[Remote results of surgical management of chronic cerebrovascular insufficiency].

The work was aimed at studying the remote results of reconstructive operations performed on brachiocephalic arteries in a total of 1,483 patients presenting with chronic cerebrovascular insufficiency. The findings obtained from our experience confirmed that carotid endarterectomy up to now remains the gold standard of treatment for both symptomatic and asymptomatic patients suffering from haemodynamically significant lesions of carotid arteries, requiring, however, timely performance and consequent active follow up of the patients involved.

[Surgical aspects of treatment for bilateral atherosclerotic lesion of carotid arteries].

The present study was aimed at determining surgical policy and terms of intervention in bilateral atherosclerotic lesions of carotid arteries. Depending on the treatment policy, a total of 114 patients were subdivided into two groups. Group One patients underwent the traditional procedure and carotid reconstruction was performed on the side with more pronounced stenosis or in the carotid basin with ischaemic stroke where an ischaemic episode had occurred, with the total rate of complications related to ischaemic stroke or death amounting to 4.

[Our experience in surgical management of internal carotid artery ocсlusion].

Analysed in the article are the outcomes of surgical management in a total of 42 patients diagnosed as having occlusive lesions of the internal carotid artery. Also studied is efficacy of the operation - resection and ligation of the internal carotid artery, endarterectomy from the common and external carotid arteries with the application of a dilating patch onto the external carotid artery in occlusion of the internal carotid artery in patients with endured ischaemic stroke, depending on severity of neurological deficit and the time having elapsed since the operation performed. Also investigated are peculiarities of cerebral haemodynamics in patients with occlusion of the internal carotid artery and haemodynamic alterations during the stages of surgical treatment.

[Damage to craniocerebral nerves in reconstructive surgery of carotid arteries].

Reconstructive operations on aortic arch branches appear to be the most efficient method of preventing acute and chronic impairments of cerebral circulation. Iatrogenic lesions of the craniocerebral nerves deteriorate the course of the immediate, and especially the remote postoperative period, decreasing quality of life and social status of the patients after endured carotid reconstructions. The authors analysed herein the outcomes in a total of 562 patients after endured carotid artery surgery for atherosclerosis or pathological tortuosity.

[Diagnostics and strategy of surgical treatment of multifocal atherosclerosis].

The study included 148 patients with different combinations of multifocal atherosclerosis. The inclusion criteria were clinical manifestations of chronic cerebrovascular insufficiency concomitant with diseases of other arterial basins. The treatment strategies were chosen based on the results of examination by non-invasive methods for vascular visualization.