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The authors report the results of 1268 reconstructive operations in cases of various ischaemic syndromes. Surgical technique and indications for surgery are discussed. The clinical material consists of 115 reconstructive operations on the supraaortic branches, 462 operations in the aortoiliac segment, 57 reconstructions of the abdominal aorta and its visceral branches, as well as 652 reconstructive procedures on the arteries below the inguinal ligament. The latter operations include 70 femorotibial venous bypasses in patients with rest pain and gangrene.

Experience in the follow-up of 84 patients who underwent operation for transient cerebral vascular insufficiency in the vertebro-basilar bed is summarized. It was found that most patients with abnormally tortuous or anomalously branching vertebral arteries had transient disorders of the carciac rhythm or increased arterial pressure. Operative treatment of such patients contributes to correction of the neurologic symptoms and leads to normalization of the cardiac rhythm and arterial pressure.