[Surgical treatment of occlusive diseases of the brachiocephalic arteries].

Experience of the department of vascular surgery of the Novgorod Regional Hospital from 1985 is analysed. The department has the standard sets of instruments, equipment, and roentgenodiagnostic apparatus which allow catheter, selective, and puncture angiography to be carried out. Thirty-six operations were performed on 28 patients. All were conducted under endotracheal anesthesia with medicamentous protection of the brain. One patients died from reflex cardiac arrest. No complications occurred in the other operations and their results were positive. It is concluded that reconstructive operations on the brachiocephalic trunks can be successfully performed in angiosurgical departments of regional and city hospitals with a personnel skilled in diagnosis and a trained angiosurgeon and anesthesiologist on the staff.