THE SPIRIT-PROCAINE PERIARTERIAL BLOCKADES APPLICATION UPON THE THIRD SEGMENT OF VERTEBRAL ARTERY IN VERTEBRAL-BASILAR INSUFFICIENCY

• Main Authors: R.Z. Losev, A.M. Khachatryan, I.I. Sholomov, N.A. Kaybekova
• Format: Article
• Language: Russian
• Published: Saratov State Medical University 2008-09-01
• Series: Саратовский научно-медицинский журнал
• Subjects: cervical spine; spirit-procaine periarterial blockade; vertebral-basilar insufficiency
• Online Access: http://www.ssmj.ru/system/files/2008_03_107_111.pdf

The spirit-procaine blockades are pathogenicallyjustified methods oftreatmentofthe vertebral-basilarartery insufficiency caused by vertebral pathology. Chemical desympathisation of the third portion of the vertebral artery (VA) can be applied as alternative to stellate ganglionectomy and blockades of stellate ganglion or periarterial plexus of the VA at the level of the sixth cervical vertebra. In case of positive effect after procaine blockade, the next stage of the treatment is the periarterial alcoholisation of vertebral arteries by low-concentrated (30°) ethyl alcohol. This effect is analogous to procaine blockade, but more steadfast Clinical and ultrasound investigations proved, thatspirit-procaine blockades improve the blood flow in vertebrobasilar arterial system, reduce the peripherical resistance of the vessels and interhemispherical asymmetry, and decrease the spasm of intracranial arteries, that leads to improvementof neurological condition.