Surgical tactics in combined occlusive diseases of the brachiocephalic arteries and terminal segment of the aorta

An associated pathology of brachycephalic arteries and aortofemoral segment was found in 37.7% of cases. Operations on brachycephalic arteries (1st stage of the treatment) were performed on 29 patients, on the aorto-femoral segment (2nd stage)--on 26 patients. An interval between the stages was from 2-3 weeks up to 1-1.5 months and depended on the degree of occlusive injury of the aorto-femoral segment. All the patients showed clinical improvement confirmed by control rheovasography.