[Restenosis after bare-metal stents implantation in small coronary arteries.].

Potential of bare uncoated metal stents in prevention of restenosis in coronary arteries with diameter of 2.2-3.0 mm in comparison with balloon angioplasty (BA) was studied in 426 patients with ischemic heart disease (mean age 58+/-11 years, 16% women, 8% with diabetes, total cholesterol 211+/-44 mg/dl, all received aspirin and clopidogrel). BA was carried out in 214 patients (mean artery diameter 2.45+/-0.25 mm) and coronary stenting (CS) - in 212 patients (mean artery diameter 2.43+/-0.27 mm). Immediate success rate was 85.5 and 96.2% in BA and CS groups, respectively (p<0.001). When complementary methods of revascularization were taken into account success rate of the whole intervention was 100% in both groups. Inhospital cardiovascular complications developed in 3.7 and 2.8% of patients in BA and CS groups, respectively (p=ns). During 6 months of follow-up rates of target vessel restenosis and repeat percutaneous interventions were 24.3 and 15.6% (p=0.034) while total rate of complications related to target vessel was 36.9 and 26.9% in BA and CS groups, respectively (p=0.035). Thus CS compared with BA in patients with low risk of restenosis development in small coronary arteria provides better immediate, inhospital and remote results.

[Surgical treatment of multiple thromboembolism of pulmonary artery segmental branches ]. / Khirurgicheskoe lechenie mnozhestvennoi tromoémbolii segmentarnykh vetvei legochnoi arterii.

The experience in the treatment of 32 patients with thromboembolism of the pulmonary artery is presented. Thrombolytic therapy has been carried out in 10 patients, implantation of antiembolism cava-filter REPTELA has been carried out in 15 patients. Original method for extraction of multiple emboli from segmental branches of pulmonary artery under the conditions of the artificial circulation is described.

[Mortality and disablement as criteria in the evaluation of ecological situation]. / Smertnost' i invalidizatsiia naseleniia kak kriterii otsenki ékologicheskoi situatsii.

A uniform study analyzed criteria for evaluation of ecologic jeopardy of some territories. Mortality and disablement appeared to be inadequate for that evaluation. The authors suggest specific parameters for cities neighbouring to major chemical enterprises.

[Disease characteristics of the population on the territory of the city of Kirovo-Chepetsk]. / Kharakteristika zabolivaemosti naseleniia na territorii g. Kirovo- Chepetska.

Medical and ecologic evaluation of ecologic situation in Kirovo-Tchepetsk (Kirov region) included study of morbidity in the town and referent territories. Levels and dynamics of morbidity, prevalence, number of pathologic processes in children and other parameters could characterize the town as an ecologically unfavorable territory.

[The abdominocardial syndrome. Detection and treatment before hospitalization]. / Abdominal'no-kardial'nyi sindrom. Vyiavlenie i lechenie na dogospital'nom étape.

The author describes the results of examining 120 patients with chronic recurrent pancreatitis, 110 patients with chronic non-calculous cholecystitis and 70 patients with duodenal ulcer to detect the abdominocardial syndrome (ACS). Shows the rate and the most characteristics complaints of patients with the indicated syndrome, gives the detailed characterization of the main clinical manifestations of the ACS. Provides the data on microcirculation and ECG studies at the polyclinical stage and results of studying myocardial contractility, peripheral hemodynamics and immunological parameters under inpatient conditions. Notes the greatest degree of changes among patients with chronic pancreatitis and cholecystitis associated with the ACS.