[Individual selection of immunocorrector in surgical treatment of obliterating atherosclerosis of the aorta and its branches].

The method for individual selection of immunocorrector in surgical treatment of patients, suffering obliterating atherosclerosis of abdominal aorta and its branches, was proposed. There were examined 69 patients, suffering affection of abdominal aorta and its branches. Inhibition of phagocytic function of neutrophils was observed; on background of activation of the oxygen-dependent metabolism; decompensation of the phagocytic cells function, not depending from the disease stage present.

[Aneurysm of the unpaired visceral aortal branches].

Clinical signs, data of additional methods of examination, results of surgical treatment of patients for aneurysm of unpaired visceral aortal branches were analyzed. Specific complaints and clinical signs are absent. Most informative and trustworthy method of investigation is a computer tomography.

[Remote results of endoprosthesis of the infrarenal aorta aneurysm].

Endovascular endoprosthesis of infrarenal aorta aneurysm (EEIAA)--is miniinvasive highly technological method of treatment of a life-threatening disease. The rate of the endovascular interventions conduction for aortal aneurysm enhances every year in the world, the prosthesis construction and operative technique are upgrading constantly. The experience of the EEIAA endoprosthesis in 75 patients, aged 51-80 years old, 70 men and 5 women, was presented.

[Evaluation of the blood coagulation system after surgeries on abdominal aortic aneurysms].

Basing on data of analysis of the hemostasis system state in the patients, suffering abdominal aorta aneurysm, a tendency for raising of postoperative soluble fibrin and D-dimer content in the blood plasm and reduction of these indices on the third day was noted. The abovementioned markers content depends on the aneurysm size, the fibrin deposits presence, the terms from clinical signs beginning to the certain therapy administration and anticoagulants application. Information about correlation between content of D-dimer and soluble fibrin in the treatment dynamics is important for determination of activation degree in the patients blood coagulation system and the thrombotic complications prognosis.

[Tactic of surgical treatment of the multifocal vessel lesions from different arterial basins].

The results of examination and treatment of 140 patients with multifocal atherosclerosis in the Department of Surgery of the Main Vessels were analyzed. In 88 patients the affection of truncus brachiocephalicus arteries (TBCA), aorta and the lower extremities main arteries was diagnosed, in 8--hemodynamically significant affection of TBCA and coronary arteries, in 11--coronary arteries, aorta and the lower extremities main arteries, in 13--the affection of all three arterial basins. There was applied differentiated surgical tactic--the staged or one-stage reconstruction of arteries, depending on the degree of compensation present of cerebral hemodynamics, coronary and the lower extremities main arteries blood flow.

[Choice of plastic surgical methods of the common carotid artery bifurcation in its atherosclerotic occlusion-stenotic lesion].

The results of treatment of 264 patients were analyzed, which were operated for hemodynamically significant atherosclerotic affection of common carotid artery bifurcation. The patients were divided into 4 groups, depending on the carotid arteries type of affection present, what have permitted than to determine a choice of the bifurcation plasty method. The surgical tactics application have permitted to achieve a positive result in 98.

[Prophylaxis of thrombotic complications of reconstructive interventions for occlusion of the main arteries of femoral-popliteal segment].

Comparative evaluation of effectiveness of the usage of the Pentosan polysulfas SP 54 and low molecular heparins after reconstructive interventions by the patients with occlusion of the main arteries of femoral-popliteal segment for the prevention of postoperative thrombotic complications was held. The obtained results show the great hypocoagulation and hypocholesterol effect of Pentosan polysulfas SP 54, and the expediens its application in that patients.

[Treatment tactics in patients with popliteal artery aneurysm].

The quality of diagnosis and treatment of 72 patients, suffering popliteal artery aneurysm and hospitalized to the Department of the main arteries surgery in 1980-2007 yrs, were analyzed. Basing on the disease clinical signs analysis and diagnostic data obtained the tactics and choice of surgical treatment of patients, suffering popliteal artery aneurysm, was substantiated.

[Use of simvatin for obliterating atherosclerosis after reconstructive operations on the main arteries of the lower extremities].

The results of application of simvatin in 207 patients after performance of reconstructive operations on the main arteries of femoro-popliteo-tibial segment were analyzed. Durable usage of simvatin had permitted to improve the immediate and the late results of reconstructive operations, to lower postoperative lethality significantly, caused by cardiovascular and vascular-cerebral insufficiency.

[Perspectives of using popliteo-tibial shunting in distal portions of the lower extremities arteries lesions].

In the treatment of ischemic disorders in patients, suffering diabetes mellitus, the venous shunting toward a. pedis dorsalis and/or paramalleolar segment of a. tibialis posterior are aplied most frequently.

[The choice of operative method for the arterial occlusion in the femoro-popliteo-tibial segment].

The results of surgical treatment of 198 patients suffering atherosclerotic occlusion of the femoro-popliteo-tibial segment arteries were analyzed, of them endarterectomy from superficial femoral artery was performed in 75 (37.9%) patients, femoro-popliteal shunting using autovena--in 93 (47%), synthetic prosthesis--in 17 (8.6%), in 4 (2%)--distal anastomosis was formatted with "hanged" segment of popliteal artery, revascularization of the limb via the deep femoral artery system was done in 9 (4.

[New technologies in diagnosis and surgical treatment of the abdominal aorta aneurysm].

Modern views about occurrence, pathogenesis, and methods of diagnosis and surgical treatment of abdominal aorta aneurysm are adduced. Application of new highly informative diagnostic methods, an adequate anesthesiological support, differentiated methods of surgical intervention have permitted to reach marked progress in the treatment of patients with abdominal aorta aneurysm.

[Indications and choice of method of treatment of the lower extremities obliterating arterial atherosclerosis in elderly and senile patients with diabetes mellitus].

Results of treatment of 93 patients with diabetes mellitus and occlusive-stenotic affection of arteries of femoro-popliteal and popliteal-tibial segments were analyzed. Indications for performance of operation were established, basing on analysis of clinical manifestations of the disease and results of instrumental methods of investigation. Femoro-popliteal autovenous shunting performed in 47 (50.

[Surgical treatment of occluding lesion of the subclavian artery].

Results of cerebral hemodynamics investigation and operative treatment of 53 patients with the subclavial artery (SA) occlusion were presented. It was established that the course of the cerebral vascular disorders occurrence in patients with the SA proximal segment occlusion is the vertebro-subclavial robbing syndrome. The consider that the SA resection with her implantation to ipsilateral a.

[The volume and consistency of surgical intervention for the affected several extracranial vessels].

The results of the cerebral hemodynamics investigation and of operative treatment of 94 patients with affection of several extracranial vessels were presented. It was established that along with the total arterial lumen narrowing stage increase the pronounced cerebral tissue hypoperfusion occurs. Therefore the reconstruction of several arteries is necessary.

[Reconstructive surgery on the major vessels. The results of work over 25 years].

Principal scientific achievement of the department of vessels surgery staff were presented. They were devoted to fundamental problems of the vessels surgery. Introduction of mentioned achievements in clinical practice improved considerably the results of abdominal aorta aneurysm surgical treatment, long-term complications of reconstructive operations on the main vessels, occlusion diseases of the venous system, what promoted to reduce the lethality and invalidization of patients.

[Tactics of treatment of patients with atherosclerotic circulatory encephalopathy].

Immediate and late follow-up results of nonoperative and operative treatment of 244 patients with atherosclerotic dyscirculatory encephalopathy (ADE) were analyzed. The effectiveness of operative treatment is 1.9 times the non-operative one.