[Combined endovascular and surgical management of carotid paraganglioma].

Surgical intervention is the only method of radical treatment of carotid paraganglioma (CP). Intraoperative blood loss may exceed 2 litters. Ligation of the external carotid artery (ECA) is not always possible technically due to tumour invasion to the ECA's walls. Prior to operation, in order to diminish blood loss it is suggested to perform endovascular embolization (EE) of the vessels feeding the tumour. The case report presented herein concerns an 18-year-old male patient with CP after comprehensive diagnosis including ultrasonographic duplex scanning with Doppler colour mapping, enhanced-contrast spiral computed tomography, selective carotid angiography. The patient was subjected to selective. EE of the afferent vessels of CP. Embolization of the branch of the ascending pharyngeal artery travelling to the lower pole of the tumour, and that of the large branches feeding the upper pole of the tumour from the initial portion of the occipital artery with poly vinyl alcohol (PVA-300) and hydrogel "Embox" was followed by surgical intervention: removal of the tumour, closure of the ostia of the tumour's own arteries, ligation of the EC A. The volume of intraoperative blood loss amounted to 350 ml. The postoperative period proved uneventful with nothing to report. During the check-up examinations of the patient, performed 3, 6, 12 and 24 months after the operation, a good postoperative therapeutic outcome was noted to persist.

[Endovascular correction of a multi-level arterial lesion in an elderly patient with lower-limb critical ischaemia].

Presented herein is a clinical case report showing possibilities of endovascular surgery in comprehensive treatment of a multi-level stenosing lesion in an elderly male patient presenting with pyo-necrotic alterations of the crus and foot. A 67-year-old male patient suffering from diabetes mellitus, lower-limb vessels atherosclerosis, critical ischaemia, indolent wound of the left foot following amputation of the toes was subjected to collaterally approached balloon-mediated angioplasty of critical stenoses of the left common iliac artery and deep femoral artery. During the operation, we used elements of coronary interventions technique. The wound healed completely. Two years after the operation, a good result persists, with the patient being capable of moving unassisted, completely serving himself, and the distance of pain-free walking amounts to more than 150 metres.

[Autologous transfusion of UV-irradiated blood in the treatment of occlusive arterial diseases of the lower extremities]. / Autotransfuziia UFO-krovi v lechenii obliteriruiushchikh zabole- vanii arterii nizhnikh konechnostei.

Complex examination of 72 patients with obliterating atherosclerosis and 10 patients with obliterating endarteritis was performed. All the patients were given autotransfusion of UV-irradiated blood as conservative treatment, preoperative preparation and postoperative management. The course of AUVIB was followed by a decrease of the lactic acid level, increase of functional properties of hemoglobin, activation of humoral immunity, change of the blood hemostatic potential to the side of hypocoagulation. The AUVIB treatment was most effective in patients at initial stages and those with peripheral forms of the disease.

[Surgical treatment of magistral vein injuries]. / Khirurgicheskoe lechenie povrezhdenii magistral'nykh ven.

The article generalizes the experience with the surgical treatment of 83 patients with injuries of major veins. The integrity of injured veins in 71 patients was restored by reconstructive operations. Good and satisfactory results were obtained in 71 patients. The method of choice of the surgical treatment of major veins is reconstructive operation on the vessels.