RU2188585C2 - Method for operative treatment of vertebral arterial malformations - Google Patents

Abstract

FIELD: medicine, vascular surgery. SUBSTANCE: the method deals with ligation of thyrocervical trunk. A part of subclavial artery is resected distally against vertebral artery deviation. An end-to-end anastomosis of subclavial artery is applied. EFFECT: improved results of operative interference.

Description

 The invention relates to medicine, namely to vascular surgery, and can be used for surgical treatment of malformations of the vertebral arteries.

 Existing methods for surgical treatment of malformations of the vertebral arteries are direct intervention on the arteries. Most often, an excess section of the artery is resected with the implantation of the latter into the subclavian artery. The Powers operation is a little less common - resection of the thyroid barrel, eliminating rotational changes in the mouth of the vertebral artery. The resection of the vertebral artery involves turning off the blood flow through it, which is dangerous for the development of ischemic disorders during surgery. Powers operation is possible only with rotational changes in the vertebral artery and is not effective with bends, loops, tortuosity [1-4].

 The aim of the invention is to improve the results of surgical intervention for malformations of the vertebral artery.

 This goal is achieved by the fact that the elimination of malformations of the vertebral artery is done by ligation of the thyroid scale and resection of the subclavian artery located distal to the mouth of the vertebral artery.

 The method is as follows.

 The supraclavicular access secrete the vertebral artery up to its mouth. The tortuosity, bending and loops of the latter are eliminated by ligation of the thyroid neck and resection of the subclavian artery, distal to the vertebral artery. Anastomosis of the subclavian artery overlaps end to end. As a result, the subclavian artery moves down and out, eliminating pathological tortuosity, bending or loop of the vertebral artery. The proposed method radically eliminates the malformation of the vertebral artery and eliminates the development of ischemic disorders during surgery.

 The method was tested in an experiment on the corpses of people who died from various diseases. The favorable results obtained in the experiment made it possible to apply this method in a clinic in 12 patients, with good results both in the near and distant periods.

Literature
1. Kryzhanovsky D.V., Sokurenko G.Yu., Lebedev L.V., Dudanov I.P., Vasiliev S.G., Sedov V.M., Surgical treatment of pathological tortuosity of the brachiocephalic arteries // Mat. The Fourth All-Russian Congress of Cardiovascular Surgeons. M., 1998 .-- S. 119.

 2. Metelkina L.P., Vereshchagin N.V., Peresedov V.V., Pukanov B.C., Fedin P.A. Surgery of abnormalities of the vertebral artery // Mat. The Fourth All-Russian Congress of Cardiovascular Surgeons. - M., 1998 .-- S. 121.

 3. Petrovsky B.V., Belichenko I.A., Krylov B.C. Surgery of the branches of the aortic arch. - M .: Medicine, 1970. - 352 p.

 4. Pirtskhalaishvili E.K., Lavrentiev A.V., Spiridonov A.A. Curvature of the vertebral arteries // Mat. The Fourth All-Russian Congress of Cardiovascular Surgeons. - M., 1998 .-- S. 122.

Claims (1)

 A method for the surgical treatment of vertebral artery malformations, characterized in that the thyroid trunk is ligated, the subclavian artery is resected distal to the vertebral artery discharge, and the anastomosis of the subclavian artery is applied end to end.