[Diagnosis and surgical treatment of pathologic tortuosity of carotid and vertebral arteries].
The article summarizes an experience with 179 surgical interventions on patients with pathological tortuosity of brachiocephalic arteries. The optimal described diagnostic algorithm for this pathology included ultrasonic dopplerography, transcranial dopplerography, angiography or magnetic resonance tomography in the angiography regimen. Clinical and angiographic indications to surgical treatment of this pathology were determined. The operative treatment was carried on in patients with neurological symptoms having kinks of brachiocephalic arteries. The intraoperative strategy depending on the type and localization of the disease are analyzed. Stabile regression of manifestations of vascular cerebral insufficiency after surgical correction of the pathological tortuosity of the brachiocephalic arteries was achieved in 76% of the patients.
Sokurenko
G Iu
GIu
Kryzhanovskiĭ
D V
DV
Sedov
V M
VM
Lebedev
L V
LV
Vasil'ev
S G
SG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D002339:Carotid Arteries / Q000002:abnormalities* / Q000601:surgery; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D017585:Ultrasonography, Doppler, Transcranial; D014711:Vertebral Artery / Q000002:abnormalities* / Q000601:surgery; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*