[Mini-invasive technologies in diagnosis and treatment of major vessels diseases].

Experience with 150 endovascular stents and endoprostheses including ones of vertebral and carotid arteries (first experience in Russia) is analyzed. Mini-invasive surgery is indicated for patients with isolated arterial lesions (segmental stenosis, short occlusions), changed and hard for surgery parts of vascular system (renal, visceral arteries, branches of aortic arch), restenosis after traditional surgeries and also for patients with severe concomitant diseases. Rate of complications of carotid endovascular stenting was 4,3%. The follow-up ranged from 2 months to 5,5 years. There were no restenoses in the stented zone. Complete absence of complains and regress of neurological symptoms were seen in 89% patients.

[Stenting of left common carotid artery kinking in the region of carotid subclavian anastomosis in a patient operated for occlusion of left subclavian artery]. / Stentirovanie peregiba levoi obshchei sonnoi arterii v oblasti karotidno-podkliuchichnogo anastomoza u bol'noi, operirovannoi po povodu okkliuzii levoi podkliuchichnoi arterii.

The paper presents a case report of left common carotid artery kinking treated by stenting in a patient with aortoarteritis. The kink had developed 10 months after performance of carotid-subclavian anastomosis for occlusion of left subclavian artery and steal syndrome. The stenting procedure of left common carotid artery is described. Follow-up for 42 months and control angiography 6 months after stent implantation demonstrated good outcome and regression of neurological symptoms. Special features of stenting procedure in coiled artery with unaltered walls are analysed. The authors mention that carotid stenting in this patient was the most appropriate method of surgical treatment. It is the first description of stent use for carotid artery kinking correction.

[Somatosensory evoked potentials in the evaluation of the effectiveness of intensive therapy of ischemic complications in neurosurgical patients]. / Somatosensornye vyzvannye potentsialy v otsenke éffektivnosti intensivnoi terapii ishemicheskikh oslozhnenii u neirokhirurgicheskikh bol'nykh.

Nineteen patients with ischemic disorders of brain circulation were examined. All of them were in a critical state and in need of intensive vasoactive therapy. Somatosensory evoked potentials (SSEP) were examined in both hemispheres in all of them, this being followed by monitoring on the side of the predominant involvement. Simultaneously with monitoring, vasoactive therapy was started, beginning from rheological agents. Electro-physiologic assessment of the efficacy of vasoactive drugs in this group of patients revealed that the time course of SSEP helps predict the disease outcome, detect the reaction to a specific vasoactive agent, and choose the appropriate scheme of intensive care.