title: [Surgical treatment of occlusive and stenosing lesions of brachiocephalic arteries].
abstract: The results of surgical treatment of patients with occlusive and stenosing lesions of brachiocephalic arteries implemented at Burdenko's Research Institute of Neurosurgery of the Russian Academy of Medical Sciences (RAMS) during 1999-2002 are described. A total of 164 operations were made in 128 patients. Different diagnostic methods and indications for various types of reconstructive and revascularization surgeries are under discussion. A variety of the carotid endarterectomy techniques and the conditions needed for their implementation (microsurgical equipment and intraoperative multi-modality neuromonitoring) are defined. Finally, the main complications and the methods of their prevention, correction and treatment are also described.
authors.forename: D Iu
authors.initials: DIu
authors.lastname: Usachev
authors.forename: F A
authors.initials: FA
authors.lastname: Serbinenko
authors.forename: V L
authors.initials: VL
authors.lastname: Lemenev
authors.forename: G E
authors.initials: GE
authors.lastname: Mitroshin
authors.forename: V A
authors.initials: VA
authors.lastname: Shakhnovich
authors.forename: V A
authors.initials: VA
authors.lastname: Lazarev
authors.forename: V A
authors.initials: VA
authors.lastname: Lukshin
authors.forename: A V
authors.initials: AV
authors.lastname: Shmigel'skiĭ
authors.forename: O B
authors.initials: OB
authors.lastname: Sazonova
authors.forename: A A
authors.initials: AA
authors.lastname: Ogurtsova
authors.forename: M V
authors.initials: MV
authors.lastname: Churilov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000401:mortality / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000473:pathology* / Q000601:surgery*; D002545:Brain Ischemia / Q000601:surgery; D002648:Child; D003251:Constriction, Pathologic; D016894:Endarterectomy, Carotid / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011183:Postoperative Complications; D017585:Ultrasonography, Doppler, Transcranial; D014656:Vascular Surgical Procedures / Q000379:methods*