N.N. BURDENKO JOURNAL OF NEUROSURGERY 6, 2013 Occlusions of the brachiocephalic trunk are a rare pathology. In a series of ultrasound screenings, the brachiocephalic trunk occlusions were diagnosed in 20 out of 30,000 examined patients [5] and were detected in patients with manifestations of chronic cerebral ischemia in 1.5–2% of cases on average [12]. Atherosclerosis, nonspecific aortoarteriti...

OBJECTIVE Although the surgical management of brachiocephalic disease is well established, evolving endovascular techniques present new options for treatment. We explored the potential benefits and drawbacks of these interventions in terms of outcome. METHODS From 1966 to 2004, 391 consecutive patients (43.7% male; mean age, 61.9 years) with single-vessel brachiocephalic disease were treated ...

This study provides quantitative data and information about the variations in branching patterns of aortic arch, normal lengths of BT and trachea, as well as their diameters, in 30 spontaneously aborted human foetuses aged 14– 35 weeks. Among all the foetuses examined, the aortic arches were found to have mainly two kind of variations in its branching pattern, without gender differences. In 53%...

Background and purpose Despite advances in endovascular therapies, some patients experience vertebral artery stenosis or subclavian occlusion may not benefit from less-invasive angioplasty/stenting. This study described 4 cases which carotid-vertebral transposition (CVT) carotid-subclavian (CST) was adapted when treatment unfeasible unsuccessful. Presentation Case 1: A 65-year-old woman present...

Case report The patient had a history of coronary artery disease postcoronary artery bypass graft and was hospitalized for syncope due to atrial fibrillation with slow ventricular response, and underwent ventricular pacemaker implantation (VVIR mode). Under fluoroscopic guidance, a right ventricular screw-in lead was inserted via the cephalic vein. The course of the pacemaker leads deviated fro...

BACKGROUND AND PURPOSE To investigate the incidence of retrograde flow from complex plaques (> or =4-mm-thick, ulcerated, or superimposed thrombi) of the descending aorta (DAo) and its potential role in embolic stroke. METHODS Ninety-four consecutive acute stroke patients with aortic plaques > or =3-mm-thick in transesophageal echocardiography were prospectively included. MRI was performed to...

as a preliminary to laryngotomy, for the removal of warts from the larynx. The tube used was Fuller's, with a split or dilating outer canula. Bronchitis supervened ; but after a few days the child was apparently doing well. On the seventh day after the operation severe arterial haemorrhage occurred from the trachea, with fatal result. At the autopsy, the trachea and innominate artery opposite t...