[The clinico-angiographic manifestations of vascular spasm in the acute period of an aneurysm rupture].

The clinical picture was compared to angiographic findings on the spasm in 85 patients in acute period of an aneurysmal rupture in the absence of the intracranial hematoma. Spasm-induced ischemia was responsible for cerebral dysfunction and neurological symptoms. Days 5-13 since the aneurysmal rupture can be viewed as a functionally significant spasm interval.

[Radiologic anatomy of the labyrinth artery].

Carotid and vertebral angiographic investigations were performed to study x-ray anatomy of the artery of the labyrinth (AL) in 96 inpatients admitted to the N. F. Sklifosovsky emergency care clinic.

[Method for angiographic identification of the labyrinth artery].

Digital subtraction angiography in Stenvers standard setting performed atraimatically has been tried in 106 emergency cases admitted to N. V. Sklifosovsky Research Institute of Critical Care.

[Interrelations between obstructive changes in the coronary arteries and clinical manifestations of heart failure in patients after myocardial infarction].

The study was undertaken to examine clinical and angiographic signs in 154 patients with prior myocardial infarction. There was a relationship between the left ventricular performance and heart failure stages and the number of diseased left ventricular segments and heart failure stages. With an increase in the number of diseased left ventricular segments, cardiac contractility decreased.

[Clinical manifestations of ischemic heart disease in the subacute period of myocardial infarction and post-infarct cardiosclerosis depending on the status of coronary arteries].

Multifactor discriminant analysis was used on a computer to examine 100 patients with myocardial infarction in the subacute period (at week 4 of the disease onset) and 76 in the postinfarction period (at months 2-120 of postinfarction). A complex of clinical and coronary signs was defined, which differentiated patients with subacute myocardial infarction and postinfarct cardiosclerosis, as well as those with postinfarct stable and progressive angina pectoris.

[Coronary thrombosis, mechanisms of thrombolysis and the tactics in radiographically guided endovascular treatment of patients with acute myocardial infarction].

The radio-angiographic features of coronary blood flow were studied in 119 patients in the first 24 hours of a macrofocal myocardial infarction. In 100 (84%) patients with recognized occlusion of the coronary artery responsible for the infarction the semeiotics of the occluding coronary thrombosis is described, and the characteristics of the residual stenoses after intracoronary thrombolysis were studied. In more than 60% of cases the radiographic features of these stenoses were found to be similar to those of primarily revealed stenoses responsible for infarction of the coronary arteries in degree, form, and the presence of mural thrombus.

[X-ray endovascular dilatation using an axillary access].

Based on the analysis of 39 observed cases, the authors consider various aspects of the use of roentgenovascular dilatation by an axillary access: problems of methods, indications and contraindications; they also assess the advantages and shortcomings of the access.

[Axillary approach for radiologic endovascular dilatation].

Basing on the analysis of 39 observed cases, the authors consider various aspects of the use of roentgenovascular dilatation by an axillary access : problems of methods, indications and contraindications; they also assess the advantages and shortcomings of the access.

[Relation between the duration of cardiac pain and the state of the coronary vessels in patients with acute myocardial infarction].

The study compared specific characteristics of cardiac pain syndrome with coronary arteriography findings for 100 patients in acute period of myocardial infarction. The evidence obtained suggests that duration of cardiac pain does not depend on the type of obstruction in the infarction-related coronary artery. Long-standing radiating pain occurred in affected anterior interventricular branch.

[Features of clinical manifestations of intermediate coronary syndrome in relation to the status of the coronary bed].

Uni- and multifactorial analyses of clinical and angiographic findings were made in 32 patients with coronary heart disease concurrent with the intermediate coronary syndrome and 34 patients with progressive angina pectoris. A complex of clinical and angiographic signs was defined, which enabled these groups of patients to be differentiated. Exercise tolerance was the same in the two groups and related to the severity of coronary artery lesions.

[Development of left-ventricular aneurysm in relation to the status of the coronary bed in patients with a history of myocardial infarction].

The study was undertaken to examine 270 patients with a history of myocardial infarction. Its purpose was to reveal a relationship between the ischemic signs of cardiac aneurysm and the status of coronary arteries. The findings suggested that left ventricular aneurysm was greatly due to severe obstruction of the infarct-related right intraventricular branch of a coronary artery.

[Characteristics of the clinical manifestations of stenocardia in patients with ischemic heart disease, without myocardial infarct, in relation to the state of the coronary bed].

Mono- and multifactorial discriminant analyses aided by computer were used in 106 patients with coronary disease to compare the clinical and angiographic findings common to different manifestations of angina pectoris. The relationship was discovered between the clinical form of angina pectoris and the gravity of lesions of the coronary artery. Intracardiac hemodynamics and left ventricular contractility at rest did not differ whatever the patients' group.

[Digital subtraction angiography in the diagnosis of emergency neurosurgical states].

Digital subtraction angiography (DSA) was used in the examination of 203 patients with various forms of acute diseases and injuries of the brain. The method of the examination is described and its advantages and shortcomings in each type of pathology are revealed. DSA meets the requirements placed upon angiographic examination of patients with acute diseases of the brain and craniocerebral injury and may be used successfully in the diagnosis of emergency neurosurgical conditions.

[Clinical significance of reciprocal changes in the ECG in acute myocardial infarction].

A total of 206 patients with acute myocardial infarction marked by infarction localization in the anterior and inferior walls were examined. It is revealed that reciprocal changes, namely the depression of the ST segment are of prognostic significance in the assessment of the clinical course of the disease, with the ST depression being recorded for over one day. The patients demonstrated a reduction in left ventricle (LV) function, namely a decrease in the ejection fraction of the LV.

[Angiographic diagnosis of hemorrhagic myocardial infarct].

Hemorrhagic myocardial infarction (HMI) has certain angiographic features that make it possible to diagnose it during the patient's life. HMI angiographic criteria are hypervascularization of an infarction zone in the late arterial phase, an intense contrast of an infarction zone in the parenchymal phase, extravasation of a contrast medium in an infarction zone in the venous phase of coronarography lasting for a long time, and slow discharge of a contrast medium from the distal vascular channel of an infarction zone. HMI characteristic features require thorough phase-by-phase angiographic investigation of the coronary arteries in all MI patients, especially in young ones and those after intracoronary thrombolytic therapy.

[The possibility of spontaneous lysis of a coronary thrombus in patients with acute myocardial infarct].

The results of coronary angiography in 108 patients within the first 24 hours of myocardial infarction were compared to autopsy coronary arterial findings in 78 cases of myocardial infarction death within similar periods of time. The rate of occlusion of the coronary artery, responsible for infarction, dropped considerably within 12-24 hours of its onset, as compared to the data obtained within the first 6 hours: from 90.3% to 57.

[Experience with using selective angiography of the mesenteric arteries in patients with cicatricial esophageal stenosis].

The authors have used selective angiography of the upper and lower mesenterial arteries in patients with scary constriction of the esophagus in order to obtain data of blood supply of the colon before operation of esophagus plasty and to give preliminary grounds for surgical tactics. The method was used in 37 patients operated upon. In ten of them angiography of the upper mesenterial arteries has shown contrasted veins.

[Complications of x-ray endovascular recanalization and their role in thanatogenesis].

In line with clinical benefits observed in the diagnosis and treatment of arteriopathies, invasive methods currently introduced in a wide practice entail some negative sequelae presenting with specific complications with occasional lethal outcomes. Because the complications are so closely related to pathogenesis and outcomes of the disease, they should be thoroughly analyzed in view of their role and place in the conceptions of thanatogenesis and pathological diagnosis in which they can be introduced as the main, concurrent or competitive disease, registered as complications depending on the role in the thanatogenesis and initial status of the patient assessed both by the clinician and the pathologist before the invasive procedure.