[Surgical treatment of occlusive diseases of subclavian arteries]

The authors discuss their experience in surgical treatment of 37 patients with occlusive lesions of the subclavian arteries. Ten patients had isolated lesions of the subclavian arteries and 37 had combined affections of the carotid and subclavian arteries. Analysis of their own clinical material allowed the authors to put forth their point of view on the indications for surgical treatment, the tactics and order of surgical interventions, and the choice of the optimal method and plastic. material fro reconstructive operations. Sixty-seven reconstructive operations were carried out, in 11 of them one-stage reconstruction of the carotid and subclavian arteries was performed. Fatal outcomes were not encountered. The results of surgery were studied in 20 patients in follow-up periods of 6 months to 3 years. Complete regression of neurological symptomatology was found in 87.5% of patients with TIA and in 88.8% of those with encephalopathy and circulatory disorders. This confirms the effectiveness of surgical treatment of patients with occlusive lesions of the subclavian arteries.