[Immediate and remote results of endovascular treatment of patients with postinfarction cardiosclerosis].

Two approaches in treatment of 131 patients with postinfarction cardiosclerosis are compared in the work. Tactics of "total" myocardial revascularization means restoration of coronary blood flow in all arteries with hemodynamically significant lesion while "selective" revascularization provides restoration of coronary blood flow only in those arteries which have a viable myocardium in their pool. It was concluded that restoration of coronary blood flow in patients after myocardial infarction permits to prevent postinfarction heart remodeling, development of heart failure thereby affecting on the prognosis. Evaluation of myocardial viability in the area of suggested surgery increases efficiency of revascularization, reduces number of implantable stents and decreases frequency of unfounded coronary interventions. Elimination of ischemia in the area of hibernation provides a rapid restoration of myocardial contractility in most of left ventricle segments with initially impaired kinetics. It was revealed that terms of contractility restoration of hibernating myocardium depend on duration of hibernation period up to revascularization.

[Endovascular treatment of ischemic heart disease in patients with multivessel coronary artery disease: immediate and long-term results].

Immediate and long-term results of endovascular treatment of multivessel coronary artery disease by using different revascularization strategies were analyzed in 171 patients. Duration of follow up ranged from 12 to 18 months. Complete myocardium revascularization was performed in 63 patients, culprit vessel revascularization--in 86 pts and incomplete revascularization--in 22 pts. Results of this study showed that strategy of complete and culprit vessel revascularization in patients with multivessel coronary artery disease has comparable immediate and long-term results. Strategy of incomplete revascularization reduce immediate clinical success and lead to increased number of myocardial infarctions and needs of coronary artery bypass surgery in long-term follow-up period.

[The long-term results of the endovascular treatment of the ischemic heart disease].

The long-term follow-up treatment results were analyzed for 171 patients operated on the reason of multiple coronary vessels atherosclerosis. The average follow-up time was 14.85 ± 2.52 months. The complete myocardium revascularization was achieved in 63 patients; functionally adequate myocardial function was registered in 86 patients; 22 patients demonstrated noncomplete revascularization rate. Results of complete and functionally adequate revascularization were not significantly different by the myocardial infarction, repeated revascularizative manipulations and main cardio-vessel complications rates. Patients of the third group demonstrated the statistically higher rates of myocardial infarction (p=0.016) and necessity of the coronal shunting (p=0.033).

[Surgical manipulations in patients with permanent pacemaker].

Paper is devoted to the safety rules by surgical interventions on patients with permanent pacemaker. Data of 123 operated patients with intraoperative pacemaker instability were analyzed, possible premises of this complications were discussed. The use of monopolar electrocoagulation proved to be the most frequent of reason of pacemaker failure. Strong correlation between rhythm failure and duration of the single electrocautery exposure was revealed.

[Left ventricular ruptures after the mitral valve replacement].

7 cases of left ventricular rupture after the mitral valve replacement, which occurred per 900 operations performed in our clinic, were analyzed. A successful closure of the defect has been managed in 2 cases. In all cases the external closure with liners and patch plasty was used. In two cases the autopsy revealed a transmural myocardial infarction, underdiagnosed preoperatively, which had caused a rupture.

[Use of UV-irradiated autologous blood in the treatment of patients with occlusive vascular diseases of the lower extremities]. / Ispol'zovanie UFO autokrovi v lechenii bol'nykh s obliteriruiushchimi zabolevaniiami sosudov nizhnikh konechnostei.

Based upon the investigation of the hemogram, biochemical indices of blood and certain instrumental methods of research in patients with a critical form of obliterating diseases of lower extremity vessels, whose treatment included UVI of auto-blood, the authors have shown pronounced clinical efficiency of the method of treatment resulting in the improvement of theological properties of blood, microcirculation in tissues, less pain syndrome and rapid healing of trophic ulcers against the background of better condition of the patient. The method allowed the time of staying at the hospital to be substantially shortened.

[Combined operative interventions in patients with diseases of the blood system]. / Sochetannye operativnye vmeshatel'stva u bol'nykh s bolezniami sistemy krovi.

The authors examined 875 patients with diseases of the blood. Combined operations are the effective component of the complex treatment of such patients. It is expedient to perform them with the use of the upper median laparotomy and combined approach.

[Intestinal side-to-side anastomosis as a cause of iron deficiency anemia]. / Kishechnyi anastomoz bok v bok kak prichina razvitiia zhelezo- defitsitnoi anemii.

Analysis of 9 cases showed that diagnostic laparotomy is advisable in patients with side-to-side anastomosis of the small intestine who are suffering from chronic posthemorrhagic iron deficiency anemia and in whom the source of bleeding is not identified by methods of clinical examination. Improper techniques of the creation of a side-to-side anastomosis+ lead to the formation of blind pouches with the development of ulcers and erosions on the mucous membrane, which are the source of the bleeding. Resection of the anastomosis and subsequent establishment of an end-to-end anastomosis removes the source of the bleeding and comprises etiopathogenetic treatment of iron deficiency anemia in these patients.

[Ultraviolet irradiation of lymphoplasma in combination with lymphocytapheresis in the treatment of patients with diseases of the blood system]. / Ul'trafioletovoe obluchenie limfoplazmy v sochetanii s limfotsitaferezom v lechenii bol'nykh s zabolevaniiami sistemy krovi.

The article describes results of treatment of 8 patients with diseases of blood system complicated by autoimmune processes with the use of lymphocytopheresis in combination with the ultraviolet irradiation of lymphoplasm for its sterilization before autotransfusion. It was shown that ultraviolet rays (254-330 nm) gave a stable most pronounced lymphoplasm-sterelizing effect in addition to the increased immunosuppressive action due to lymphocytophoresis in the external drainage of the thoracic lymphatic duct.

[Autologous transfusion of UV-irradiated blood in occlusive vascular diseases of the legs]. / Autotransfuziia ul'trafioletom obluchennoi krovi pri obliteriruiushchikh zabolevaniiakh sosudov nizhnikh konechnostei.

Under analysis were observations of 34 patients with obliterating diseases of the lower extremity vessels. All of them were treated by autotransfusion of ultraviolet irradiated blood. It was noted that the patients' state improved, pains subsided and the ulcers were epithelized. Control examinations have revealed better blood filling of the tissues and increased oxygen saturation of blood.

[Use of ultraviolet irradiation of the blood in inflammation of the tissues of the maxillofacial region]. / Primenenie ul'trafioletovogo oblucheniia krovi pri vospalitel'nykh protsessakh tkanei cheliustno-litsevoi oblasti.

The authors analyze the experience with the reinfusion of the autoblood subjected to ultraviolet irradiation to 25 patients with inflammatory diseases of the maxillofacial area. The positive curative effect of this method of hemotherapy is demonstrated.