The case of simultaneous use of direct and endovascular techniques for the reconstruction of occluded brachiocephalic trunk

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Arustamian S.R.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shmigel'skiĭ A.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhmedov A.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

The case of simultaneous use of direct and endovascular techniques for the reconstruction of occluded brachiocephalic trunk

Authors:

Usachev D.Iu., Lukshin V.A., Yakovlev S.B., Arustamian S.R., Shmigel'skiĭ A.V., Akhmedov A.D.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2013;77(6): 39‑44

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To cite this article:

Usachev DIu, Lukshin VA, Yakovlev SB, Arustamian SR, Shmigel'skiĭ AV, Akhmedov AD. The case of simultaneous use of direct and endovascular techniques for the reconstruction of occluded brachiocephalic trunk. Burdenko's Journal of Neurosurgery. 2013;77(6):39‑44. (In Russ., In Engl.)

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The article provides an example of successful surgical treatment of progressive chronic cerebral ischemia due to occlusion of the brachiocephalic trunk and critical stenosis of the right internal carotid artery (more than 85%). We describe a hybrid method of surgical treatment, which include direct access to the neurovascular bundle, retrograde endovascular recanalization following angioplasty and stenting of the brachiocephalic trunk during temporary occlusion of the distal internal carotid artery and carotid endarterectomy. We provide an analysis of indications for each phase of operation considering the features of compensatory collateral circulation in the basin of the occluded brachiocephalic trunk and the possible complications of surgery.

Keywords:

brachiocephalic trunk

reconstructive surgery

the hybrid surgery

Authors:

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Arustamian S.R.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Shmigel'skiĭ A.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhmedov A.D.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

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