Combined operations in pathology of brachiocephalic arteries

Introduction. Radical correction of brachiocephalic artery diseases occupies a leading position in the practice of vascular surgery. Intravascular interventions are becoming increasingly used, with impressive improved results and minimally invasiveness. However, this area is characterized by a variety of pathology, anatomical features and the varying prevalence of the process, which, in some cases, implies an individual (creative) approach to solving the problem. And in particular, this applies to therapeutic tactics for combined pathologies of the region. Materials and methods. In the period from November 2024 to April 2025, the group performed 108 operations for pathology of the brachiocephalic basin. Combined operations were performed in only 3 cases. Results and discussion. A description of 3 clinical cases with combined operations is presented. Conclusion. In specialized vascular departments, if there are indications, simultaneous correction of combined pathology is possible and advisable.