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Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery

journal
https://www.readbyqxmd.com/read/30531787/-contemporary-data-on-efficacy-of-anticoagulant-therapy-in-recanalization-of-deep-veins
#1
A A Polyantsev, D V Frolov, G A Sukhanova, D V Linchenko, T A Litvinova, Yu A Dyachkova
The article is a literature review containing a detailed description of anticoagulant therapy variants, their efficacy in recanalization of deep veins, as well as patients' compliance to treatment. Russian specialists have demonstrated that the processes of active re-organization of thrombotic masses, in some cases leading to complete clearing of the vessel's lumen from a thrombus, may be observed at terms from 3 to 6 months, with a failure to occur within the above period reportedly followed by formation of irreversible cicatricial-sclerotic alterations in the veins...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531786/-objective-assessment-of-the-degree-of-ischaemia-and-efficacy-of-treatment-in-chronic-arterial-insufficiency-of-lower-limbs
#2
A V Shabunin, D V Matveev, M R Kuznetsov, E E Fedorov, A D Matveev
Presented in the review is the data concerning contemporary criteria for assessing the degree of chronic lower limb ischaemia and quality of the treatment performed. Problems regarding objectivization of the degree of an ischaemic lesion of an extremity and assessment of quality of conservative treatment still remain unresolved. Currently, in the world practice along with instrumental methods (assessment of the ankle-brachial index) subjective criteria are mainly employed: assessment of pain-free walking distance or maximum distance walked...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531785/-hybrid-intervention-for-a-ruptured-thoracoabdominal-aortic-aneurysm
#3
K V Kochkina, A V Sidorenko, A V Myznikov, G A Usik, A A Shtark, T A Kochkina, A V Pustovoitov, A V Protopopov
A ruptured thoracoabdominal aortic aneurysm is an urgent situation requiring emergency surgery during which it is necessary to decrease the scope of the intervention in a patient at an extremely high surgical risk. A combination of surgical and endovascular techniques makes it possible to minimize surgical injury, blood loss, to shorten the duration of internal organs ischaemia, to reduce the risk of paraplegia. Presented herein are the results of emergency hybrid intervention for a ruptured thoracoabdominal aortic aneurysm, accompanied and followed by description of the technical aspects of performing the surgical and endovascular stages...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531784/stenting-of-an-endograft-limb-in-its-acute-occlusion-after-endovascular-intervention-for-an-abdominal-aortic-aneurysm
#4
D V Krasheninin, S E Yartsev, A D Gavrilko, A M Polyakov
Endovascular abdominal aortic aneurysm repair (EVAR) has recently become an operation of choice in the presence of clinical, anatomic and organizational conditions for implantation of a stent graft. However, like any other operation, EVAR bears the risk of various complications. Due to low frequency of EVAR, the problem concerning appropriate policy of managing patients presenting with such types of complications may be difficult. Thrombosis of a stent graft's components is encountered more often compared with "open" prosthetic repair of the abdominal aorta...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531783/-transcutaneous-coronary-intervention-with-the-use-of-extracorporeal-membrane-oxygenation-in-patients-with-acute-coronary-syndrome
#5
I E Vereshchagin, V I Ganyukov, R S Tarasov, N A Kochergin, D L Shukevich, O L Barbarash
Analysed herein are the in-hospital and remote (12 months) results of transcutaneous coronary interventions (TCI) carried out in patients with non-ST elevation acute coronary syndrome (nSTE-ACS) and multivessel coronary artery disease with the use of extracorporeal membrane oxygenation (ECMO). From 2013 to 2015, the study included a total of 18 patients with nSTE-ACS and multivessel coronary artery disease who had been denied "open" surgical myocardial revascularization. The mean values (scores) of the scales in the group were as follows: GRACE - 119...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531782/-aortic-bicarotid-subclavian-trifurcation-bypass-grafting-combined-with-coronary-aortic-bypass-grafting
#6
R S Tarasov, A N Kazantsev, A N Kokov
Presented herein is the result of a successful simultaneous operation: carotid endarterectomy on the left + aortic-carotid prosthetic repair on the left + prosthetic repair of the brachiocephalic trunk + graft-subclavian bypass procedure on the left + graft-coronary bypass prosthetic repair of the anterior descending artery with an autovein and coronary aortic bypass grafting of the right coronary artery with an autovein. The chosen method of surgical correction was characterized by a high level of technical difficulty...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531781/indications-for-ascending-aorta-bifemoral-bypass-grafting-in-patients-with-ihd-and-occlusion-of-the-infrarenal-aorta
#7
E V Rosseikin, V V Bazylev, A B Voevodin
The problem concerning surgical decision-making in patients with significant atherosclerotic lesions of arteries of more than one basin will, probably, be important for cardiovascular surgeons for more than one decade. Even the centres possessing experience in several thousand cases of successful treatment of multifocal atherosclerosis have from time to time been facing non-trivial clinical situations requiring a non-standard decision the recommendations for which could hardly be found in the guidelines available, if at all...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531780/-results-of-a-single-centre-study-of-open-and-endovascular-operations-of-prosthetic-repair-of-abdominal-aortic-aneurysms
#8
E D Zvereva, B B Komakha, D A Zverev, M A Chernyavsky, M L Gordeev
OBJECTIVE: The purpose of the study was to assess surgical outcomes in patients suffering from an infrarenal abdominal aortic aneurysm and treated at the Department of Cardiovascular Surgery #2 of the National Medical Research Centre named after V.A. Almazov. PATIENTS AND METHODS: We carried out a non-randomized retrospective study including a total of 209 patients presenting with an infrarenal abdominal aortic aneurysm. Of these, 160 (76%) patients were subjected to open surgical interventions (Group One) and 49 (24%) patients underwent endovascular isolation of the abdominal aortic aneurysm (Group Two)...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531779/-comparing-efficacy-of-recanalization-with-stenting-of-extended-occlusions-of-superficial-femoral-artery-and-loop-endarterectomy
#9
Sh B Saaya, A A Gostev, A V Cheban, A A Rabtsun, A A Karpenko
OBJECTIVE: The study was aimed at comparing the outcomes of loop endarterectomy (LE) and endovascular revascularization (ER) with stenting in occlusive lesions (TASC II type D) of the superficial femoral artery (SFA), as well as revealing predictors of restenosis/reocclusion. PATIENTS AND METHODS: Between May 2011 and December 2016, a total of 234 patients presetting with occlusions of the SFA (TASC II type D lesions) were operated on. Of these, 117 patients underwent ER with SFA stenting and 117 patients were subjected to loop endarterectomy from the SFA...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531778/-use-of-uncoated-metal-stents-in-surgery-of-aortic-dissection
#10
D A Sirota, D S Khvan, M M Lyashenko, S A Alsov, M O Zhulkov, A M Chernyavsky
Presented herein is a review of the literature concerning the use of uncoated metal stents in surgery of aortic dissection. A conclusion was drawn that the results of using the Djumbodis stent should not be directly extrapolated to the outcomes obtained in case of the E-XL stent which had mainly been used for hermetic sealing and for creation of optimal conditions for TEVAR. It is pointed out that the use of uncoated metal stents in aortic surgery is acceptable, however, it is required to solve a series of problems associated with elimination of certain shortcomings of the available devices...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531777/-efficacy-of-carotid-endarterectomy-in-patients-with-vertebrobasilar-insufficiency-without-significant-lesion-of-vertebral-arteries
#11
A N Vachev, O V Dmitriev, M Yu Stepanov, E V Frolova
The authors examined efficacy of carotid endarterectomy (CEA) in treatment of patients suffering from vertebrobasilar insufficiency (VBI) without significant involvement of the vertebral arteries. The study included a total of 297 patients with VBI and diagnosed as having stenosis of the bifurcation of the carotid arteries amounting to 70% and more, with no significant involvement of the vertebral arteries revealed. All patients underwent CEA: eversion CEA was performed in 226 (76.1%) cases and the classical one in 71 (23...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531776/-surgical-treatment-of-patients-with-superior-vena-cava-syndrome-associated-with-permanent-vascular-access
#12
A V Maksimov, A K Feĭskhanov, É Sh Makarimov, A R Akhmadieva
Presented herein are two clinical case reports concerning surgical treatment for superior vena cava syndrome in patients suffering from end-stage renal disease and undergoing programmed haemodialysis. Initially attempted roentgen-endovascular recanalization turned out to be unsuccessful. The patients were then subjected to ipsilateral extrathoracic bypass grafting, which made it possible to preserve the vascular access for programmed haemodialysis and to relieve venous hypertension of the limb and the brain, as well as to improve quality of life...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531775/-state-of-the-venous-outflow-from-the-small-pelvis-after-surgical-correction-of-pelvioperineal-reflux
#13
S G Gavrilov, A V Karalkin, E P Moskalenko, K Yu Savinkova
OBJECTIVE: The study was aimed at assessing the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux with the use of reference methods of examination. PATIENTS AND METHODS: We examines a total of 43 female patients (aged 41.5±5.2 years) presenting with pelvic varicose veins and subjected to phlebectomy on the external genitalia, perineum and lower limbs. All women had no evidence of pelvic venous plethora. All women underwent the following examinations: ultrasonographic angioscanning of pelvic and lower-limb veins, emission computed tomography of pelvic veins prior to operation, as well as 1, 6 and 12 months after surgical interventions...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531774/-damage-to-subcutaneous-nerves-in-endovenous-laser-coagulation-of-the-great-saphenous-vein
#14
A A Fokin, D A Borsuk, I S Vasiliev, M V Shaldina
The purpose of this study was to assess the incidence of the development of symptoms of damage to subcutaneous nerves after endovenous laser coagulation (EVLC) of the great saphenous vein (GSV), as well as to determine the effect of these symptoms on quality of life (QoL) of patients. Our retrospective study enrolled a total of 119 patients (mean age 50±13.9 years) subjected to 151 isolated EVLC of the GSV. The average volume of the injected anaesthetic per 1 cm of the vein's length amounted to 8.5±1.9 ml...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531773/-possibilities-of-pharmacokinetic-modelling-of-venotonics-illustrated-by-an-example-of-flavonoids
#15
M I Savelyeva, D A Sychev
Studying the structure of flavonoids, as well as the processes of their absorption, metabolism, distribution and elimination is of interest from the point of view of the inter- and intra-specific variability of pharmacokinetic parameters obtained both in laboratories and clinical conditions. Pharmacological application of flavonoids appears to be limited due to peculiarities of the structure and metabolism, thus requiring search for ways to improve their absorption. Discussed in the article are peculiarities of metabolism of flavonoids, methods of correcting the effect of variability of pharmacokinetic parameters on bioavailability and in the long run on realization of the clinical effect...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531772/-endotheliotropic-effects-of-venotonic-drugs-in-treatment-of-patients-with-varicose-veins
#16
R E Kalinin, I A Suchkov, A A Kamaev, V I Zvyagina, A A Krylov
The authors analysed the effect of Venarus on the endothelial function in patients suffering from lower limb varicose veins. Our open-label prospective study included a total of 100 patients diagnosed as having CEAP class C1-C2 varicose veins and divided into two equal groups. Dynamic assessment of the clinical course of the disease in Group One patients was carried out on the background of taking Venarus and compression therapy, with Group Two patients evaluated without taking Venarus. At defined stages we determined the level of biochemical markers of endothelial function...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531771/-balloon-angioplasty-of-the-radial-artery-in-critical-hand-ischaemia
#17
B Z Tursunov, Kh Kh Usmanov, S N Temirov
Presented herein are the results of treatment of five 63-to-72-year-old patients (four men and one woman) with critical upper limb ischaemia, which is one of rarely encountered pathologies. All patients suffered from type 2 diabetes mellitus. Two of them had end-stage renal disease (ESRD) and for 2 years were on haemodialysis. Four patients had gangrene of 1 finger and one patient had gangrene of 2 fingers. The main diagnostic methods included duplex scanning with measuring the gradient of pressure between the humeral and radial arteries, and MSCT angiography...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531770/-incomplete-endovascular-myocardial-revascularization-in-patients-with-low-ejection-fraction
#18
V V Bazylev, M G Shmatkov, A I Pianzin
Despite obvious progress of cardiac surgery, a low left ventricular ejection fraction is an important independent predictor of a high rate of complications and increased in-hospital lethality in open surgical interventions. On this ground, promising seems to be a method of endovascular myocardial revascularization, which is associated with a minimal number of intraoperative and postoperative complications. However, by means of transcutaneous coronary intervention (TCI) it is not always possible to perform complete anatomical myocardial revascularization...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531769/-use-of-contrast-enhanced-ultrasound-for-assessment-of-the-state-of-femoropopliteal-bypass-graft-anastomoses
#19
O G Shults, O V Vopilova, A A Shults
Analysed herein is the experience of the first eight ultrasonographic studies of peripheral arteries with dynamic contrast enhancement using sulphur hexafluoride («SonoVue») carried out in patients after previously performed femoropopliteal bypass grafting with a synthetic prosthesis (in seven cases the distal anastomosis of the bypass graft was located below the fissure of the knee joint and in one case - above the fissure of the knee joint). Contrast-enhanced ultrasonography was performed averagely 12.5±4...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/30531768/-relation-between-ultrasonographic-and-morphological-characteristics-of-atherosclerotic-plaques-of-carotid-sinus
#20
R B Medvedev, M M Tanashyan, S I Skrylev, É G Gemdzhian, T S Gulevskaya, P L Anufriev
The authors revealed relation between the structure of an atherosclerotic plaque (ASP) and intensity of the ultrasound signal reflected form the ASP. Our prospective pilot study included a total of 90 patients (71 men and 19 women aged from 47 to 79 years, with the median age 62 years) presenting with atherosclerotic stenosis of the carotid sinus (CS) and undergoing treatment at the Research Centre of Neurology (Moscow) from April 2015 to March 2016. All patients underwent ultrasonographic examination followed by morphological study of the structure of the plaques removed during carotid endarterectomy (CEA)...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
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