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Results of simultaneous procedures of the concomitant carotid and subclavian artery stenosis performed via modificated approach

Fokin Alexey Anatolyevich  (Doctor of Medical Sciences (Advanced Doctor), Professor, Honored doctor of the Russian Federation, Chelyabinsk, South Ural State Medical University; Chelyabinsk Region Hospital)

Nadvikov Alexey Igorevich  (Doctor, Evpatoria, Evpatorian city Hospital)

Vladimirskiy Vladimir Vladimirovich  (Doctor of Medical Sciences, (Advanced Doctor), Doctor, Branch Manager, Chelyabinsk, Chelyabinsk Region Hospital)

Serazhitdinov Alik Shavkatovich  (Candidate of Medical Sciences (Ph.D.), Doctor, Chelyabinsk, Chelyabinsk Region Hospital)

Gasnikov Anatoly Vladimirovich  (Candidate of Medical Sciences (Ph.D.), Doctor, Evpatoria, Evpatorian city Hospital)

The article describes the modified surgical approach to the atherosclerotic lesion of the carotid and subclavian arteries. The main advantage of this approach is the possibility of the connection of both carotid and subclavian arteries through the single incision. The immediate and long-term results have been evaluated. There was no death or myocardial infarction during the early postoperative period. One (3.3%) stroke was registrated in 30 days after surgery. One death of the patient with generalized atherosclerosis was registered in the long-term period (the average follow up – 26.1 months) Total patency is 90%.

Keywords:carotid artery, subclavian artery, carotid endarterectomy, subclavian carotid transposition, carotid subclavian bypass grafting.

 

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Citation link:
Fokin A. A., Nadvikov A. I., Vladimirskiy V. V., Serazhitdinov A. S., Gasnikov A. V. Results of simultaneous procedures of the concomitant carotid and subclavian artery stenosis performed via modificated approach // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2018. -№03. -С. 143-148
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