[Roentgeno-endovascular surgery of tumoral and traumatic injuries of the liver]. / Rentgenoéndovaskuliarnaia khirurgiia opukholevogo i travmaticheskogo povrezhdeniia pecheni.

In 17 patients with primary and metastatic hepatic cancer there was performed roentgenoendovascular occlusion (REO) of a. hepatica propria using fine disperse embolizing substances. In 30 patients regional infusion therapy (RITH) was conducted using preparations of platinum. In 11 patients REO was performed, and than--RITH. Chemical embolization of a. hepatica propria using cisplatinum in 200 mg dose, suspensed in 12 ml of mayodil or ethiotrast was done in 12 patients. The survival index for patients, to whom REO was conducted, had constituted at average (15.3 +/- 3.3) months, RITH--(14.4 +/- 2.6) months, REO and RITH--(20.6 +/- 3.2) months, chemical embolization--(18.3 +/- 1.5) months. REO of a. hepatica propria was conducted also to the patients with posttraumatic hemobilia. Of 16 examined patients REO using polyurethane emboli 2-2.5 mm in diameter was conducted in 14, in 2 trans-hepatic injection of ethanol in the pseudoaneurysm cavity was applied. Hemorrhage was stopped in all the patients. In 1 patient in 3 months after REO conduction recurrency occurred, which was eliminated by repeated REO. REO of tumoral and traumatic hepatic affection constitutes an effective miniinvasive method when operative intervention is ineffective or not possible to perform.

[Endovascular regional infusion therapy in the combined treatment of liver abscess]. / Endovaskuliarnaia regionarnaia infuzionnaia terapiia v kompleksnom lechenii abstsessa pecheni.

The comparative assessment of the effectiveness of endovascular regional infusion therapy (ERIT) in the complex of treatment of a hepatic abscess in 16 patients was carried out. In 12 patients, it was performed in combination with surgical intervention, in 4--as an independent method of treatment. In patients with a solitary hepatic abscess, it is expedient to include ERIT into the complex of therapeutic measures in combination with abscess puncture under ultrasound guidance. In presence of multiple abscesses of the liver, ERIT is a method of choice.

[Current aspects of diagnosis in aneurysms of the abdominal aorta]. / Sovremennye aspekty diagnostiki anevrizmy briushnoi chasti aorty.

The experience with examination of 116 patients with suspected abdominal aortic aneurysm permitted to develop the diagnostic programme and define the place of each of the used methods in the diagnostic complex.

[Evaluation criteria for load tests with ischemic heart disease patients with intact coronary arteries and with ones affected by arteriosclerosis]. / Kriterii otsenki testov s nagruzkoi u bol'nykh ishemicheskoi bolezn'iu serdtsa s intaktnymi i porazhennymi aterosklerozom venechnymi arteriiami.

Examination of 65 patients with ischemic heart disease (61 males and 4 females) whose ages ranged from 29 to 59 was conducted. Selective coronarography demonstrated stenosing atherosclerosis of the coronary arteries in 34 patients and intact coronary vessels in 31. Correlation analysis of the exercise tolerance value depending on the degree of the overall affection of the heart arteries revealed a reverse dependence (r = -0.68) between these indices. The criterion for discontinuing exercise tolerance tests on a bicycle ergometer in patients with involvement of the coronary arteries in atherosclerosis were changes in the ECG in 67.6% and an attack of angina pectoris in 85,3% of cases. In the group of individuals with intact coronary vessels and positive exercise tolerance test 41.7% had changes on the ECG and 79,6% had an attack of angina. It is shown that in patients with ischemic heart disease whose coronary arteries are intact or involved in atherosclerosis, angina pectoris is more sensitive as a criterion of myocardial ischemia than the changes on the ECG.