[Hybrid technologies in treatment of a patient with vascular graft infection]. / Gibridnye tekhnologii v lechenii bol'nogo s infektsiei sosudistogo proteza.

Presented in the article are advantages of various methods of treatment of periprosthetic infection which continues to be one of the most challenging problems in modern vascular surgery. We describe herein a clinical case report regarding a patient with late infection of a bifurcated aortofemoral bypass graft. The infectious complication manifested itself by a periprosthetic infiltrate in the area of the distal anastomosis. The stent-graft's limb was resected within the limits of the unaltered tissue. The infectious process then manifested itself as sequestration of the main branch. Staged complete anatomical reconstruction performed later on using a hybrid technique made it possible to achieve an optimal result and resolution of the infection. This case report demonstrated undeniable advantages of using hybrid techniques.

[Treatment of a patient with Crawford type III thoracoabdominal aortic aneurysm]. / Lechenie patsienta s torakoabdominal'noi anevrizmoi aorty III tipa po Crawford.

Presented herein is a clinical case report regarding hybrid techniques successfully used in a patient suffering from a Crawford type III thoracoabdominal aortic aneurysm and DeBakey type IIIB aortic dissection. The first stage consisted in endoprosthetic reconstruction of the descending portion of the thoracic aorta, with the second stage including visceral debranching with endoprosthetic reconstruction of the thoracoabdominal portion of the aorta. As the final stage, the patient was subjected to debranching of brachiocephalic arteries, followed by endoprosthetic repair of the aortic arch. The chosen approach made it possible to avoid the use of extracorporeal circulation, aortic occlusion, and, consequently, prolonged postoperative recovery.

[Revascularization of the brain in the acute stage of ischemic stroke]. / Revaskuliarizatsiia golovnogo mozga v ostrom periode ishemicheskogo insul'ta.

A literature review on the early surgical revascularization using carotid endarterectomy in the acute stage of ischemic stroke is presented. Special attention is drawn to criteria of patient selection and time of surgery. A history of the problem is given.

[Possibilities of simultaneous surgery for cholelithiasis and abdominal aortic lesions].

Clinical cases of simultaneous surgery for cholelithiasis and atherosclerotic aortic lesion were analyzed. A comprehensive literature review was submitted.