Our Experience in the Treatment of Vertebrobasilar Insufficiency Due to Cervical Spine Disorders-Reference-Cited by-同舟云学术

Our Experience in the Treatment of Vertebrobasilar Insufficiency Due to Cervical Spine Disorders

Published:2021-07-30 Issue: Volume:15 Page:318-324
ISSN:1998-4510
Container-title:International Journal of Biology and Biomedical Engineering
language:en
Short-container-title:

Author:

Dzhilkashiev Beslan S.¹,Antonov Gennadiy I.¹,Chmutin Gennadiy E.¹,Simfukwe Keith¹,Miklashevich Edward R.²

Affiliation:

1. Peoples' Friendship University of Russia (RUDN University), 6 Miklouho-Maclay Str., 117198 Russian Federation

2. 3-d Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defense of the Russian Federation, 1 Novyy Village, 143420 Russian Federation

Abstract

This article defines vertebra-related causes of vertebrobasilar insufficiency in patients with the signs of tortuosity of segment VI of the VA. The aim of this study is to present the results of diagnostics of discirculatory phenomena in the vertebrobasilar system and to show their importance for differentiated surgical treatment of stenotic lesions of segment V1 of VA in pathological disorders of cerebral circulation in the VBS caused by osteochondrosis of the cervical spine. The following traditional methods are used in diagnostics: Doppler ultrasonography, multispiral computed tomography with contrast enhancement. Also using developed by the author method for determining VA reactivity and circulatory insufficiency in the vertebrobasilar system (VBS). Based on our methodology and criteria, patients were selected for different types of surgical treatment with clinical outcome prediction following interventions on the arteries of the VBS. To determine the pathologies of the intracranial segments of the vertebral and basilar arteries, taking into account the pathways of collateral compensation in the VBS, cerebral angiography is recommended before surgery on the arteries of the VBS. Reconstructive techniques used on segment VI of the VA will predictably show the best long-term clinical results. The excision of a tortuous segment VI of the VA may be effective in obtaining reliable results of successful interventions in the early postoperative period. The conservative treatment of the patients with multiple VBD lesions is possible. early outcomes of their use are satisfactory.

Publisher

North Atlantic University Union (NAUN)

Subject

General Biochemistry, Genetics and Molecular Biology,Biomedical Engineering,General Medicine,Bioengineering

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