Endovascular correction of complicated stenotic lesions in brachycephalic arteries

Abstract

Most often patients with multifocal sclerosis of brachycephalic arteries are refused to be surgically treated as these cases are complicated due to tandem lesions. The only way out for these patients is endovascular surgery. We have analyzed international experience and applied different methods of endovascular intervention in patients with difficult stenotic lesions of brachycephalic arteries, and became convinced that endovascular correction similar affections is the main means to treat patients with multifocal atherosclerosis. It also could be used as primary treatment as possesses high efficiency, a low complication rate and shows favorable long-term results.

Keywords

• ischemic stroke
• atherosclerosis
• brachycephalic arteries
• balloon angioplasty
• vertebrobasilar insufficiency
• tandem lesions