1,535 results match your criteria Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery[Journal]


[Reconstructive surgery of deep veins in post-thrombotic disease: possibilities and perspectives].

Authors:
I M Ignat'ev

Angiol Sosud Khir 2020 ;26(2):197-200

Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University of the RF Ministry of Public Health, Kazan, Russia.

This article is a review of the literature related to the possibilities and perspectives of reconstructive operations on deep veins for post-thrombotic disease (with the data retrieved from such databases as the PubMed, Scopus, Medline and EMBASE). The most optimal variants of performing reconstructive operations on deep veins are described, accompanied and followed by analysing their outcomes with the discussion of approaches to determining the indications for these interventions. Also considered are the perspectives of bettering the results of reconstructive operations at the expense of modernizing the technologies of diagnosis and surgical treatment. Read More

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http://dx.doi.org/10.33529/ANGIO2020216DOI Listing
January 2020

[Robot-assisted operations in vascular surgery].

Angiol Sosud Khir 2020 ;26(2):190-195

Department of Vascular Surgery, Petrovsky National Research Centre of Surgery, Moscow, Russia; Department of Hospital Surgery, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.

The article contains a systematic review of the literature dedicated to vascular robot-assisted operations, also discussing the use of robotic technologies in vascular surgery, their advantages and disadvantages. In so doing, we studied the experience of Russian and leading international surgical centres, comparing the reported outcomes by such parameters as the average duration of the operation, mean time of aortic cross-clamping, time spent for anastomosis formation, frequency of postoperative complications, etc. Benefits of robot-assisted operations allowed the latter to occupy the leading positions in various fields of surgery, although the use of robots in vascular surgery has only begun to gain popularity. Read More

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http://dx.doi.org/10.33529/ANGI02020202DOI Listing
January 2020

[Thrombosis of the inferior vena cava and right portions of the heart in a relapsing retroperitoneal malignant tumour].

Angiol Sosud Khir 2020 ;26(2):183-189

Saint Petersburg Clinical Research and Practical Centre for Specialized Types of Medical Care (Oncological), Saint Petersburg, Russia.

Presented herein is a clinical case report regarding successful treatment of a female patient with a relapsing malignant retroperitoneal tumour complicated by disseminated thrombosis of the inferior vena cava, right atrium and right ventricle of the heart. A relapse of the malignant uterine tumour had developed 3 years after the primary operation and was represented by a large-size mass ingrowing into the infrarenal segment of the inferior vena cava, aorta, as well as jejunum. Additional examination revealed the presence of a tumorous thrombus extending from the primary tumorous node in the lumen of the inferior vena cava to the right atrium and ventricle. Read More

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http://dx.doi.org/10.33529/ANGIO2020214DOI Listing
January 2020

[Surgical treatment of a patient with traumatic rupture of the aortic arch and late oesophageal perforation].

Angiol Sosud Khir 2020 ;26(2):175-182

Department of Vascular Surgery, Municipal Multimodality Hospital #2, Saint Petersburg, Russia.

Described herein is a clinical case report regarding a patient presenting with traumatic rupture of the aortic isthmus with the development of a pseudoaneurysm occupying virtually the entire posterior mediastinum and measuring 20?10 cm in size. He was immediately treated as an emergency to undergo prosthetic reconstruction of the portion of the aortic arch and descending thoracic aorta by means of temporary bypass grafting with a synthetic graft in order to protect the visceral organs. The postoperative period was complicated by oesophageal perforation with the formation of an oesophago-paraprosthetic fistula, infection of the vascular graft, accompanied by the development of pleural empyema and mediastinitis. Read More

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http://dx.doi.org/10.33529/ANGIO2020219DOI Listing
January 2020

[Successful treatment of an aortoduodenal fistula after operation on the abdominal portion of the aorta].

Angiol Sosud Khir 2020 ;26(2):170-174

I.P. Pavlov Ryazan State Medical University of the Ministry of Healthcare of the Russian Federation, Ryazan, Russia; Regional Clinical Hospital, Ryazan, Russia.

Gastrointestinal haemorrhage is a common cause of emergency admission of patients to surgical hospitals. Within the structure of nosological entities, not unreasonably referred to the rarest causes of gastrointestinal bleeding is the formation of an aortointestinal fistula whose early diagnosis is of paramount importance. The clinical picture may be different but it is mostly represented by gastrointestinal haemorrhage. Read More

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http://dx.doi.org/10.33529/ANGIO2020213DOI Listing
January 2020

[Treatment of a patient with Crawford type III thoracoabdominal aortic aneurysm].

Angiol Sosud Khir 2020 ;26(2):163-169

Cardiovascular Surgery Department, Emergency Hospital, Naberezhnye Chelny, Russia.

Presented herein is a clinical case report regarding hybrid techniques successfully used in a patient suffering from a Crawford type III thoracoabdominal aortic aneurysm and DeBakey type IIIB aortic dissection. The first stage consisted in endoprosthetic reconstruction of the descending portion of the thoracic aorta, with the second stage including visceral debranching with endoprosthetic reconstruction of the thoracoabdominal portion of the aorta. As the final stage, the patient was subjected to debranching of brachiocephalic arteries, followed by endoprosthetic repair of the aortic arch. Read More

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http://dx.doi.org/10.33529/ANGIO2020221DOI Listing
January 2020

[Blood loss control during endoscopic vein harvesting for myocardial revascularization in patients with acute coronary syndrome].

Angiol Sosud Khir 2020 ;26(2):156-162

Department of Cardiovascular Surgery, Scientific Research Institute of Cardiology, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tomsk, Russia.

From 5 to 10% of patients presenting with acute coronary syndrome and receiving dual antiplatelet therapy require surgical myocardial revascularization. Dual antiplatelet therapy considerably increases the risk of surgical bleeding. Endoscopic harvesting of the great saphenous vein is a technique that can make it possible to decrease the injury and to minimize blood loss. Read More

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http://dx.doi.org/10.33529/ANGIO2020224DOI Listing
January 2020

[Peculiarities of the development of acute coronary syndrome in patients after coronary artery bypass grafting].

Angiol Sosud Khir 2020 ;26(2):149-155

Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Aim: The purpose of the study was to analyse clinical peculiarities of the development of acute coronary syndrome in patients after coronary artery bypass grafting procedures and to evaluate the in-hospital results of treatment PATIENTS AND METHODS: Within the frameworks of a single-centre register over the period from 2006 to 2016 the study included 81 patients (with a total of more than 5000 coronary artery bypass grafting operations performed during this period). We examined the preoperative, intraoperative, and in-hospital periods, as well as the patients' status at the moment of the development of the clinical course of acute coronary syndrome, its structure and terms of manifestation, the dynamics of the coronary bed condition, also carrying out the analysis of treatment strategies and the in-hospital outcomes thereof.

Results: The development of acute coronary syndrome after coronary artery bypass grafting procedures was revealed in patients with a mean age of 58 (52; 63) years, with a history of postinfarction cardiosclerosis (70. Read More

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http://dx.doi.org/10.33529/ANGIO2020226DOI Listing
January 2020

[Peculiarities of surgical treatment for true aneurysms of the popliteal artery].

Angiol Sosud Khir 2020 ;26(2):141-147

Chair of Faculty Surgery of the Paediatric Department, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia.

A popliteal artery aneurysm is a rare disease and therefore it seems currently important to investigate peculiarities of surgical treatment of this pathology. Our study included a total of 60 patients (62 limbs) operated on for popliteal artery aneurysms with various complications. In order to assess the obtained findings the patients were subdivided into 3 groups depending on emergency of rendering surgical care. Read More

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http://dx.doi.org/10.33529/ANGI02020206DOI Listing
January 2020

[Optimal method of reconstruction in patients with pathology of the 1st segment of the subclavian artery].

Angiol Sosud Khir 2020 ;26(2):133-139

Clinic and Chair of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

The study enrolled a total of 318 patients presenting with lesions of the 1st segment of the subclavian artery and the clinical course of vertebrobasilar insufficiency. All patients prior to admission had been receiving the best course of medicamentous therapy under the supervision of a neurologist for more than 6 months but with no significant clinical improvement. According to the type of the reconstructive operation on the 1st segment of the subclavian artery, all patients were subdivided into three groups. Read More

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http://dx.doi.org/10.33529/ANGIO2020218DOI Listing
January 2020

[Surgical revascularization of the brain in patients with acute ischaemic stroke].

Angiol Sosud Khir 2020 ;26(2):124-132

Research Institute of Emergency Medicine named after N.V. Sklifosovsky under the Moscow Health Care Department, Moscow, Russia.

Aim: The study was aimed at developing a surgical policy for patients presenting with acute ischaemic stroke induced by lesions of the intra- and extracranial arteries.

Patients And Methods: The patients were enrolled into the study resulting from the current practice of the Department of Emergency Neurosurgery of the Research Institute of Emergency Medicine named after N.V. Read More

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http://dx.doi.org/10.33529/ANGIO2020207DOI Listing
January 2020

[Hybrid revascularization of the brain and myocardium: risk stratification for in-hospital complications].

Angiol Sosud Khir 2020 ;26(2):118-123

Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Aim: The study was aimed at determining efficacy of a new computer program of stratification of the risk for postoperative adverse cardiovascular events in patients with atherosclerotic lesions of coronary and carotid arteries.

Patients And Methods: Based on a mathematical analysis of the outcomes of treatment of patients with atherosclerotic lesions of coronary and carotid arteries over the period from 2011 to 2015, we created a program making it possible to determine a staged or simultaneous policy of revascularization, which was retrospectively and prospectively tested in our medical facility.

Results: Within the frameworks of a clinical example we carried out hybrid revascularization of the brain and myocardium in the scope of percutaneous coronary intervention and carotid endarterectomy. Read More

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http://dx.doi.org/10.33529/ANGIO2020212DOI Listing
January 2020

[A device for endoluminal thermal obliteration of varicose veins].

Angiol Sosud Khir 2020 ;26(2):110-116

Pathoanatomical Division, Regional Clinical Hospital, Ivanovo, Russia.

Amongst the techniques of endoluminal thermal obliteration of varicose veins, the most commonly employed treatment modalities are endovasal radiofrequency ablation and endovasal laser obliteration, both using a generating source and a special device for carrying out thermal obliteration. It has been noted that each of the methods of thermal obliteration has a number of disadvantages, irrespective of using the energy of magnetic oscillations in a radiofrequency range or laser radiation, including high cost of expendable materials and equipment. The device we worked out for endoluminal thermal obliteration of varicose veins was based on the principle of high efficacy and safety, with a significant decrease in the cost of carrying out the manipulation. Read More

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http://dx.doi.org/10.33529/ANGIO2020223DOI Listing
January 2020

[Possibilities of using the Colibri system for endovenous laser ablation].

Angiol Sosud Khir 2020 ;26(2):103-109

Department of Surgery of the South-Urals State Medical University of the Ministry of Healthcare of the Russian Federation, Chelyabinsk, Russia.

Aim: The purpose of the study was to assess efficacy of endovenous laser ablation of major saphenous veins by means of the Mediola single-ring radial light guides with the use of the 'Optical Handpiece MHP02 (Colibri)'.

Patients And Methods: This non-comparative prospective study included 430 consecutive patients who underwent a total of 511 endovenous laser ablation procedures from January 2018 to March 2019. The great saphenous vein was subjected to obliteration in 343 (67. Read More

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http://dx.doi.org/10.33529/ANGI02020205DOI Listing
January 2020

[Use of Detravenol in treatment of chronic venous insufficiency of lower limbs].

Angiol Sosud Khir 2020 ;26(2):95-102

Limited Liability Company 'Expert Legal Centre', Moscow, Russia.

Aim: The purpose of this study was to prove that Detravenol is not inferior by clinical efficacy to Detralex® in the course administration in patients presenting with chronic venous insufficiency of the lower extremities caused by lower limb varicose veins.

Patients And Methods: Ours was a prospective randomized open-liable comparative trial aimed at determining efficacy and safety of the two drugs in parallel groups with active control. The trial enrolled a total of 106 patients with chronic venous insufficiency of the lower extremities secondary to lower limb varicose veins. Read More

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http://dx.doi.org/10.33529/ANGI02020201DOI Listing
January 2020

[Efficacy of micronized purified flavonoid fraction in treatment of chronic venous oedema].

Angiol Sosud Khir 2020 ;26(2):86-94

Department of Faculty Surgery #2, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia.

Aim: The purpose of the study was to assess efficacy and safety of using in real clinical practice micronized purified flavonoid fraction (Detralex) in patients with chronic venous oedema.

Patients And Methods: The study enrolled a total of 708 patients presenting with chronic venous disease, belonging to C3EpAsPr according to the CEAP classification (chronic venous oedema), who. depending on the accepted clinical practice by expert physicians were prescribed compression and phlebotropic therapy, as well as undergoing surgical interventions. Read More

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http://dx.doi.org/10.33529/ANGI02020211DOI Listing
January 2020

[Choice of an alternative access in failed endovascular intervention through the right radial artery].

Angiol Sosud Khir 2020 ;26(2):76-83

Department of Interventional Cardioagiology, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.

The transradial access has deservedly become the 'gold standard' while performing various X-ray endovascular interventions both diagnostic and therapeutic ones. However, along with all its advantages, it is not without disadvantages. These difficulties for the most part are related to peculiarities of the anatomy of upper-limb arteries. Read More

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http://dx.doi.org/10.33529/ANGIO2020203DOI Listing
January 2020

First Russian experience with endovascular balloon occlusion of the aorta in a zone of combat operations.

Angiol Sosud Khir 2020 ;26(2):61-75

Field Surgery Department, Military Medical Academy named after S.M. Kirov under the Ministry of Defence of the Russian Federation, Saint Petersburg, Russia.

Resuscitative endovascular balloon occlusion of the aorta has increasingly been used all the world over for arresting ongoing intraabdominal and intrapelvic bleeding accompanied by unstable haemodynamics. However, the use of resuscitative endovascular balloon occlusion of the aorta in a zone of military operations has been limited to sporadic cases only. This article deals with 3 clinical case reports regarding rendering medical care for the wounded presenting with extremely unstable haemodynamics and/or a terminal state in a field hospital, where insertion of a balloon into the aorta made it possible to stabilize the condition, to perform the basic scope of diagnosis, and to finally control the continuing bleeding: in one case - intraabdominal (due to splenic rupture) and in 2 cases - intrapelvic (unstable fractures of pelvic bones). Read More

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http://dx.doi.org/10.33529/ANGI02020204DOI Listing
January 2020

Results of flowmetric assessment of composite Y-grafts and autovenous coronary artery bypass grafts.

Angiol Sosud Khir 2020 ;26(2):52-59

Federal Centre of Cardiovascular Surgery under the RF Ministry of Public Health, Penza, Russia.

Aim: The purpose of the study was to perform intraoperative assessment of blood flow in coronary bypass grafts of the 'first' and 'third' order according to Calafiore A.M. with the help of the TTFM technique and to compare the obtained results. Read More

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http://dx.doi.org/10.33529/ANGI02020210DOI Listing
January 2020

[Results of treatment with oral anticoagulants in patients with lower limb deep vein thrombosis].

Angiol Sosud Khir 2020 ;26(2):42-50

Department for General Surgery and Urology, Volgograd State Medical University of the RF Ministry of Public Health, Volgograd, Russia.

Analysed herein is the incidence rate of decompensated forms of venous insufficiency in patients who endured lower limb deep vein thrombosis and were prescribed either warfarin, rivaroxaban in therapeutic doses or rivaroxaban in a preventive dose. The study enrolled a total of 129 patients presenting with thrombotic lesions of deep veins of the lower limbs. The patients were divided into three groups depending on the anticoagulant therapy prescribed. Read More

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http://dx.doi.org/10.33529/ANGI02020208DOI Listing
January 2020

[Efficacy of treatment of lower-limb critical ischaemia by methods of indirect revascularization].

Angiol Sosud Khir 2020 ;26(2):34-40

Kursk State Medical University of the RF Ministry of Public Health, Kursk, Russia.

Aim: The study was aimed at comparing the efficacy of implantation of autologous bone marrow cells with that of revascularizing osteotrephination in treatment of lower limb chronic critical ischaemia in patients with a poor distal vascular bed.

Patients And Method: We analysed the results of comprehensive examination and treatment of a total of 60 patients presenting with lower limb chronic critical ischaemia due to atherosclerotic lesions of the femoropopliteal-tibial segment. According to the technology of treatment, the patients were divided into two statistically homogenous groups of 30 people each. Read More

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http://dx.doi.org/10.33529/ANGIO2020222DOI Listing
January 2020

[Problems and prospects of cell therapy for critical ischaemia of lower limbs].

Angiol Sosud Khir 2020 ;26(2):23-33

Department of Vascular Pathology and Hybrid Surgery, National Medical Research Centre named after Academician Meshalkin E.N. under the RF Ministry of Public Health, Novosibirsk, Russia.

Background: Cell therapy was proposed as a procedure of indirect revascularization for patients with critical ischaemia of lower extremities for whom endovascular and surgical revascularization is impossible. We present herein a review of the state of the art of studies in the field of cell therapy of this cohort of patients.

Basic Provisions: Cell therapy has proved safe, however, the results of studies of efficacy are relatively ambiguous and unconvincing. Read More

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http://dx.doi.org/10.33529/ANGIO2020220DOI Listing
January 2020

[New possibilities of antithrombotic therapy improving prognosis in patients with stenosing atherosclerosis of carotid arteries].

Angiol Sosud Khir 2020 ;26(2):17-21

Department of Surgery of the Institute of Additional Professional Education, South Ural State Medical University, Chelyabinsk, Russia.

The purpose of the COMPASS (Cardiovascular Outcomes for People Using Anticoagulation Strategies) trial was to evaluate a regimen of a two-way impact on thrombus formation in patients presenting with ischaemic heart disease and peripheral artery diseases. The study included a total of 1,919 patients with stenosis of carotid arteries and 1,032 patients with a history of stroke. Many patients with disease of peripheral arteries (including carotid arteries) enrolled into the COMPASS trial appeared to have additional risk factors for stroke such as, for instance, current or former smoking, diabetes mellitus, or ischaemic heart disease. Read More

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http://dx.doi.org/10.33529/ANGIO2020215DOI Listing
January 2020

[Vascular age in patients with arterial hypertension].

Angiol Sosud Khir 2020 ;26(2):10-16

Department of Cardiology, Functional and Ultrasound Diagnosis, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Ageing is considered to be the major and non-modifiable risk factor for the development of hypertension and cardiovascular diseases. During ageing, the vascular system undergoes structural and functional alterations, including endothelial dysfunction, thickening of the vascular wall, reduced distensibility and increased arterial stiffness. Vascular rigidity results from fibrosis and remodelling of the extracellular matrix, processes that are associated with ageing and are amplified in hypertension. Read More

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http://dx.doi.org/10.33529/ANGI02020209DOI Listing
January 2020

[Meta-analysis of the results of eversion carotid endarterectomy and endarterectomy with patch plasty].

Angiol Sosud Khir 2020 ;26(1):176-183

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia.

Aim: The study was aimed at comparing the results of eversion carotid endarterectomy and carotid endarterectomy with patch plasty in the immediate and remote postoperative periods.

Materials And Methods: The literature was retrieved by means of electronic databases, with the dates of publications ranging from 1970 to 2019. According to the inclusion and exclusion criteria we selected the literature making it possible to carry out a meta-analysis in the immediate and remote postoperative periods. Read More

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http://dx.doi.org/10.33529/ANGIO2020121DOI Listing
January 2020

[Ways of decreasing incidence of complications in patients after endured reconstructive and endovascular operations on lower limb arteries].

Authors:
V S Arakelian

Angiol Sosud Khir 2020 ;26(1):165-173

National Medical Research Centre of Cardiovascular Surgery named after A.N. Bakulev under the RF Ministry of Public Health, Moscow, Russia.

Peripheral artery disease represented predominantly by atherosclerosis obliterans is a common social burden all over the world. The main method of treatment for peripheral artery disease (PAD) is considered to be open surgical or endovascular revascularization. Unfortunately, despite a steadily growing number of operations and implementation of new types of interventions, including endovascular ones, the prognosis in patients with peripheral artery diseases still remains unfavourable. Read More

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http://dx.doi.org/10.33529/ANGIO2020106DOI Listing
January 2020

Brachial artery aneurysm in a neonate.

Angiol Sosud Khir 2020 ;26(1):157-160

Children's Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, Kazan, Russia; Kazan State Medical University of the RF Ministry of Public Health, Kazan, Russia.

Presented in the article is a clinical case report concerning successful surgical treatment of a rare disease - a progressing congenital true brachial artery aneurysm in a newborn girl. The symptoms were first noted at the age of 7 days, later on followed by enlargement of the aneurysm, appearance of neurological symptoms, and impaired function of the extremity. The infant was subjected to clinical examination and ultrasonographic study, followed by surgical removal of the aneurysm and restoration of the brachial artery by an 'end-to-end' anastomosis. Read More

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http://dx.doi.org/10.33529/ANGIO2020105DOI Listing
January 2020

[Bypass grafting in patients with infected vascular grafts].

Angiol Sosud Khir 2020 ;26(1):148-156

Department of General Surgery, North-Western State Medical University named after I.M. Mechnikov, Saint Petersburg, Russia.

Analysed herein are the results of treating a total of 17 patients presenting with pathology of the aorta and lower-limb arteries, who from 2010 to 2018 required redo interventions due to infection of a previously implanted synthetic vascular graft. At admission, 3 patients were diagnosed as having an open infected wound, 11 were found to have a fistula, 2 had a false aneurysm in the area of the distal anastomosis of the branch of the bifurcation aortofemoral prosthesis, and 1 had thrombosis of the branch of the prosthesis with evidence of infection. As redo surgery, 4 patients underwent subclavian-femoral bypass grafting, 2 were subjected to crossover iliac-femoral bypass grafting, 8 to unilateral iliac-femoral bypass grafting, 3 to loop endarterectomy. Read More

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http://dx.doi.org/10.33529/ANGIO2020120DOI Listing
January 2020

[Transcatheter replacement of pulmonary artery valve with a graft containing polytetrafluoroethylene leaflets].

Angiol Sosud Khir 2020 ;26(1):143-147

Federal Centre of Cardiovascular Surgery under the RF Ministry of Public Health, Penza, Russia.

Annually, many operations for repeat prosthetic reconstruction of the pulmonary artery valve are performed due to dysfunction after primary correction of both congenital and acquired heart defects. Open operations with artificial circulation are associated with a high surgical risk. Transcatheter implantation is a new and progressive technique of heart valve replacement. Read More

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http://dx.doi.org/10.33529/ANGIO2020123DOI Listing
January 2020

[Embolization of a pseudoaneurysm of the inferior gastroduodenal artery].

Angiol Sosud Khir 2020 ;26(1):138-142

Department of Roentgenosurgical Methods of Diagnosis and Treatment, Central Clinical Hospital and Polyclinic of the RF President's Affairs Administration, Moscow, Russia.

Aneurysms and pseudoaneurysms of visceral arteries are relatively rare clinical entities and their pathogenesis has not yet been fully understood. Aneurysmal rupture appears to be a complication leading to life-threatening internal haemorrhage and is a cause of high mortality. However, advances in endovascular surgery techniques have extended the capabilities of treating aneurysms, allowing microemboli to be delivered even to the hard-to-reach portions of the vascular bed with complicated anatomy. Read More

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http://dx.doi.org/10.33529/ANGIO2020122DOI Listing
January 2020

[Transcatheter valve-in-valve implantation of the 'MedLab-KT' prosthesis].

Angiol Sosud Khir 2020 ;26(1):135-137

Federal Centre of Cardiovascular Surgery under the RF Ministry of Public Health, Penza, Russia.

Valve-in-valve repeat prosthetic reconstruction is a less invasive alternative to 'open' redo operation for degenerative dysfunction of an aortic bioprosthesis. At the beginning of the history of using this method it was resorted to only in cases of high surgical risk, involving virtually inoperable patients. Currently, the world experience numbers in thousands of such interventions, known to be also performed in patients not belonging to a high-risk group. Read More

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http://dx.doi.org/10.33529/ANGIO2020114DOI Listing
January 2020

[Comparative assessment of immediate results of mitral valve repair according to the classical technique with posterior leaflet preservation].

Angiol Sosud Khir 2020 ;26(1):129-133

Research Institute of Cardiac Surgery and Organ Transplantation of the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.

We comparatively assessed the results of mitral valve repair according to the classical technique either with complete removal of leaflets or with the preservation of the posterior leaflet and the chordal-papillary apparatus. Depending on the variant of the operation, all patients were divided into two groups. Group One consisted of 23 patients in whom the posterior leaflet with the chordal-papillary apparatus was preserved, and Group Two comprised 23 patients in whom the mitral valve was removed completely. Read More

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http://dx.doi.org/10.33529/ANGIO2020104DOI Listing
January 2020

[Does an attempt to save a limb always prolong the patient's life?]

Angiol Sosud Khir 2020 ;26(1):121-128

Tver State Medical University of the RF Ministry of Public Health, Tver, Russia; Regional Clinical Hospital, Tver, Russia.

Aim: The purpose of the study was to examine overall survival and the incidence of major adverse cardiovascular events, as well as economic expenditures for treatment of patients with occlusion of the femoropopliteal-tibial segment and critical ischaemia in low competence of the outflow channel, with a poor prognosis for endovascular or open revascularization of lower-limb arteries.

Patients And Methods: We studied the results of treating a total of 68 patients with lower-limb critical ischaemia and low parameters of the outflow channel competence. Primary arterial reconstruction was performed in 48 cases. Read More

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http://dx.doi.org/10.33529/ANGIO2020125DOI Listing
January 2020

[Surgical policy in treatment of patients with infected aortofemoral bifurcation allografts].

Angiol Sosud Khir 2020 ;26(1):113-120

Municipal Clinical Hospital named after V.V. Veresaev, Moscow Healthcare Department, Moscow, Russia.

Described in the article are the results of treating a total of 44 patients who endured repeat operations for infection of aortofemoral bifurcation allografts over the period between 2001 and 2018. These patients had previously undergone reconstructive operations using various synthetic grafts for lower limb ischaemia on the background of lower-limb artery atherosclerosis and infrarenal aortic aneurysms. Infection of synthetic vascular allografts in these patients was observed both in the immediate and remote postoperative periods. Read More

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http://dx.doi.org/10.33529/ANGIO2020102DOI Listing
January 2020

H-shaped partial splenorenal shunting with the use of a reinforced graft made of porous polytetrafluoroethylene.

Angiol Sosud Khir 2020 ;26(1):103-112

A.I. Burnasyan Federal Medical and Biophysical Center of FMBA, Moscow, Russia.

Aim: The study was aimed at improving the immediate and remote results of splenorenal bypass grafting.

Patients And Methods: A total of 57 patients presenting with hepatic cirrhosis, portal hypertension, and recurrent haemorrhage from oesophageal varices underwent an H-shaped partial splenorenal shunt procedure using an externally reinforced 1.5-2. Read More

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http://dx.doi.org/10.33529/ANGIO2020116DOI Listing
January 2020

[Cerebral protection from ischaemia during carotid endarterectomy].

Angiol Sosud Khir 2020 ;26(1):96-101

Department of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

The purpose of this study was to assess efficacy of cerebral protection during carotid endarterectomy by means of controlled systemic hypertension in patients presenting with various levels of retrograde pressure in the internal carotid artery. The study enrolled a total of 150 patients subjected to carotid endarterectomy. The operation was carried out under general anaesthesia with artificial pulmonary ventilation and was accompanied by haemodynamic monitoring with invasive control of arterial pressure, as well as primary and additional correction of central haemodynamics. Read More

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http://dx.doi.org/10.33529/ANGIO2020109DOI Listing
January 2020

[Structure of in-hospital and remote complications of surgical treatment of stenotic lesions of coronary and carotid arteries].

Angiol Sosud Khir 2020 ;26(1):89-95

Department of Cardiology and Cardiovascular Surgery, Kemerovo State Medical University of the RF Ministry of Public Health, Kemerovo, Russia.

Background: Problems concerning the choice of optimal revascularization strategy in patients with simultaneous atherosclerotic lesions of the coronary and brachiocephalic arteries still remain unsolved, since there are no randomized studies and there is uncertainty in Russian and foreign guidelines.

Aim: The study was aimed at analysing the remote results of surgical treatment of 391 patients with concomitant lesions of the coronary and brachiocephalic arteries within the framework of a single-centre prospective registry.

Patients And Methods: Within the timeframe of our study, all patients were divided into 4 groups depending on the method of surgical treatment of the above-mentioned pathology of the coronary and brachiocephalic arteries. Read More

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http://dx.doi.org/10.33529/ANGIO2020113DOI Listing
January 2020

[Autoarterial remodeling of the common carotid artery bifurcation in treatment of stenotic lesions].

Angiol Sosud Khir 2020 ;26(1):82-88

National Medical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia.

Carotid endarterectomy is the main operation carried out for prevention of ischaemic stroke in haemodynamically significant stenoses of the bifurcation of the common carotid artery. Despite the literature data demonstrating some advantages of eversion carotid endarterectomy over the classical technique there arises a series of complicated, as yet unsolved problems. This concerns the control of the distal portion of an atherosclerotic plaque in prolonged lesions of the internal carotid artery, the absence of a temporary bypass graft, necessity of prosthetic repair of the internal carotid artery in detachment of the distal border of the plaque. Read More

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http://dx.doi.org/10.33529/ANGIO2020117DOI Listing
January 2020

[Efficacy of medicamentous treatment of transient premenstrual phlebopathy of lower limbs].

Angiol Sosud Khir 2020 ;26(1):74-80

Department of Surgical Diseases and Urology, Omsk State Medical University of the RF Public Health Ministry, Omsk, Russia.

Aim: The purpose of the study was to examine changes of the clinical pattern and the great saphenous vein in women with premenstrual leg heaviness and distal oedema in repetitive 15-day courses of micronized purified flavonoid fraction, initiated in the second half of the menstrual cycle.

Patients And Methods: A total of 39 parous women (mean age 31.3±7. Read More

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http://dx.doi.org/10.33529/ANGIO2020118DOI Listing
January 2020

[Efficacy of Detragel in treatment of varicothrombophlebitis in elderly and aged patients].

Angiol Sosud Khir 2020 ;26(1):69-73

Municipal Hospital of Emergency Medical Care, Kursk, Russia.

Aim: The present study was aimed at improving the results of treatment in elderly and aged people by means of local therapy with 'Detragel'.

Patients And Methods: The authors analysed the results of comprehensive examination and treatment of 60 elderly and aged patients presenting with acute varicothrombophlebitis and severe somatic diseases. Depending on the method of treatment, the patients were subdivided into 2 statistically homogeneous groups consisting of 30 patients each. Read More

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http://dx.doi.org/10.33529/ANGIO2020108DOI Listing
January 2020

[Comprehensive treatment of indolent trophic ulcers of venous aetiology].

Angiol Sosud Khir 2020 ;26(1):62-68

Department of Surgery, Faculty of Advanced and Primary Medical Training of Specialists, Dagestan State Medical University of the RF Ministry of Public Health, Makhachkala, Russia.

Aim: The study was undertaken to evaluate efficacy of comprehensive treatment with the use of erbium laser radiation in patients suffering from venous trophic ulcers of lower limbs.

Patients And Methods: The study included a total of seventy-six 45-to-80-year-old patients. Of these, there were 43 (56. Read More

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http://dx.doi.org/10.33529/ANGIO2020101DOI Listing
January 2020

[Possibilities of endovenous laser obliteration of subcutaneous veins with tumescence by cold saline solution].

Angiol Sosud Khir 2020 ;26(1):56-61

Clinic of Phlebology and Laser Surgery, Chelyabinsk, Russia.

Aim: The purpose of the present study was to assess the possibility of carrying out endovenous laser obliteration (EVLO) with radial light guides on a laser device operating at a wavelength of 1470 nm, using for tumescence only cold normal saline solution without additional sedation or narcosis in patients with allergy to local anaesthetics.

Patients And Methods: Our prospective non-comparative single-centre study consecutively included 37 patients who from November 2014 to June 2019 underwent a total of 41 isolated EVLO procedures without simultaneous miniphlebectomy or sclerotherapy of tributaries. Given the previous history of allergy to amide-group local anaesthetics and/or multiple allergic reactions to other agents, these patients received as anaesthesia and tumescence exclusively normal saline solution cooled to a temperature of +3-6ºC, without addition of local anaesthetics or any other therapeutic agents, with neither sedation nor narcosis. Read More

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http://dx.doi.org/10.33529/ANGIO2020110DOI Listing
January 2020

[Review of the proceedings of the 68th International Congress of the European Society of Cardiovascular and Endovascular Surgery (May 22-25, 2019)].

Angiol Sosud Khir 2020 ;26(1):49-53

Ryazan State Medical University named after Academician I.P. Pavlov, Ryazan, Russia.

This article covers the main trends of the work of the 68th International Congress of the European Society of Cardiovascular and Endovascular Surgery, reviewing the papers encompassing current problems in not only vascular but also cardiac surgery. Read More

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http://dx.doi.org/10.33529/ANGIO2020103DOI Listing
January 2020

[A case of successful endovascular treatment of a patient with chronic pelvic pain and recurrent varicocele].

Angiol Sosud Khir 2020 ;26(1):42-46

Department of Roentgenosurgical Methods of Diagnosis and Treatment, Interregional Clinical and Diagnostic Centre, Kazan, Russia; Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Kazan, Russia.

Described in the article is a clinical case report regarding diagnosis and treatment of pelvic varicose veins in a 34-year-old male patient presenting with compressive stenosis of the left common iliac vein (May-Thurner syndrome). The man had developed clinical symptoms of the disease as varicocele when he was 17 years old. Multiple surgical interventions on the veins of the spermatic cord failed to result in significant success. Read More

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http://dx.doi.org/10.33529/ANGIO2020111DOI Listing
January 2020

[Hybrid approach to surgical treatment for a saccular thoracic aortic aneurysm].

Angiol Sosud Khir 2020 ;26(1):37-41

Department of Aorta and Coronary Arteries Surgery, National Medical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia.

Presented herein is a clinical case report regarding hybrid surgical treatment for a saccular aneurysm of the aortic arch in a female patient. While undergoing a routine medical check-up she had been found to have fluorographic evidence strongly suggesting dilatation of the aortic thoracic portion. Based on the findings of further examination we determined the indications for surgical treatment of the thoracic portion of the aorta. Read More

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http://dx.doi.org/10.33529/ANGIO2020124DOI Listing
January 2020

[Additional possibilities in conservative treatment of patients with post-thrombotic disease of lower limbs].

Angiol Sosud Khir 2020 ;26(1):31-36

Department of Obstetrics and Gynaecology, Kazan State Medical Academy - Branch of the Russian Medical Academy of Continuing Professional Education, Kazan, Russia.

Aim: This study was undertaken to evaluate efficacy of Actovegin in the composition of comprehensive therapy in patients presenting with post-thrombotic disease of lower extremities free from trophic disorders.

Patients And Methods: The study included a total of 60 patients (28 men and 32 women) diagnosed as having post-thrombotic disease of lower limbs without trophic disorders (C1-C3 according to the CEAP classification), induced by previously endured iliofemoral phlebothrombosis. The duration of the disease varied from 1 year to 10 years. Read More

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http://dx.doi.org/10.33529/ANGIO2020115DOI Listing
January 2020

[State of microcirculation in patients with atherosclerosis and diabetes mellitus after limb revascularization].

Angiol Sosud Khir 2020 ;26(1):22-29

Tyumen Cardiological Research Centre, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tyumen, Russia; 2 Regional Clinical Hospital #2, Tyumen, Russia.

Aim: The study was aimed at comparatively assessing the dynamics of the parameters of the microcirculatory bed of the skin after endovascular revascularization of the lower limb in patients suffering from intermittent claudication (IC) with and without type 2 diabetes mellitus (DM).

Patients And Methods: Microcirculation (MC) of the skin of lower extremities was examined in 88 male patients presenting with IC and without DM (Group One) and in 28 male patients with IC and DM (Group Two). 30 patients from Group One and 21 patients from Group Two were subjected to endovascular revascularization of lower limbs. Read More

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http://dx.doi.org/10.33529/ANGIO2020112DOI Listing
January 2020

[Phenomenon of unstable tcpO2 level in transcutaneous oximetry in patients with diabetes mellitus].

Angiol Sosud Khir 2020 ;26(1):16-21

Central Clinical Hospital with a Polyclinic, RF President's Affairs Administration, Moscow, Russia.

The back of the foot is a standard region for measuring transcutaneous oxygen tension (tcpO2) with a reliably determined threshold of ischaemia, but such measurement reflects blood supply of only a portion of angiosomes of the foot. Determining the reference values of tcpO2 in other regions of the lower extremity is of current importance. However, measuring the tcpO2 level on the plantar surface and in some other regions not uncommonly reveal a phenomenon of its steady decrease instead of formation of a plateau. Read More

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http://dx.doi.org/10.33529/ANGIO2020119DOI Listing
January 2020

[Thrombectomy for acute iliofemoral thrombosis in prevention of pulmonary embolism].

Angiol Sosud Khir 2019 ;25(4):181-187

Multimodality Medical Centre of the Bank of Russia, Moscow, Russia.

Background: Acute thrombosis in the system of the inferior vena cava is one of the most common vascular diseases and is of serious danger as a potential source of one of the most severe complications. In order to assess efficacy of open thrombectomy for embologenic iliofemoral venous thromboses we carried out comparison of the results of open thrombectomy and implantation of cava filters in a total of 119 patients presenting with iliofemoral thrombosis.

Patients And Methods: Open thrombectomy was performed in a total of 59 patients. Read More

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http://dx.doi.org/10.33529/ANGIO2019422DOI Listing
January 2020

[Elimination of late endoleak after endovascular repair of a dissecting thoracoabdominal aortic aneurysm].

Angiol Sosud Khir 2019 ;25(4):173-180

Department of Vascular Surgery, Municipal Multimodality Hospital #2, Saint Petersburg, Russia.

Described herein is a clinical case report regarding treatment of a 70-year-old male patient presenting with a late complication following endoprosthetic repair for a Stanford type B dissecting thoracic aortic aneurysm. The man was admitted to our hospital for persistent type IIb endoleak and an increased diameter of the aorta in its thoracic and thoracoabdominal portions. Two years previously, he had endured endoprosthetic repair of the thoracic aorta. Read More

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http://dx.doi.org/10.33529/ANGIO2019413DOI Listing
January 2020