[Functional cardiovascular assessment in dentists performing local anesthesia in out-patient settings].

The article presents the results of the cardiovascular changes assessment using electrocardiography (ECG) monitoring during local anesthesia in GP dentists. Selective ECG monitoring was carried out in 60 dentists aged 25-55 years (1 group - 25-34 y.o.

[Roentgen endovascular treatment of common carotid artery dissection after eversion carotid endarterectomy].

The article deals with the use of self-expanding stents for endovascular treatment in patients presenting with dissection of the common carotid artery, exemplified by two clinical case reports. In both cases, dissection of the common carotid artery developed after eversion carotid endarterectomy. Intimal detachment was eliminated in both cases by implanting self-expanding stents.

[Coagulological aspects of treatment of complications of prolonged therapy with warfarin].

The authors analysed the results of treating a total of 116 patients (68 men and 48 women aged from 20 to 84 years, mean age 59.5±15.5 years) presenting with various complications of prolonged therapy with warfarin.

[Technical features of intraligamental intraseptal anesthesia].

Based on personal clinical experience the authors provide clinical guidelines for periodontal anesthesia. The by-step protocol for intraligamentary and intraseptal anesthesia is presented. The basic mistakes in technique and possible complications are described.

[Possibilities and prospects of three-dimensional bioprinting in vascular surgery].

Rapid development of tissue engineering is gradually changing the approach to patient care. Despite the fact that the use of an autograft or transplantation of an artificial prosthesis is preferred in most cases, this is frequently impossible due to shortage of suitable material or the patient's condition. Regenerative medicine and tissue engineering make it possible to reduce the terms of treatment and restoration after vascular operations, as well as complications rate.

[Outcomes of surgical revascularization in patients after stenting of lower-limb arteries].

The authors analysed immediate and remote results of primary "open" reconstructive operations and arterial reconstructions performed after previous stenting of lower-limb arteries. The study comprised a total of 93 patients presenting with lower-limb critical ischaemia. Group One consisted of 46 patients with localization of the lesion of lower-limb arteries above the inguinal ligament.

[Experience with the ovations stent graft system for totally percutaneous endovascular repair of the infrarenal portion of the abdominal aorta].

Presented in the article are clinical cases of successful totally percutaneous endovascular repair of the infrarenal portion of the abdominal aorta using the Ovation Prime ultra-low profile stent graft in high-surgical-risk patients, yielding good immediate and short-term results, thus demonstrating new possibilities in endovascular treatment of aneurysms of the infrarenal portion of the abdominal aorta.

[Results of comprehensive management of patients with chronic lower limb ischaemia using gene-engineering technologies of angiogenesis stimulation (Part 2)].

Presented herein are the results of clinical use of gene engineering methods of stimulating angiogenesis in patients with lower limb chronic ischaemia. An open prospective controlled clinical study included a total of 160 patients with lower limb chronic ischaemia. Gene engineering technologies of angiogenesis stimulation were used both as an independent method of treatment in comprehensive conservative therapy (80 patients) and as comprehensive treatment in combination with revascularizing operations (80 patients).

[Results of comprehensive management of patients with chronic lower limb ischaemia using gene-engineering technologies of angiogenesis stimulation (Part 1)].

Presented herein are the results of clinical use of gene engineering methods of stimulating angiogenesis in patients with chronic lower limb ischaemia. An open prospective controlled clinical study included a total of 160 patients with chronic lower limb ischaemia. Gene engineering technologies of angiogenesis stimulation were used both as an independent method of treatment in comprehensive conservative therapy (80 patients) and as comprehensive treatment in combination with revascularizing operations (80 patients).

Toxic phosphorous osteonecrosis of facial bones among drug addicts to desomorphine and pervitin. Part II.

Article describes literature review of "atypical" osteomyelitis--osteonecrosis of facial bones among addicts to synthetic narcotics desomorphine and pervitin, different comorbidities, treatment strategy and prognosis were outlined

Spontaneous recanalization of chronic occlusion of the internal carotid artery.

Described in the article is a rare case concerning spontaneous recanalization of the extracranial portion of the internal carotid artery (ICA) eleven months after occlusion. Only few publications have been dedicated to recanalization of ICA chronic occlusion. Spontaneous recanalization of the ICA is more common than it is generally understood.

[Genetic engineering technologies of stimulating angiogenesis as an innovation trend in angiology and vascular surgery].

Presented herein is a review of the principles, fundamental concepts, and possibilities of genetic engineering technologies of stimulating angiogenesis for treatment of patients with lower limb chronic ischaemia. This is followed by a detailed discussion of the structure and results of Russian and foreign studies on this direction, also considering the causes of differences of their results. Outlined is a circle of clinical situations in relation to which these technologies may be regarded as most promising.

[Possibilities and results of using clopidogrel (Listab) in comprehensive treatment of patients with crural deep veins thrombosis].

The authors carried out a prospective non-randomized controlled study including patients undergoing conservative treatment for acute thrombosis of crural deep veins with a stable course of the disease. A total of 60 patients discharged from hospital for further outpatient follow up and treatment were subdivided into two groups: Group I (study group, "Listab" group) composed of 35 patients who immediately began taking prescribed clopidogrel ("Listab") at a dose of 75 mg a day, and Group II (first control group, "VKA" group) comprising 25 patients receiving vitamin K antagonists (VKA) at various doses according to the generally accepted recommendations. We retrospectively formed Group III consisting of 21 patients (second control group, "ASA or VKA" group) who despite initial prescription of VKA either received them interruptedly and only for a short time after discharge from hospital or took preparations of acetylsalicylic acid (ASA) alone.

[Open operations or endovascular interventions in lesions of the first segment of the subclavian artery?].

Material And Methods: The study included a total of 110 patients presenting with stenoses of the first portion of the subclavian artery (SCA). Group One comprised 55 (50%) patients subjected to carotid-subclavian bypass grafting. The degree of stenosis varied from 65 to 95% (p>0.

[Criteria for efficacy of anticoagulant therapy in patients with thromboses of deep veins of lower limbs].

The authors analysed the results of a prospective study of dynamics of laboratory indices of plasma haemostasis on the background of anticoagulant therapy in a total of 60 patients (23 women and 37 men) presenting with idiopathic thromboses of deep veins of lower limbs in order to work out criteria for its efficacy and safety. Anticoagulant therapy was carried out using nonfractionated heparin according to the standard regimens. The patients' mean age amounted to 57.

[Assessment of efficacy of reconstructive operations on carotid arteries in combination of stenosis and pathological tortuosity].

Objective: The purpose of this study was to assess efficacy of reconstructive operations on carotid arteries in patients presenting with stenosis of the internal carotid artery (ICA) combined with its pathological tortuosity.

Material And Methods: We analysed our experience in surgical treatment of 84 patients with pathological tortuosity of the ICA combined with atherosclerotic stenosis. The study included patients with ICA stenosis ≥60% (any type of the atherosclerotic plaque) and with any degree of cerebrovascular insufficiency (CVI), or with ICA stenosis <60% (type I-III atherosclerotic plaque) with degree II-IV CVI in a combination with either S- or C-shaped tortuosity of the ICA, kinking or coiling, with the linear blood flow rate ≥110 cm/s and turbulence of blood flow.