Renal artery stenosis: incidence of detection during angiography in patients with peripheral arterial disease.

The purpose of this study was to determine the frequency with which atherosclerotic lesions of renal arteries are detected during diagnostic angiography in patients presenting with peripheral arterial disease. To this was added the assessment of the risk factors for the development of atherosclerotic renal artery lesions (i. e.

The post-burn elbow medial flexion scar contracture treatment with trapeze-flap plasty.

A medial flexion elbow contracture is characterized by the presence of a fold which has a semi-lunar shape, the sheets of which are scars. The shortage in skin length and the excess in width occurs in the sheets. To estimate the size and form of length deficiency in the fold is the section from the top of the fold to the rotation axis of the joint.

Carotid artery grafting for restenosis after carotid endarterectomy.

The paper analyzes outcomes of 12 internal carotid artery (ICA) graftings for repeat stenosis after carotid endarterectomy (CEA) in 11 patients. In 6 cases restenosis occurred after eversion CEA, in 5 - after conventional patch CEA, and in 1 case - after ICA patch angioplasty for post-CEA restenosis. Critical restenosis >75% in reconstruction area was an indication for surgical intervention.

[The role of laser doppler flowmetry in the assessment of microcirculatory disturbances at angiodysplasias].

The paper presents the data on the use of laser Doppler flowmetry (LDF) for microcirculation assessment in patients with lower limb angiodysplasias. Preliminary results suggest that LDF can be successfully used both for the quantification of microcirculatory disturbances and for the diagnosis of arterio-venous micro fistulas. LDF was used as a monitoring tool for compressive therapy effectiveness in patients with arterio-venous and venous forms of lower limb angiodysplasias.

Arterialization of the hand venous system in patients with critical ischemia and thrombangiitis obliterans.

The lesion of distal arteries in patients with thrombangiitis obliterans happened to looking for nondirect methods of blood supply improvement of the involved limb - transplantation of omental pedicle, arterialization of veins, thoracic sympathectomy, etc. From 1986 in the Department of vascular surgery of A. V.

[Endovascular closure of defects of the interatrial septum and patent foramen ovale].

Endovascular occlusion of defects of the interatrial septum and patent foramen ovale has increasingly been gaining ground in surgical practice. This is predetermined by a shortened hospital stay of the patients and the lack of any cosmetic defects left, as compared with the conventionally performed surgical management. The present review analyses both Russian and foreign literature related to the problem concerned.

[Liprimar in prevention of coronary complications in patients following reconstructive vascular surgery].

The article is dedicated to analyzing the outcomes of an open prospective study of efficacy of Liprimai administered in the postoperative period. The study comprised a total of 30 patients presenting with atherosclerotic lesions of the arteries of the carotid bed and aorto-femoral segment, who were subjected to reconstructive vascular operations. The aim of the present study was to look into a possibility of preventing cardiac complications in patients after endured reconstructive vascular surgery.

[The use of magnetic resonance contrast agents for selective digital subtraction angiography and computed tomography with contrast enhancement].

Allergy to iodine-containing contrast agents is the main contraindication for angiographic examinations of patients. This paper reviews the works of Russian and foreign specialists describing an experience gained with the use of magnetic resonance gadolinium-containing agents possessing radioabsorption properties for digital subtraction angiography and CT, angiography. The authors provide a comparative evaluation of the efficacy of the use of magnetic resonance contrast agents with varying gadolinium concentration.

[Estimation of the protective effect of Nebilet for perioperative cardiac complications in patients underwent vascular surgery: results of prospective study].

We report results of our prospective study - administration of Nebilet in 30 patients in perioperative period. Aim of this study is to estimate the protective effect of Nebilet for perioperative cardiac complications (nonfatal myocardial infarction and cardiac death) in patients which underwent recostructive vascular surgery. Patients were administrated Nebilet (2.

[Present-day classifications of congenital vascular malformations (angiodysplasias)].

The article deals with the previously existing classifications of congenital vascular developmental abnormalities (angiodysplasias,malformations), with an emphasis put on the main classificatory features, as well as on the basic differences between angiodysplasias and haemangiomas. Due coverage is given to specifying certain problems related to the apparently synonymous technical terms and words widely used in the clinical practice concerned. Also, carefully described herein are two most frequently occurring in the practice of cardiovascular surgery classifications of dysplasias, namely that of Hamburg, and V.

[Diagnosis and management of visceral arteries aneurysms].

Visceral arteries aneurysms appear to be of particular clinical importance in surgical practice. Approximately 22% of the reported cases of visceral arterial aneurysms are complicated by a rupture with a high risk of an eventually lethal outcome. Endovascular embolization of the aneurysmal cavity and closure of the arterial wall defect by means of stent-grafts are increasingly gaining ground in surgical practice, which may reasonably be attributed to the minimally invasive nature of the procedure as compared with the conventional and routinely performed surgical intervention.

Micronized diosmin (Detralex) for vein-related trophic ulcers: European experience.

The paper presents a meta-analysis of 5 large European studies (N - 723) on the micronized diosmin administration to patients with venous trophic ulcers (CEAP class VI). With the use of evidence-based approach, it was shown that micronized diosmin has a statistically significant clinical effect on middle-sized trophic ulcers (5 - 10 cm(2)) that persisted for 6 - 12 months. The study concludes that polyvalent venotonics are an appropriate and valuable addition to complex therapy of complicated chronic venous insufficiency.

Tissue reaction to implantation of light polypropylene meshes.

Comparative histological and electron-microscopic studies of tissues at the site of implantation of Vypro and Ultrapro polypropylene mesh endoprostheses and the meshes coated by fibroblasts were carried out. Tissue reaction to implantation of meshes coated by fibroblasts was more pronounced, particularly during the early period, and the process of connective-tissue capsule formation and implant growth was more rapid. The meshes integrated with the adjacent tissues at the site of implantation, which recommends them for clinical use.

Radioautographic study of palatine tonsillar cells.

Proliferative and functional (protein producing) activities of palatine tonsillar cells were studied by light radioautography (semithin sections). 3H-Thymidine incorporation demonstrated the dynamics of renewal of palatine tonsillar cell populations in various pathological states. 3H-Uridine labeling objectively evaluated functional activity of different cells and more accurately showed distribution of destructive processes in the organ.

The use of the fat-cutaneous neck flap in reconstruction of the face injured by burns.

The face is a part of the body that is frequently affected by burn injury. Post-burn scar sequelae in this area often result in invalidity and psychological upsets for the patients. The methods of plastic surgery widely employed have their drawbacks.

Carotid artery dissection (literature review and a case report).

The paper presents a literature review on the internal carotid artery (ICA) dissection and an original case report. The dissected ICA segment was resected and grafted.

Endovascular grafting of thoracic aortic pseudoaneurysm after operation for coarctation.

Presented herein is a case of successful repair of thoracic aortic aneurysm by endograft in a female patient 21 years after replacement of the descending aorta for coarctation. During scheduled examination the patient was found to have aneurysm of proximal anastomosis. Additional examination was followed by the stenting of the thoracic aorta using endograft manufactured by the "GORE" Company (USA).

Comparative analysis of carotid endarterectomy late outcomes related to intervention modality.

The paper presents a comparative analysis of late outcomes after 105 carotid endarterectomies (CEA) performed in 89 patients from 1997 to 2003, including 95 patients (90.5%) operated for atherosclerotic stenosis of internal carotid artery (ICA) and 7 patients (6.6%)--for combined ICA stenosis and tortuosity.

Pancreatic head cancer: accuracy of CT in determination of resectability.

Background: Pancreatic cancer is a devastating disease whose early detection remains difficult. There is no 100% reliable imaging test to diagnose and stage pancreatic cancer. We assessed the surgical value of contrast-enhanced spiral computed tomography (CT) in predicting the resectability and survival rates of patients who had pancreatic head cancer.

Roentgenoendovascular treatment of Conn's syndrome.

This paper describes the first in the world experience with the treatment provided in 1990 to a female patient suffering from hypereldosteronism associated with adenoma of the left adrenal. The treatment consisted in endovascular destruction of the adrenal, which was performed by means of acute occlusion of the adrenal venous bed using a sclerosing agent. The intervention resulted in a decrease of arterial pressure (AP) from 240/140 to 130/80 mm Hg.

[Aspirin versus oral anticoagulants following lower limb arterial reconstructions: what to choose?].

Graft thrombosis in long-term postoperative period after lower extremity arterial reconstructions often results in limb loss. In some studies prolonged antithrombotic therapy was demonstrated to improve long-term patency of vascular grafts. Nevertheless little consensus exists on the optimal antithrombotic agents.

First experience of endoscopic implantation of tissue expanders in plastic and reconstructive surgery.

Background: Over the last 15 years, tissue expansion has been used in the treatment of 324 patients at the A. V. Vishnevsky Institute of Surgery.

[Long-term outcomes of balloon angioplasty for aortic coarctation].

From 1994 to 2001 balloon angioplasty was fulfilled for 19 patients aged from 4 to 28 (mean 11.0+/-7.0) with discrete type aortic coarctation.