[Roentgenosurgery for aortic coarctation and open arterial duct with intravascular ultrasonic examination]. / Rentgenokhirurgicheskie operatsii po povodu koarktatsii aorty i otkrytogo arterial'nogo protoka s ispol'zovaniem vnutrisosudistogo ul'trazvukovogo issledovaniia.

Forty-five patients (32 with open arterial duct and 13 with aortic coarctation) were examined. Forty-nine intravascular ultrasonic examinations were performed, qualitative and quantitative analysis of 139 vascular segments was carried out. Despite the fact that mean morphometric indices of open arterial duct and aorta in angiography and intravascular ultrasonic examination had no significant difference, real confidence of the o data was seen only in 13.3% cases for open arterial duct an in 16.7% cases--for aortic coarctation. In 37.5 and 50% patients, respectively, difference in the dimensions was so significant that dictated choice of instruments with difference size. Roentgenoendovascular surgeries were performed in 23 patients with open arterial duct and in 12--with aortic coarctation. Choice of instruments parameters based on data of intravascular ultrasonic examination provided safer and more efficient procedures.

[Rheolytic thrombectomy using the "Angiojet" complex in treating arterial thrombosis]. / Reoliticheskaia trombéktomiia s ispol'zovaniem kompleksa "Angiodzhet" v lechenii arterial'nykh trombozov.

Results of roentgenendovascular treatment of arterial thrombosis by rheolytic thrombectomy with "Angiojet" are presented. 18 patients (1 woman, 17 men) underwent 19 rheolytic thrombectomies from peripheral arteries. Mean age of patients was 53.3 +/- 3.0 years, time of thrombosis--from 20-30 min to 60 days (mean 121 +/- 17 hours). Thrombectomy was performed from superficial femoral, popliteal or tibial arteries, or from all these vessels simultaneously. In one case thrombus was removed from femoro-popliteal graft. Rheolytic thrombectomy was combined with balloon angioplasty of hemodynamicaly important stenosis, 5 patients underwent implantation of 9 stents. Good and satisfactory results were achieved in 77.8% patients; thrombectomy as the stage of operation was ineffective in one case only. Rheolytic thrombectomy from coronary arteries was performed 3 times, with complete effect in 1 and with partial--also in 1 patient.