[Hybrid operative interventions in multilevel lesions of the brachiocephalic arteries in patients with cerebrovascular insufficiency].

The authors share herein their experience with hybrid surgical interventions for multilevel lesions of the brachiocephalic arteries (stenting and an open operation) in a total of eleven patients presenting with cerebrovascular insufficiency. Our first experience gained in performing hybrid operations confirmed a possibility of correcting tandem stenoses of the brachiocephalic arteries from the standard approach to the common carotid artery bifurcation. No intraoperative complications were encountered. Hybrid interventions made it possible to reliably correct multiple arterial stenoses, necessitating neither additional bypass grafting nor prosthetic repair.