inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-3Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESЭндоваскулярная коррекция сложных стенотических поражений артерий брахиоцефального бассейнаEndovascular correction of complicated stenotic lesions in brachycephalic arterieshttps://orcid.org/0000-0002-3385-9247БелыйА. И.BeliyA. I.rofedoar@mail.ruhttps://orcid.org/0000-0003-0102-2546ВолколупО. С.VolkolupO. S.noemail@neicon.ruhttps://orcid.org/0000-0002-5313-4542ТупикинР. С.TupikinR. S.noemail@neicon.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthRussian Federation201630062016021721Copyright © Белый А.И., Волколуп О.С., Тупикин Р.С., 20162016Белый А.И., Волколуп О.С., Тупикин Р.С.Beliy A.I., Volkolup O.S., Tupikin R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/3

В большинстве случаев пациентам с мультифокальным атеросклерозом брахиоцефальных артерий отказывают в оперативном лечении ввиду сложности и тандемного характера поражения. Единственным выходом для пациентов с подобным заболеванием является эндоваскулярная хирургия. Проанализировав мировой опыт лечения атеросклеротических поражений артерий брахиоцефального бассейна и применив на практике различные методы эндоваскулярной интервенции у пациентов со сложными стеноокклюзирующими поражениями брахиоцефальных артерий, мы убедились, что эндоваскулярная коррекция подобных поражений зачастую является основным метод лечения пациентов с мультифокальным атеросклерозом, а также может применяться в качестве первичного метода лечения, так как обладает высокой эффективностью, низкой степенью риска осложнений и хорошими отдаленными результатами.

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.

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The authors declare that there are no conflicts of interest present.