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BYPASS SURGERY IN PATIENTS
WITH COMBINED ATHEROSCLEROTIC
LESIONS OF COMMON AND INTERNAL
CAROTID ARTERY.

An analysis of data of carotid angiographies was made in
146 patients with chronic cerebrovascular disease. Combined
lesions of the common and internal carotid artery with clinical
signs were revealed in 2 (1,4%) patients. A crossed extraanatomic
bypass from the left common carotid artery to the right internal
carotid artery was performed in one patient. The orthotopic
common-internal autovenous bypass on the right side was carried
out for another patient. According to obtained results, the authors
suggested that the orthotopic or extraanatomic common-internal
carotid artery bypasses could be applied in case of impossibility
of endovascular intervention, when patients had the combined
atherosclerotic lesions of common carotid and internal carotid
artery.