ABSTRACT
Are clinical observations of various diseases of the bile ducts, including cholangiocarcinoma, developed with chronic diseases pancreato-biliary zone. Reflected the complexity of instrumental diagnostics at an early stage of the disease. For the first time at the given pathology diagnostic purposes was applied the method of probe confocal laser endomicroscopy allowed in all cases to clarify and verify the diagnosis. Describes the technique of the research, its results are compared with other diagnostic methods. The authors suggest that in the diagnosis of pancreatic and biliary zone method probe confocal laser endomicroscopy can be crucial in inefficiency or uninformative other methods.
Subject(s)
Biliary Tract Diseases/pathology , Biliary Tract/pathology , Endoscopy, Digestive System/methods , Aged , Endoscopy, Digestive System/instrumentation , Female , Humans , Male , Microscopy, Confocal/methods , Middle AgedABSTRACT
The authors report herein a successful therapeutic outcome in a patient presenting with a posttraumatic subclavian artery aneurysm complicated by an embolism to arteries of an upper extremity, treated by means of endovascular prosthetic repair combined with a bypass-grafting operation on the arteries of the upper limb involved. A detailed description of the methodology and the course of the operation is provided. In the postoperative period, the clinical manifestations of ischaemia of the upper limb were completely relieved. The outcome of the operation was confirmed by intraoperative angiography, as well as by postoperative duplex scanning.
Subject(s)
Aneurysm/complications , Aneurysm/surgery , Embolism/etiology , Peripheral Vascular Diseases/etiology , Peripheral Vascular Diseases/physiopathology , Subclavian Artery/surgery , Upper Extremity/blood supply , Upper Extremity/physiopathology , Vascular Surgical Procedures/methods , Aneurysm/diagnostic imaging , Angiography , Humans , Male , Middle AgedABSTRACT
We describe a 56-years-old patient with spontaneous extracranial vertebral artery dissection, which was provoked by neck movements. Clinically dissection manifested with transient ischemic attacks in vertebrobasilar system which lasted during 3 months and often combined with occipital headache. Contrast angiography revealed subtotal stenosis of segment V1 of the right VA, extending from the ostium for a length of 1-1.5 cm with thread-like double lumen (true and false lumens). The rest part of V1 segment of the right VA was irregularly narrowed up to 40-50%. A good contrast filling of the rightVA beginning from segment V2 was carried out by the collateral circulation from thyreocervical trunk. No atherosclerotic plaques in extra- intracranial arteries were found. The patient was subjected to stenting of segment VI of right VA that resulted in a complete restoration of the arterial lumen. No postoperative complications were observed.
