ABSTRACT
The results of treatment of 526 patients with an acute venous thrombosis of the lower extremities aged from 23 to 70 years, including 140 (36.3%) men and 376 (63.7%) women, were analyzed. The main etiological factors of thrombosis were physical overload, operations with subsequent immobilization, trauma of lower extremities, pregnancy and delivery, tumor of small pelvis and of other localization. In 65 patients an acute venous thrombosis was complicated by thromboembolism of pulmonary artery (TEPA), 2 patients died before initiation of treatment. Conduction of conservative therapy in 314 (94.4%) patients with thrombosis of the lower extremities deep veins using fraxiparine (fraxiparine forte) have allowed to achieve considerable improvement of their state. In 80 patients with thrombosis of subcutaneous veins was performed ligature of mouth for prophylaxis of TEPA, in all of them good clinical result was noted. High efficacy of fraxiparine application in prophylactical dosage for prevention of the venous thromboembolism occurrence was noted.
Subject(s)
Fibrinolytic Agents/therapeutic use , Lower Extremity/blood supply , Venous Thrombosis , Acute Disease , Adult , Aged , Female , Humans , Male , Middle Aged , Risk Factors , Venous Thrombosis/drug therapy , Venous Thrombosis/etiology , Venous Thrombosis/prevention & controlABSTRACT
The results of surgical treatment of 112 patients with pathologic tortuosity of the extracranial cerebral arteries have been analysed. Indications and choice of a method for operative intervention are substantiated. Arterial torsion and loop formation were the most severe types of deformity, which often caused impairement in the cerebral circulation.
Subject(s)
Carotid Artery Diseases/surgery , Carotid Artery, Common , Carotid Artery, Internal , Vertebral Artery , Adult , Aged , Carotid Artery Diseases/diagnostic imaging , Carotid Artery Diseases/pathology , Cerebral Angiography , Cerebral Arterial Diseases/diagnostic imaging , Cerebral Arterial Diseases/pathology , Cerebral Arterial Diseases/surgery , Female , Humans , Male , Middle Aged , Torsion Abnormality/surgeryABSTRACT
An access to the initial portion of the vertebral artery which is distinguished by medial relative to the internal jugular vein approach to the subclavian-vertebral arterial segment is described. In its use in 34 patients, no complications which occur in conventional access with the lateral relative to the internal jugular vein approach (diaphragmatic nerve paresis, plexitis, injury to the thoracic duct) were noted.
Subject(s)
Vertebral Artery/surgery , Cadaver , Female , Humans , Jugular Veins/surgery , Male , Subclavian Vein/surgery , Treatment Outcome , Vascular Surgical Procedures/methods , Vertebral Artery/anatomy & histologyABSTRACT
Studies of the cardiovascular system in 1150 patients were performed by means of angiographic complex of the firm "Thompson" (USA) equipped with a computer "DG-300" (USA). The morphofunctional characteristics of circulation--capacity of vascular bed, elasticity of a vessel, degree of its stenosis, time of circulation and perfusion were studied. Four (0.3%) patients developed complications: 2--bleeding from the femoral artery, 2--cardiac arrest during coronarography.