1,421 results match your criteria Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery[Journal]


[Efficacy of using loop endarterectomy].

Angiol Sosud Khir 2019 ;25(1):182-188

Perm State Medical University named after Academician E.A. Wagner, Perm, Russia.

Endarterectomy is considered to be the most physiological technique of correcting arterial blood flow, since it does not require implantation of a synthetic material, with blood flow restored through its own bed. However, surgeons have long sought to work out the most effective modification of endarterectomy, which eventually resulted in creation of a method known as loop endarterectomy. Mention should be made that some researchers report patency which may be comparable to that of autovenous bypass grafting, while others report negative results of using loop endarterectomy. Read More

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https://elibrary.ru/item.asp?id=37004682
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http://dx.doi.org/10.33529/angio2019125DOI Listing
January 2019
1 Read

[Comprehensive treatment of a patient with Buerger's disease using genetically engineered complexes VEGF-165].

Angiol Sosud Khir 2019 ;25(1):177-180

First Moscow State Medical University named after I.M. Sechenov under the RF Ministry of Public Health, Moscow, Russia; Scientific Clinical Centre of the Open Joint-Stock Company 'Russian Railways', Moscow, Russia.

Buerger's disease, also known as thromboangiitis obliterans, is a severe invalidating systemic vascular disease. To one of the modern methods, which is distinguished by its radically new principles of action, as well as holding much promise for further study and application in treatment of patients with lower limb chronic ischaemia induced by thromboangiitis obliterans belongs the use of genetically engineered complexes based on vascular endothelial growth factor VEGF-165 ('Neovasculgen'). 'Neovasculgen' is a genetically engineered complex being a circular DNA (native plasmid on the CELO vector and Ad5), carrying the human VEGF-165 gene, encoding VEGF synthesis. Read More

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http://dx.doi.org/10.33529/angio2019124DOI Listing
January 2019
2 Reads

[Extra-anatomical bypass grafting of the thoracic aorta in a female patient with an infected pseudoaneurysm].

Angiol Sosud Khir 2019 ;25(1):169-174

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 the remote (more than 15-year follow up) result of successful surgical treatment of aortic coarctation complicated by septic aortitis and a false aneurysm of the anastomosis between the graft and the aortic arch. In 2002, after correction of aortic coarctation the woman was admitted to our Clinic with an incompetent proximal anastomosis and an infected aortic pseudoaneurysm. Taking into consideration the general and local septic process, repeat reconstruction of the thoracic aorta was impossible due to the risk for generalization of the infectious process and fatal complications. Read More

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http://dx.doi.org/10.33529/angio2019123DOI Listing
January 2019
2 Reads

[Hibrid surgical treatment of an aortic arch aneurysm].

Angiol Sosud Khir 2019 ;25(1):164-167

Research Department of Vascular and Interventional Surgery, Research Laboratory of Vascular and Hybrid Surgery, National Medical Research Centre named after V.A. Almazov under the RF Ministry of Public Health, Saint Petersburg, Russia.

Presented in the article is a clinical case report regarding hybrid surgical management of a saccular aneurysm of the aortic arch: simultaneous right-left-carotid-left-subclavian bypass grafting and endovascular isolation of the aneurysm. Taking into consideration the findings of multislice computed tomography-aortography (MSCT aortography) prior to surgery, the anatomical location of the aneurysm with the involvement of the ostium of the left subclavian artery, close location of the proximal branches of the aortic arch at an acute angle relative to each other required performing simultaneous debranching in order to enlarge the proximal zone of fixation of a stent graft at the level of the brachiocephalic trunk (BCT). The postoperative period proved uneventful, with as rapid rehabilitation as possible. Read More

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https://elibrary.ru/item.asp?id=37004679
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http://dx.doi.org/10.33529/angio2019122DOI Listing
January 2019
2 Reads

[Functionality of mammary-coronary bypass grafts according to the data of intraoperative flowmetry].

Angiol Sosud Khir 2019 ;25(1):159-162

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

Improvement of surgical treatment for ischaemic heart disease is one of the main trends in modern medicine. After the operation of coronary bypass grafting, further functioning of blood flow in the grafts largely depends upon its domination over the native blood flow in the target coronary arteries. Therefore, intraoperative diagnosis of functional competence of coronary bypass grafts by means of flowmetry is currently of special importance. Read More

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http://dx.doi.org/10.33529/angio2019121DOI Listing
January 2019

[Predictors of early occlusion of coronary bypass grafts in patients with extremely low ejection fraction].

Angiol Sosud Khir 2019 ;25(1):153-157

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

The authors carried out a retrospective study aimed at revealing predictors of early incompetence of coronary bypass grafts in patients with the ejection fraction below 30%. The study included a total of 104 patients presenting with coronary artery disease and the ejection fraction below 30%, who over the period from 2009 to 2016 underwent coronary artery bypass grafting with the use of autovenous and autoarterial conduits. 77 patients endured plasty of an aneurysm of the left ventricle (LV), 89 patients sustained plasty of the valvular apparatus. Read More

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http://dx.doi.org/10.33529/angio2019120DOI Listing
January 2019
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[Bleedings after reconstructive operations on the aorta, its branches, and peripheral arteries (on materials of the Department of Vascular Surgery A.N. Bakulev ICVS of the Academy of Medical Sciences of the USSR, 1961-1983)].

Angiol Sosud Khir 2019 ;25(1):143-150

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russia.

The authors retrospectively analysed episodes of bleeding after reconstructive operations on the aorta, its branches, and peripheral arteries. The sources of information were the archival medical records of the Department of Vascular Surgery of formerly the Institute of Cardiovascular Surgery named after A.N. Read More

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http://dx.doi.org/10.33529/angio2019119DOI Listing
January 2019

[Use of topical haemostatic agents in cardiovascular surgery].

Angiol Sosud Khir 2019 ;25(1):131-142

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

The problem of haemostasis in cardiovascular surgery is of current concern. Recent trends are towards increased use of topical haemostatic agents. Tachocomb has been used for more than 30 years in abdominal surgery and oncology. Read More

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https://elibrary.ru/item.asp?id=37004675
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http://dx.doi.org/10.33529/angio2019118DOI Listing
January 2019
2 Reads

[Pancreas transplantation with isolated blood supply through the splenic artery].

Angiol Sosud Khir 2019 ;25(1):125-129

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

In multiple organ procurement, taking into consideration certain peculiarities of the vascular architectonics of the celiac trunk or an iatrogenic injury to the superior mesenteric artery, it is impossible to perform standard arterial reconstruction of a pancreas transplant with the use of a Y-shaped vascular allograft. This results in refusal from transplanting a potentially suitable organ. The purpose of our study was to assess the possibility of transplantation of the pancreatoduodenal complex with isolated blood supply via the splenic artery. Read More

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https://elibrary.ru/item.asp?id=37004674
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http://dx.doi.org/10.33529/angio2019117DOI Listing
January 2019
2 Reads

[Choice of optimal treatment policy in patients with descending aortic dissection].

Angiol Sosud Khir 2019 ;25(1):115-119

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

Contemporary approaches to treatment of patients with dissection of the descending aorta (DA), as well as the data of international registries and guidelines are contradictory. The endovascular method of treatment of patients with descending aortic dissection has been recognized to be revolutionary. However, there seems to be no commonly accepted concept concerning appropriate use of currently available techniques of treating patients with DA dissection. Read More

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http://dx.doi.org/10.33529/angio2019116DOI Listing
January 2019
2 Reads

[Some comments on the 2017 European Guidelines on treatment of atherosclerotic lesions of brachiocephalic arteries].

Authors:
D F Beloiartsev

Angiol Sosud Khir 2019 ;25(1):109-114

Vascular Surgery Department, National Medical Research Centre of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia.

Analysed herein are the indications for primary interventions in patients with atherosclerotic lesions of internal carotid arteries according to the recommendations laid down in the 2017 Guidelines of the European Society for Vascular Surgery. Read More

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http://dx.doi.org/10.33529/angio2019115DOI Listing
January 2019

[In-hospital outcomes of transcutaneous coronary intervention and carotid endarterectomy in hybrid and staged regimens].

Angiol Sosud Khir 2019 ;25(1):101-107

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

The aim of this study was comparative assessment of in-hospital outcomes after hybrid and staged surgical management of patients presenting with haemodynamically significant lesions of the coronary (CA) and brachiocephalic arteries (BCA) treated by means of either endovascular or surgical techniques. Over the period from 2010 to 2017, we operated on a total of 197 patients with stenotic lesions of the carotid and coronary arteries. The strategy of revascularization included transcutaneous coronary intervention (TCI) and carotid endarterectomy (CEA). Read More

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http://dx.doi.org/10.33529/angio2019114DOI Listing
January 2019
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[Retrospective analysis of results of using cyanoacrylate composition for varicose vein ablation].

Angiol Sosud Khir 2019 ;25(1):93-98

Department of Additional Professional Education of Healthcare Specialists of the Pirogov Russian National Research Medical University Ministry Of Health, Moscow-Vladimir, Russia.

The method of cyanoacrylate ablation of varicose veins is currently considered as a possible alternative to traditional methods of thermal obliteration. One of significant advantages of this method is no need for performing tumescent anaesthesia. Over the period from 1995 to 2002, cyanoacrylate obliteration of varicose veins was carried out in a total of 96 patients, with clinical assessment of the complication rate and efficacy at various time intervals, with the maximum follow-up period amounting to 3 years. Read More

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https://elibrary.ru/item.asp?id=37004670
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http://dx.doi.org/10.33529/angio2019113DOI Listing
January 2019
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[Efficacy and safety of micronized purified flavonoid fraction (MPFF) in treatment of venous diseases in geriatric patients].

Angiol Sosud Khir 2019 ;25(1):88-91

National Medical and Surgical Centre named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.

Analysed herein is the experience with micronized purified flavonoid fraction (MPFF) in treatment of geriatric patients with decompensated forms of chronic venous diseases. A total of 218 geriatric patients were examined and treated. Of these, 132 patients had trophic disorders (C4-C6 class), including 40 patients found to have venous trophic ulcers (VTU). Read More

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http://dx.doi.org/10.33529/angio2019112DOI Listing
January 2019
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[Stenting of calcified iliofemoral venous segment in post-thrombotic syndrome].

Angiol Sosud Khir 2019 ;25(1):82-86

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

Stenting of the iliac veins in patients with post-thrombotic syndrome is an intervention associated with a low risk of complications, high primary and secondary patency rates, low incidence of restenosis, leading to a significant decrease in the severity of symptoms of chronic venous disease and a high rate of trophic ulcer healing, as compared with conservative therapy. Unlike subcutaneous veins, the formation of calcinates in deep veins after endured thrombosis is of considerably less frequent occurrence. Described in the article is a clinical case report concerning successful stenting of the iliofemoral venous segment in a female patient presenting with post-thrombotic syndrome, a trophic ulcer of the crus, and the presence of linear calcinosis in the lumen of the iliac veins and common femoral vein. Read More

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http://dx.doi.org/10.33529/angio2019111DOI Listing
January 2019
3 Reads

[Hibrid intervention for internal carotid artery stenosis and ipsilateral aneurysm of anterior communicating artery].

Angiol Sosud Khir 2019 ;25(1):75-78

Regional Clinical Hospital #2, Tyumen, Russia.

The presence of an ipsilateral aneurysm in stenosis of the internal carotid artery is determined by the findings of CT angiography in 1.8-3.2% of cases. Read More

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http://dx.doi.org/10.33529/angio2019110DOI Listing
January 2019

[Endovascular surgery in treatment of patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia].

Angiol Sosud Khir 2019 ;25(1):67-73

First Moscow State Medical University named after I.M. Sechenov under the RF Ministry of Public Health (Sechenov University), Moscow, Russia.

Analysed herein are the results of endovascular revascularization of the superior mesenteric artery (SMA). The study included a total of 18 patients with acute impairment of mesenteric circulation in the stage of intestinal ischaemia. The patients underwent multispiral computed tomography (MSCT) and once impairments of blood flow in the SMA were revealed, we performed endovascular revascularization of the artery. Read More

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http://dx.doi.org/10.33529/angio2019109DOI Listing
January 2019
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[Prospects and peculiarities of the procedure of ultrasound ablation of subcutaneous veins of the lower limbs].

Angiol Sosud Khir 2019 ;25(1):59-65

Department of Vascular Surgery, Russian Research Centre of Surgery named after Academician B.V. Petrovsky, Moscow, Russia.

The last decade has seen active development of minimally invasive (endovenous) methods of surgical removal of lower limb varicose veins (LLVV); however, the problem of increasing efficacy of these methods and improving long-term results still remains of current importance. The authors of this work propose a method of ultrasound ablation of subcutaneous veins of lower extremities. Our experimental study was aimed at determining the pattern of venous wall damage after ultrasound exposure. Read More

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http://dx.doi.org/10.33529/angio2019108DOI Listing
January 2019

[Analysis of flowmetric parameters of blood flow through coronary bypass grafts in high-risk surgical patients].

Angiol Sosud Khir 2019 ;25(1):53-57

Rostov State Medical University, Rostov-on-Don, Russia.

Coronary artery bypass grafting is a widely used cardiosurgical intervention which may be performed either on the arrested heart in conditions of artificial circulation or on the beating heart without artificial circulation. However, in a series of works, the results of bypass grafting using both techniques had no significant differences. In our article, we analyse the flowmetric parameters of blood flow through the coronary bypass grafts in high-surgical risk patients presenting with ischaemic heart disease and undergoing coronary artery bypass grafting in conditions of artificial circulation and on the beating heart. Read More

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http://dx.doi.org/10.33529/angio2019107DOI Listing
January 2019

[Reaction of connective tissue of arterial and venous walls to implantation of synthetic and biological grafts].

Angiol Sosud Khir 2019 ;25(1):46-51

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

Background: 30% of patients in the remote period appear to develop restenosis of the anastomoses formed during reconstructive-restorative operations on vessels. Two major causes of restenosis have been determined: intimal hyperplasia and smooth muscle cell proliferation. The reaction of connective-tissue elements of vascular walls in response to implantation of grafts remains unstudied. Read More

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http://dx.doi.org/10.33529/angio2019106DOI Listing
January 2019

[Effect of genetic polymorphisms on functioning of a permanent vascular access in patients on dialysis].

Angiol Sosud Khir 2019 ;25(1):40-44

Ryazan State Medical University named after Academician I.P. Pavlov under the RF Ministry of Public Health, Ryazan, Russia.

Thromboses and stenoses of permanent vascular access appear to be a serious hazard for patients with end-stage kidney disease on programmed haemodialysis. Relapses of these pathological conditions are the cause of repeated hospitalization, secondary surgical interventions and may eventually lead to impossibility of carrying out procedures of haemodialysis. Often, vascular access dysfunction occurs for no apparent reason, thus underlying the importance of studies aimed at revealing additional factors of intravascular thrombogenesis and neointimal formation in a vascular access, including the works dedicated to studying genetic predictors of the development of the above-mentioned complications. Read More

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http://dx.doi.org/10.33529/angio2019105DOI Listing
January 2019
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[The role of the vascular surgeon in improvement of organization of dialysis help].

Angiol Sosud Khir 2019 ;25(1):32-38

Department of General Surgery, Ural State Medical University of the RF Ministry of Public Health, Ekaterinburg, Russia.

Analysed herein are one-year results of formation of arteriovenous fistulas in 109 patients with end-stage chronic renal failure, as well as therapeutic decision-making after angiosurgical counselling of 144 patients presenting with 'problem' permanent vascular accesses. The counselling and formation of arteriovenous fistulas were carried out in conditions of interdepartmental collaboration between outpatient centres dealing with haemodialysis and vascular surgeons specialized in ultrasound mapping of peripheral vessels and performing different variants of arteriovenous fistulas. The angiosurgical care was as close to the patient as possible. Read More

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http://dx.doi.org/10.33529/angio2019104DOI Listing
January 2019
2 Reads

[Effect of polyethylene terephthalate (Dacron®) on functional potential of human bone-marrow/progenitor stem cells].

Angiol Sosud Khir 2019 ;25(1):25-30

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

Vascular grafts made of polytetrafluoroethylene and polyethylene terephthalate have widely been used in cardiovascular surgery. The causes of delayed colonization of such grafts by endotheliocytes and mesenchymal stem cells have not been adequately investigated. The authors examined the effect of polyethylene terephthalate on the functional activity of human bone marrow mesenchymal stem cells and endothelial progenitor cells in vitro. Read More

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http://dx.doi.org/10.33529/angio2019103DOI Listing
January 2019

[Venous thromboembolic complications in oncological patients: present-day possibilities of effective and safe anticoagulant therapy].

Angiol Sosud Khir 2019 ;25(1):19-23

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

Cancer-associated thromboembolic complications in malignant neoplasms are commonly encountered. They deteriorate the course of the underlying disease and are frequent causes of death. The oncological patient is at high risk of not only thrombosis but haemorrhage during anticoagulant therapy. Read More

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http://dx.doi.org/10.33529/angio2019102DOI Listing
January 2019
2 Reads

[Differentiated approach to treatment of decompensated lower limb ischaemia with the use of the WIFI classification system].

Angiol Sosud Khir 2019 ;25(1):9-16

Russian University of Friendship of Peoples, Moscow, Russia.

In the present article, the authors substantiate the necessity of subdividing a heterogeneous cohort of patients presenting with Fontaine-Pokrovsky grade IV critical limb ischaemia into subgroups with the aim of making an appropriate therapeutic decision and predicting the outcome. We also translated into the Russian language the WIfI classification system developed by the Society for Vascular Surgery (2014) in order to predict limb loss and feasibility of performing revascularization. This is followed by comments on the classification, accompanied by examples of own clinical case studies. Read More

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http://dx.doi.org/10.33529/angio2019101DOI Listing
January 2019
1 Read

[Contemporary data on efficacy of anticoagulant therapy in recanalization of deep veins].

Angiol Sosud Khir 2018;24(4):185-190

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

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. That is why adequate anticoagulant therapy should be initiated promptly in order to prevent the development of irreversible alterations and a decompensated form of chronic venous insufficiency. Read More

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February 2019
3 Reads

[Objective assessment of the degree of ischaemia and efficacy of treatment in chronic arterial insufficiency of lower limbs].

Angiol Sosud Khir 2018;24(4):177-182

First Department of Surgery, Russian Medical Academy of Continuing Professional Education under the RF Ministry of Public Health, Moscow, Russia.

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. Read More

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February 2019
13 Reads

[Hybrid intervention for a ruptured thoracoabdominal aortic aneurysm].

Angiol Sosud Khir 2018;24(4):169-175

Regional Clinical Hospital, Krasnoyarsk, Russia.

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. Read More

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February 2019
1 Read

Stenting of an endograft limb in its acute occlusion after endovascular intervention for an abdominal aortic aneurysm.

Angiol Sosud Khir 2018;24(4):159-168

Department of Roentgenosurgical Methods of Diagnosis and Treatment, Regional Clinical Hospital #1, Tyumen, Russia.

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. Read More

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February 2019

[Transcutaneous coronary intervention with the use of extracorporeal membrane oxygenation in patients with acute coronary syndrome].

Angiol Sosud Khir 2018;24(4):151-156

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

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. Read More

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February 2019
2 Reads

[Aortic bicarotid subclavian trifurcation bypass grafting combined with coronary aortic bypass grafting].

Angiol Sosud Khir 2018;24(4):146-149

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

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. Retrospectively, the correctness of the implemented surgical policy was confirmed by the worked out in our institution automated decision-making support system for choosing optimal strategy of revascularization in multifocal atherosclerosis. Read More

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February 2019
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Indications for ascending aorta-bifemoral bypass grafting in patients with IHD and occlusion of the infrarenal aorta.

Angiol Sosud Khir 2018;24(4):133-144

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

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. This article describes the technique and immediate results of an operation making it possible to simultaneously carry out revascularization of the myocardium and lower limbs in patients diagnosed as having a critical coronary lesion and Leriche syndrome with no intervention on the abdominal portion of the aorta. Read More

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February 2019
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[Results of a single-centre study of open and endovascular operations of prosthetic repair of abdominal aortic aneurysms].

Angiol Sosud Khir 2018;24(4):126-130

National Medical Research Centre named after V.A. Almazov under the RF Ministry of Public Health, Saint Petersburg, Russia.

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. Read More

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February 2019
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[Comparing efficacy of recanalization with stenting of extended occlusions of superficial femoral artery and loop endarterectomy].

Angiol Sosud Khir 2018;24(4):117-123

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

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. Read More

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February 2019
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[Use of uncoated metal stents in surgery of aortic dissection].

Angiol Sosud Khir 2018;24(4):110-115

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

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. Read More

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February 2019

[Efficacy of carotid endarterectomy in patients with vertebrobasilar insufficiency without significant lesion of vertebral arteries].

Angiol Sosud Khir 2018;24(4):104-108

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

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. Read More

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February 2019
2 Reads

[Surgical treatment of patients with superior vena cava syndrome associated with permanent vascular access].

Angiol Sosud Khir 2018;24(4):96-100

Republican Clinical Hospital, Kazan, Russia.

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. Read More

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February 2019
3 Reads

[State of the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux].

Angiol Sosud Khir 2018;24(4):90-94

Chair of Faculty Surgery #1, Therapeutic Department, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia.

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. Read More

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February 2019
2 Reads

[Damage to subcutaneous nerves in endovenous laser coagulation of the great saphenous vein].

Angiol Sosud Khir 2018;24(4):81-87

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

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. Read More

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February 2019
20 Reads

[Possibilities of pharmacokinetic modelling of venotonics illustrated by an example of flavonoids].

Angiol Sosud Khir 2018;24(4):76-79

Russian Medical Academy of Continuing Professional Education under the RF Ministry of Public Health, Moscow, Russia.

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. Read More

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February 2019

[Endotheliotropic effects of venotonic drugs in treatment of patients with varicose veins].

Angiol Sosud Khir 2018;24(4):72-74

Department of Cardiovascular, Roentgenoendovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University named after Academician I.P. Pavlov under the RF Ministry of Public Health, Ryazan, Russia.

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. Read More

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February 2019
2 Reads

[Balloon angioplasty of the radial artery in critical hand ischaemia].

Angiol Sosud Khir 2018;24(4):64-68

Central Hospital of the Ministry of Internal Affairs of the Republic of Uzbekistan, Tashkent, Uzbekistan.

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. Read More

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February 2019
15 Reads

[Incomplete endovascular myocardial revascularization in patients with low ejection fraction].

Angiol Sosud Khir 2018;24(4):55-61

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

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. Read More

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February 2019
1 Read

[Use of contrast-enhanced ultrasound for assessment of the state of femoropopliteal bypass graft anastomoses].

Angiol Sosud Khir 2018;24(4):50-53

Volga Region Research Medical University of the RF Ministry of Public Health, Nizhniy Novgorod, Russia.

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. Read More

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February 2019
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[Relation between ultrasonographic and morphological characteristics of atherosclerotic plaques of carotid sinus].

Angiol Sosud Khir 2018;24(4):43-48

Research Centre of Neurology, Moscow, Russia.

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). Read More

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February 2019
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Intralesional and perilesional application of an epidermal growth factor (Heberprot-P®) in diabetic foot ulcers. Part one.

Angiol Sosud Khir 2018;24(4):33-42

National Institute of Angiology and Vascular Surgery, Havana, Cuba.

For 15 years, from 2001, we began to apply Heberprot-P®, an injectable Epidermal Growth Factor (0.75 μg) created in the Center of Biotechnology, in Havana, Cuba. More than 159,000 patients were treated around the world, from 25 countries, with, with only 9-11% high-level amputations. Read More

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February 2019
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[Role of TGFβ1 and VEGF-А gene polymorphisms in development of chronic obliterating diseases of lower-limb arteries].

Angiol Sosud Khir 2018;24(4):28-31

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

The study was aimed at investigating the interrelationship of gene polymorphisms of transforming growth factor (TGFβ1) and endothelial vascular growth factor (VEGF-A) with the risk for the development of chronic obliterating diseases of lower-limb arteries (CODLLA) in the Russian population of Central Russia. We studied polymorphism C-509T of the TGFβ1 gene and polymorphism +936C>T of the VEGF-A gene in 202 patients with CODLLA and in 148 apparently healthy individuals. Genomic DNA was isolated by the standard method of phenol-chloroform extraction. Read More

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February 2019

[Role of cerebral oximetry in prediction of hyperperfusion syndrome after carotid endarterectomy].

Angiol Sosud Khir 2018;24(4):19-25

Scientific Research Institute for Traumatology, Orthopaedics and Neurosurgery, Saratov State Medical University named after V.I. Razumovsky under the RF Ministry of Public Health, Saratov, Russia.

Objective: The purpose of the study was to carry out a retrospective analysis of alterations in regional oxygenation (rSO2) of the brain at all stages of carotid endarterectomy (CEA) in order to detect predictors of ischaemia and hyperperfusion of the brain.

Patients And Methods: In a total of 169 patients during CEA under general anaesthesia we registered rSO2 after induction of narcosis, prior to carotid artery cross-clamping, at 2 minutes and each 10 minutes after cross-clamping, before re-establishing blood flow, at 2 and 5 minutes thereafter, and finally at the end of the operation. We evaluated the baseline parameters and intraoperative alterations in regional oxygenation depending on clinical and instrumental data. Read More

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February 2019

[Safety of patients and adverse events related thereto in medicine].

Authors:
Yu V Voskanyan

Angiol Sosud Khir 2018;24(4):11-17

Russian Medical Academy of Continuing Professional Education under the RF Ministry of Public Health, Moscow, Russia.

The article deals with the analysis of retrospective and prospective studies dedicated to examining patient safety regarding epidemiology, frequency and severity of adverse events associated with rendering medical care. Electronic retrieval was carried out over the period from 1990 to 2017 using the following databases: MEDLINE, Cochrane Collaboration, EMBASE, SCOPUS, ISI Web of Science. The carried out meta-analysis made it possible to determine that cases of doing harm (adverse events) while rendering medical care are registered in 10. Read More

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February 2019

[Hybrid reconstructions in patients with lower limb chronic ischaemia and multilevel arterial lesions].

Angiol Sosud Khir 2018;24(3):183-187

First Moscow State Medical University named after I.M. Sechenov under the RF Ministry of Public Health, Moscow, Russia.

Presented herein is a review of the literature related to performing hybrid operations for multilevel lesions of the arteries of the lower limbs. This is accompanied and followed by analysing the data on variants of stagewise use of different methods of revascularization in hybrid interventions ("open" and endovascular) on the lower extremities, as well as complications, lethality rates, and remote results as compared with the parallel parameters obtained while performing non-hybrid operations. Read More

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December 2018
1 Read