FIELD: medicine.
SUBSTANCE: invention relates to medicine, and namely to cardiovascular surgery. During period of one anesthesia care stage autovenous bypass is performed at first, for this purpose common carotid artery is approached immediately from below its bifurcation and 3 segment of vertebral arteries along anteriolateral surface of the neck. Common carotid artery is extracted immediately from below its bifurcation and vertebral artery segment 3 in gap between transverse processes of vertebrae C1-C2. Autovenous shunt is made between common carotid artery immediately below its bifurcation and vertebral artery segment 3 from great saphenous vein, sampled in hip. At second stage X-ray positive tool is transferred from common carotid artery through newly formed autovenous shunt into 4 segment of vertebral artery and main artery and then angioplasty and stenting are made at intracranial level in 4 segment and main artery.
EFFECT: method enables adequate and complete revascularization of vertebrobasilar artery in patients with vertebrobasilar insufficiency, caused by combination of occlusion of 1 and 2 segments of vertebral arteries with stenoses of 4 segment of vertebral artery and main artery.
1 cl, 2 ex
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Authors
Dates
2016-11-10—Published
2015-05-21—Filed