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Klin Khir ; (8): 30-34, 2016 Aug.
Article in Russian | MEDLINE | ID: mdl-28661601

ABSTRACT

In the clinic 60 patients were examined, in whom reconstructive operations on the main arteries were performed for obliterating atherosclerosis (OA) of the lower extremities vessels. Efficacy of impact of Plestazol (in a 200 mg/day dose) on neointima hyperpla- sia was studied. Clopidogrel (75 mg/day) was administered to patients of comparative group. Effective criteria for estimation of the migration-proliferation disorders state in endothelial dysfunction are concentration of the intercellular adhesion molecules (ICAM) and the basic factor of the fibroblasts growth (FGFb); morphological disorders in hyperplastic reactions of neointima - determination of thickness of "intima-media" complex in accordance to the ultrasound duplex scanning data. There was established, that Plestazol constitutes an effective disaggregate preparation, positively impacting decelerating reaction of neointima hyperplasia, including, deceleration of the smooth- muscle cells migration into subendotelial layer in the formation zone of the femoro- popliteal shunt distal anastomosis.


Subject(s)
Arteriosclerosis Obliterans/drug therapy , Hyperplasia/drug therapy , Plastic Surgery Procedures/rehabilitation , Tetrazoles/therapeutic use , Vasodilator Agents/therapeutic use , Aged , Aged, 80 and over , Arteriosclerosis Obliterans/diagnostic imaging , Arteriosclerosis Obliterans/pathology , Arteriosclerosis Obliterans/surgery , Biomarkers/blood , Case-Control Studies , Cilostazol , Clopidogrel , Endothelium, Vascular/diagnostic imaging , Endothelium, Vascular/drug effects , Endothelium, Vascular/pathology , Endothelium, Vascular/surgery , Female , Femoral Artery/diagnostic imaging , Femoral Artery/drug effects , Femoral Artery/pathology , Femoral Artery/surgery , Fibroblast Growth Factor 2/blood , Humans , Hyperplasia/diagnostic imaging , Hyperplasia/pathology , Hyperplasia/surgery , Intercellular Adhesion Molecule-1/blood , Lower Extremity/blood supply , Lower Extremity/diagnostic imaging , Lower Extremity/surgery , Male , Middle Aged , Popliteal Artery/diagnostic imaging , Popliteal Artery/drug effects , Popliteal Artery/pathology , Popliteal Artery/surgery , Ticlopidine/analogs & derivatives , Ticlopidine/therapeutic use , Ultrasonography, Doppler, Duplex
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