[Prevalence rate of fatal and nonfatal pulmonary artery thromboembolism at a multimodality hospital].

The authors carried out a retrospective analysis of the causes of fatal and nonfatal pulmonary artery thromboembolisms (PATE) based on the materials of 204 post-mortem examinations of the patients having died at the Republican Scientific Centre for Emergency Medical Care. Of these, PATE as the underlying cause of death was registered in 151 (74.0%) cases, and the remaining 53 (26.0%) patients were found to have had lesions of the pulmonary artery branches on the background of another concomitant fatal pathology. In-life diagnosis of PATE had been made in 42.6% of cases only. Damage to the inferior vena cava (JVC) was recorded in the case history only in 19.9% of those having died of PATE, while of the patients with nonfatal forms of thromb о embolism, having died of other causes, lesions of the venous system had been registered by the attending physicians only in 11.3% of cases. The authors made a conclusion on the importance of improving the organizational, therapeutic and diagnostic measures aimed at prevention and early detection of embolus-threatening phlebothrombosis, as well as implementing more radical and safer methods of preventing PATE.

[New prospects in treatment of lower-limb venous trophic ulcers].

The review analyses the data related to the problem of surgical management of venous trophic ulcers. Taking into consideration the pathogenetic aspects of the formation and course of the latter, substantiated herein is a promising nature, and more importantly, rather high efficacy of using minimally invasive and sparing methods of surgical correction for chronic venous insufficiency, particularly, that of the means of endovascular surgery, sclerosurgery and laser-mediated obliteration of veins.