[Hybrid technologies in treatment of a patient with vascular graft infection].

Presented in the article are advantages of various methods of treatment of periprosthetic infection which continues to be one of the most challenging problems in modern vascular surgery. We describe herein a clinical case report regarding a patient with late infection of a bifurcated aortofemoral bypass graft. The infectious complication manifested itself by a periprosthetic infiltrate in the area of the distal anastomosis.

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

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.

[Transradial approach in carotid stenting].

A femoral approach is the main access in stenting of carotid arteries, mainly due to rapid training in how to perform the procedure and a possibility of using large-diameter catheters. However, this approach is not always feasible in atherosclerosis, tortuosity of lower-limb arteries and in certain anatomical peculiarities of the aortic arch. Using a transradial approach is based on the desire to diminish the incidence rate of haemorrhagic complications in the zone of the puncture and to avoid the necessity of a long-term bed rest.

[Revascularization of the brain in the acute stage of ischemic stroke].

A literature review on the early surgical revascularization using carotid endarterectomy in the acute stage of ischemic stroke is presented. Special attention is drawn to criteria of patient selection and time of surgery. A history of the problem is given.

[Possibilities of simultaneous surgery for cholelithiasis and abdominal aortic lesions].

Clinical cases of simultaneous surgery for cholelithiasis and atherosclerotic aortic lesion were analyzed. A comprehensive literature review was submitted.