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The Sixth International Scientific Distance Conference Cardiovascular Surgery and Angiology - 2008
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Bulletin of the International Scientific Surgical Association.- Vol. 3, N 2-3, 2008
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V.Knyazhev
Varna, Bulgaria
This article chronologically explains the origination of the first operations of extraanatomic bypass on patients with chronic arterial insufficiency. Indications of such operations have been presented and also the importance of the implementation of hemodynamic conditions has been emphasized as necessary for the success of the intervention
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Article on Russian >>
V.A.Kislyakov
Astrakhan, Russia
Major factors of risk а complications of a syndrome diabetic foos - peripheral polyneuropathy; chronic arterial vasculopathy and the interfaced infringements of venous and lymphatic outflow, and also change of microcirculation and change of cellular activity factors of growth and citokins.; deformations foots; previous ulcers and-or amputations; a trauma; incorrectly picked up footwear; social factors-psychological; a racial accessory. Still such reasons: genetic predisposition; a male; smoking; high level HbA1c; ethnic features; advanced age; chronic kidneys insufficiency; abusing alcohol; chronic hiperglicemya; stress; inadequate or inaccessible medical aid, mycosises stop and others. Additional risk factors: long development of a diabetes, amputations and ulceraition and purulens processes in the anamnesis, power deficiency
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O.Kudryavtseva, A.Kudryavtsev
Moscow, Russia
On the basis of the data in vitro on fluid resistance of a stenosis equations for definition of flow, velocities and the critical degree of a stenosis are offered. Equations take into consideration along with degree of stenosis - peripheral resistance; diameter of artery; parametres of stenosis; ratio of fluid resistance for stenotic and collateral parts of the arterial tree; ratio lumen vessels. The impact analysis of these factors on system hemodynamics of arteries allows to conduct the received results
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N.K.Minaeva
Syktyvkar, Russia
The article presents the analysis of examination and treatment of 177 elderly patients with low-limb arteries disorders. The analysis was performed according to the specifically developed investigation scheme. Obliterating atherosclerosis constitutes 82.5% of the overall low-limb arteries diseases. 49.3% of the patients revealed dyslipoproteidemia. 70.6% of the patients received conservative treatment/ 29.4% underwent surgery. We managed to maintain low-limb circulation in 92.7% of the patients. The scope and the stages of the conservative and surgical treatment are presented
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Article on Russian >>
A.Zenelaj, M.Brati, V.Zenelaj, A.Idrizi, A.Strakosha
Tirana, Albania
With the aim to improve quality of life in patients with end stage kidney insufficiency we studied the results of arteriovenous fistula and possible factors of their failure. Our study includes 74 patients were vascular access for hemodialysis was necessary. The period of the study is May 2005-September 2008.As it will come in the results a better selection of the patients who will need hemodialises will result in better avf creation results which will improve patient’s quality of life
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Article on English >>
Tirana, Albania
Introduction: In each case with important peripheral vascular injury one
of the crucial problems to be solved is the installation of the compartment syndrome.
Material and methods: From August 1999 till March 2005 we treated 77 patients
with important arterial injuries of the limbs. The range in age was from 13 to 65
years old. In 62 patients the injury was in lower limbs, in 15 the injury was in
upper ones. The injuries were causalities of shotguns in 55 cases, knives and other
sharp objects in 17 cases, road incidents in 4 cases and iatrogenic 2 cases.
We performed fasciotomy in 29 cases. All of them in the legs. In the cases we
performed fasciotomy complexity of trauma was 93%. The rest of cases had a complexity
of 15 % . Mean time of addmition in our department from the moment of trauma was
16.5 hours in fasciotomy group and 6. 5 hours in non fasciotomy group.
In the cases with fasciotomy revascularization procedures have been performed
in 85% of patients. Whereas in the cases without fasciotomy revascularization procedures
were performed in 100 % of cases.
Results: In the cases treated with fasciotomy 26 patients did well versus
32 in non fasciotomy group. Amputation in different levels were performed in three
cases in fasciotomy group and one in the other group. Neuropathy was installed in
2 patients with fasciotomy versus 1 patient without fasciotomy. Muscular necrosis
suffered 3 patients with fasciotomy. Mean duration of stay in hospital was 19 days
in the group with fasciotomy and 10 days in the group without.
Conclusions: Fasciotomy should be performed as soon as possible in all
cases where a compartment syndrome is installed.
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Y.B.Serebryanskiy, I.N.Staroverov, E.N.Byrikhin, N.A.Larionov
OPPORTUNITIES OF TREATMENT OF THE ISCHEMIC FORM OF A VENOUS THROMBOSIS IN MODERN CONDITIONS
Yaroslavl, Russia
Experience of treatment of 15 patients with the ischemic form of a sharp thrombosis of deep veins is presented. Are considered: etiology, clinic, variants of treatment of a venous gangrene. Active surgical tactics in treatment of this group of patients is recommended
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Article on Russian >>
Y.B.Serebryanskiy, I.N.Staroverov, E.N.Byrikhin, N.A.Larionov
PREVENTIVE MAINTENANCE PULMONARY EMBOLISM AT PATIENTS OF A HIGH DEGREE OF RISK. RESULTS OF VARIOUS TACTICAL APPROACHES
Yaroslavl, Russia
It is executed retrospective the analysis of 95 case records of patients with high risk of thromboembolism of the pulmonary artery, passed treatment in a versatile hospital of first aid. Results of various tactical approaches in treatment of this group of patients are considered
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Article on Russian >>
V.J.Sacharov, G.O.Penina
THE REGIONAL REGISTER OF THE CEREBRAL STROKE IN KOMI REPUBLIC - THE TENTATIVE ESTIMATION
Syktyvkar, Russia
On the preliminary data, the cerebral stroke meet equally frequently at men and at women. It is established, that among men persons of able-bodied age prevail. The cerebral stroke in Komi Republic are registered in the senior age groups (after 60 years) more often. The parity ischemic and hemorrhagic cerebral stroke in Komi is 6:1, much higher than in the Russian Federation. The most widespread risk factor of the development of the cerebral stroke, according to the register, is the arterial hypertension
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Article on Russian >>
V.N.Butikov, G.O.Penina
CHRONIC ISCHEMIA OF THE BRAIN AT INHABITANTS OF NORTHERN TERRITORIES (ON THE EXAMPLE OF KOMI REPUBLIC)
Syktyvkar, Russia
The all cases of the hospitalization of the patients with cerebrovascular diseases in republican neurologic branch from 1998 to 2008 were analyzed. Women prevailed over the men in all groups of patients significantly. The age of hospitalized men is lower than ones of women with the same form of pathology statistically significantly. The disease was beginning at the patients living in regions of the Far North authentically earlier
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Article on Russian >>
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