[Use of cava-filter in the treatment of acute venous thrombosis in the end of pregnancy].

Cava-filters were implanted in 16 women suffering from acute thrombosis of the deep veins of the lower limbs in the third gestation trimester. Initial or relapsing thromboembolism of the pulmonary artery (TEPA) had place in 5 cases. Two types of filters were used, the REPTEPA ones being used more frequently.

[Use of the superficial femoral vein in reconstructive-corrective vascular surgery].

The paper describes the procedure and results of using the femoral vein in reconstructive-corrective operations on arteries. The femoral vein was used in infection of a synthetic vascular prosthesis in the inguinal area in 24 patients, in the reconstruction of arteries below the inguinal ligament in the absence or in applicability of the large subcutaneous vein in 17 patients, in vascular plasty during a radical removal of malignant tumors in 5 patients. A good result was achieved in 83.

[Short and long-term results of non-standard revascularization of the lower extremities].

A total of 125 patients with unreconstructable Stages III and IV lower extremity arterial occlusions were treated by an unconventional procedure (Ilizarov's procedure). The patients underwent longitudinal osteotomy, then distraction of the obtained bone break for 31-36 days, followed by its fixation for 45-60 days. Additionally, lumbar sympathectomy and arterial reconstruction were performed in 41 and 16 patients, respectively.

[Surgical tactics in occlusive lesions of the brachiocephalic and coronary arteries].

Surgical management of combined arterial occlusions is a difficult problem. Combined lesions of the coronary arteries and brachiocephalic trunk are marked by significant mutual aggravation. The authors examined 48 patients with this pathological condition in the last 4 years, 32 of them underwent restorative surgical interventions.

[Freezing an acutely necrotized extremity for the purpose of preparing the patient for amputation].

102 patients of a high operative risk were prepared for amputation of a lower extremity with acute ischemic gangrene by its freezing and tourniquet application. A special portable freezing chamber was used in most cases which could be installed in any surgical hospital. The refrigeration ranged from 18 hours to 14 days.

[Replacement of infected vascular prosthesis by the femoral vein].

The article discusses restorative treatment of 12 patients with an infected prosthesis in the inguinal region after aortobifemoral, unilateral common iliofemoral, and submusculofemoral shunting. The infected segment of the prosthesis was removed 9 days to 5 weeks after the first operation by cutting it in tissues which were not involved in inflammation. The lacking segment of the shunt was replaced by the patient's femoral vein which was drawn through the infected wound.

[Simultaneous intrathoracic restoration of the coronary and brachiocephalic blood flow].

The treatment of 3 patients with combined occlusive affection of the brachiocephalic and coronary arteries is discussed. A one-stage intrathoracic operation was carried out. Prosthetics of one or two brachiocephalic branches was conducted at first after which a double of triple aortocoronary shunt was formed under conditions of extracorporeal circulation with the use of cardioplegia.

[The effectiveness of G. A. Ilizarov's method in treating patients with III- and IV-stage chronic ischemia of the lower extremities].

The method of treatment after Ilizarov was used in 28 patients with occlusion of lower extremity arteries, mainly of distal localization, with the III and IV degrees of ischemia. Osteotomy of mainly the tibial bone and distraction of the free osseous split was performed during 31-36 days. Two patients had fractures of the bone during operative interventions, after operation four patients had purulent complications or necrosis of the skin around the wire.

[Pre-amputation freezing of the extremity in acute ischemic gangrene].

When preparing for amputation in 153 patients with acute ischemic gangrene of a lower extremity, the tourniquet-cold isolation was used. In 137 patients, the damaged extremity was freezed by means of a special portable freezing chamber, which can be used in any surgical in-patient department. The duration of cooling ranged from 18 hrs to 14 days.

[Cooling of the extremities in acute ischemic gangrene].

This is a report on 39 patients (from 36 to 84 years of age) with acute ischemic gangrene of the lower limbs and severe concomitant diseases (ischemic heart disease, arterial hypertension, diabetes mellitus, etc.). Cooling of the necrotic limb with the application of a tourniquet and general nonoperative treatment were conducted in preparation for amputation.

[Choosing the method of anesthesia in aortofemoral shunting].

The influence of 4 kinds of anesthesia (neuroleptanalgesia, peridural anesthesia by trimecaine hydrochloride, peridural morphine analgesia, fluoroxene anesthesia) upon the process of reestablishment of blood circulation in lower extremities and possibilities of using a rheographic method for the intraoperative assessment of the efficiency of the aorto-femoral shunting were studied in 112 patients with the help of rheography of the shin and great toes. The authors recognize that trimecaine hydrochloride anesthesia and peridural sympathetic block allow with the help of rheography to timely detect an inadequacy of the aorto-iliac reconstruction in 9 cases.

[Central hemodynamics in patients with arteriosclerosis obliterans of the lower limbs].

Central hemodynamic status was studied using integral body rheography in 93 patients with arterial atherosclerotic occlusions in lower extremities and aorto-iliac region. Changes in central hemodynamic parameters were established in 65,6% of the patients, correlating with the severity of aorto-arterial lesion, location of the process and duration of the disease. Improvement of peripheral circulation under the effect of conservative and surgical treatment (lumbar sympathectomy and reconstructive vascular surgery) was accompanied with favourable changes in central hemodynamic parameters in all the patients.

[Extraperitoneal approaches in surgery on the abdominal aorta and its branches].

The use of extraperitoneal accesses was analyzed in 163 reconstructive operations on the abdominal aorta and its branches. A wide use of them is shown to be expedient. Seven types of extraperitoneal accesses are described with special reference to their advantages and shortcomings and indications for each of them.

[Injuries to arteries during osteosynthesis of the femur].

Three patients were operated upon for a damage of the main vessels with a pin during osteosynthesis of the femoral bone. Two patients had a wound of the femoral vessels resulting from using the Ilizarov apparatus. The third patient had an injured external iliac artery during synthesis of the femoral neck with a nail.