The clinical experience of the Department of Vascular Surgery of the Vishnevsky Institute of Surgery, covering a period between November, 1983 and December, 1987 was analysed. Problems of the etiology and pathogenesis of vertebrobasilar insufficiency and the peculiarities of choosing the methods for surgical correction according to the extent and localization of the occlusive lesions were studied. The sequence and volume of the surgical intervention in patients with isolated and combined affections of the vessels of the vertebrobasilar and carotid channels are discussed.
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