In patients with a juxtarenal abdominal aortic aneurysm the unaltered segment is frequently insufficient to secure adequate proximal fixation of the stent graft or is entirely absent, thus making it problematic to exclude the aneurysm from the blood flow by means of classic endoprosthetic repair. For this reason, in order to preserve the blood flow through visceral and renal arteries fenestrated endoprostheses are used as alternative minimally invasive treatment policy. Described herein is the first in the Russian Federation clinical case of using a fenestrated endovascular graft for treatment of a juxtarenal aortic aneurysm.
View Article and Find Full Text PDFThe present article aims to describe a clinical case of hybrid surgical intervention consisting in complete prosthetic repair of the aortic arch in a high-risk male patient diagnosed with a gigantic saccular aneurysm of the aortic arch. The patient was subjected to a hybrid operation--an operation of endovascular prosthetic repair of the thoracic portion of the aorta with the Gore Tag stent graft in a combination with bypass grafting of the left common carotid and left subclavian arteries with the Gore bifurcated stent graft, autovenous aortocoronary bypass grafting of the CA without artificial circulation. The postoperative period was uneventful with the patient's favourable convalescence and rehabilitation occurring within the shortest terms possible.
View Article and Find Full Text PDFThe study of the population in the region contaminated with heavy metal salts has revealed high incidence of nephropathies even in preschool children manifesting initially in the majority of cases with hematuria. All the patients had the signs of urinary dysembryogenesis and marked membranopathological process. Long-term exposure to even small doses of heavy metals is supposed to cause nephropathy.
View Article and Find Full Text PDFThe method of UV irradiation of autoblood followed by infusion in the early postoperative period was used in 109 patients subjected to various operative interventions on the small pelvis organs. It was established that the infusion of autologous photomodified blood allowed to avoid postoperative thromboembolic complications.
View Article and Find Full Text PDFNear-UV irradiation (280-365 nm) at non-lethal doses increased lymphocyte E and EAC rosette-forming capacity, reduced cell proliferation in response to mitogen (PHA), induced an increase in the content of lipid peroxidation products in the cell culture medium. An antioxidant (alpha-tocopherol, 10(-7) M) administered before or immediately after near UV irradiation of lymphocytes reduced the above effects. The addition of an antioxidant to the culture medium 90 min after cell irradiation failed to reduce lymphocyte rosette-forming capacity.
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