ABSTRACT
The authors have reviewed the available literature dedicated to the development of the treatment policy for managing the patients presenting with lower limb ischaemia. Central to the work is the analysis of the latest guidelines on therapeutic policy to pursue in patients presenting with chronic ischemia of the lower extremities, namely the Trans-Atlantic Inter-Society Consensus Document. This is followed by a detailed discussion of the indications for surgical and endovascular operative interventions in various-type lesions of the aortofemoral and femoropopliteal segments. Summarized herein are the main trends and tendencies in the present-day strategy of managing the patient cohort concerned.
Subject(s)
International Cooperation , Ischemia/surgery , Leg/blood supply , Practice Guidelines as Topic , Societies, Medical , Vascular Surgical Procedures/standards , Chronic Disease , Europe , Humans , United StatesABSTRACT
The etiological structure of viral hepatitides (VH) was defined in 345 children admitted to the clinic during one year with a diagnosis of acute viral hepatitis. It was established on the basis of clinico-laboratory studies and identification of serological markers of viral hepatitides A, B and delta. It has been demonstrated that in the structure of viral hepatitides in children living in Moscow, VHA accounts for 83.1%, acute VHB for 11.1%, HBV and HDV coinfection for 2.6%, and VH non A non B for 1.7%. In children of the first year of life, acute hepatitis was etiologically related to HBV-infection or to HBV and HDV coinfection. In a negligible part of the patients, VHA was diagnosed in the presence of chronic HBV-infection (1.2%) or exacerbation of chronic hepatitis B (0.3%). These data should be taken into consideration in planning and carrying out diagnostic, treatment and prophylactic measures aimed at solving VH problem in childhood.
