[Roentgenosurgical treatment lesions of the brachiocephalic arteries].
Being the main cause of the lethality and permanent loss of work fitness, cerebrovascular diseases are assumed to be one of the most pressing problems of neurology and vascular surgery. It is to be noted that precisely stenotic and occlusive processes occurring in aortic arch branches induce ischemic lesions of the brain in half the cases. The multicenter cooperative randomized studies (MASCET, BCST, 'Veterans Affairs Cooperative Studies Program', VACT and ACAS) finalized the problem of the necessity of surgical treatment of patients with symptomatic and asymptomatic cerebrovascular insufficiency. However, despite the speedy progress in the cardiovascular surgery trend under consideration, a number of the fairly important problems remain unsolved. One of the important problems lies in the use of balloon angioplasty, stenting and thrombolysis of the precerebral arteries. The purpose of the study was to evaluate the results of roentrgenosurgical treatment of patients with hemodynamically significant lesion of the brachiocephalic arteries (BCA). Analysis was made of the treatment results in 19 patients aged 26 to 61 years. There were 13 (68.4%) men and 6 (31.6%) women. All the patients were provided different roentgenosurgical interventions on the BCA. Analysis of the results of roentgenosurgical interventions allowed to 7 establish that in the given patient group, the neurologic syinptomatology regressed, to an appreciable measure, with an improvement in the quality of life. It is noteworthy that roentgenosurgical interventions considerably shortened the patients' stay at hospital. The advantages of the technology are as follows: a possibility of the contact with the patient for the whole period of the procedure, minimization of the time of brain hypovolemia due to instrumental examinations. However, the risk of intraoperative complications requires a careful selection of the patients and impeccable technical performance.
Vasil'ev
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AE
Regional Clinical Hospital, Vladimir, Russia. vasilisa@aport.ru
Solonets
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MB
D000328:Adult; D000800:Angioplasty, Balloon; D016122:Brachiocephalic Trunk / Q000601:surgery; D002340:Carotid Artery Diseases / Q000601:surgery; D017536:Carotid Artery, Common; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D002546:Ischemic Attack, Transient / Q000601:surgery / Q000628:therapy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D011182:Postoperative Care; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D015607:Stents; D015912:Thrombolytic Therapy; D013997:Time Factors; D014715:Vertebrobasilar Insufficiency / Q000601:surgery / Q000628:therapy