I G
authors.initials: IG
authors.lastname: Dzhoraev
authors.forename: M A
authors.initials: MA
authors.lastname: Ronkin
authors.forename: I M
authors.initials: IM
authors.lastname: Maksimenko
authors.forename: I M
authors.initials: IM
authors.lastname: Tsoĭ
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D016122:Brachiocephalic Trunk; D002404:Catheterization / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014463:Ultrasonography
vernacular_title: Diagnostika porazheniĭ brakhiotsefal'nykh arteriĭ metodom ul'trazvukovoĭ dopplerografii do i posle rentgenoéndovaskuliarnoĭ dilatatsii.