[Artificial arteriovenous anastomoses in reconstructive surgery of arteries with a poor distal vascular bed]. / Iskusstvennye arteriovenoznye soust'ia v rekonstruktivnoi khirurgii arterii s bednym distal'nym sosudistym ruslom.

Based on their experience with the operative treatment of 20 patients with acute thrombosis of major arteries of extremities the authors recommend if indicated to combine reconstructive operation on the arteries with the artificial arterio-venous anastomosis. The authors have developed a classification of such associated operations which facilitates choice of their variants dependent on the state of the distal vascular bed.

[Features of treatment tactics in emboli in an artery with impaired blood flow]. / Osobennosti lechebnoi taktiki pri émboliiakh v arterii s narushennym magistral'nym krovotokom.

Results of surgical treatment of 203 embolisms in arteries of the extremities, including 127 embolisms in intact arteries, and 76 embolisms in atherosclerotic ones, are reported. Post-embolectomy regression of mild ischemia is shown to be unrelated to the condition of the artery. Severe ischemia in atherosclerotic arteries does not benefit from embolectomy alone; it must be supplemented by reconstructive surgery. Removing chronic obstruction to the main flow improved the success rate from 44 to 70%, as compared to embolectomy alone.

[Diagnosis and treatment of pulmonary embolism]. / Diagnostika i lechenie embolii legochnoi arterii.

The tactics of treatment and diagnosis used in 130 patients with embolism of the pulmonary artery (EPA) are discussed. All of them were examined by angiopulmonography including the method of selective contrast. Angiographic symptoms of EPA were found in 90 patients. The authors propose a clinical classification of EPA based on the state of central hemodynamics. Fifty nine of the 90 patients with EPA were treated by thrombolytic drugs (streptase, avelysin, streptolyase). Good effects were noted in 79%, which was confirmed by control angiopulmonography. Twenty patients were given heparin therapy. Embolectomy from the pulmonary artery was fulfilled in 14 patients (15,6%) by various techniques. Lethality was 42,8%. General lethality was 20%.

[Evaluation of the viability of an extremity and the dynamics and severity of ischemic changes in it during acute obstruction of the main arteries]. / Otsenka zhiznesposobnosti konechnosti, dinamiki i tiazhesti ishemicheskikh izmenenii v nei pri ostroi neprokhodimosti magistral'nykh arterii.

The authors propose a scheme for the estimation of severity of ischemic alterations in the extremity in acute ischemia in order to choose the optimal methods of treatment. In cases of mild ischemia the clinical estimation is sufficient, with the degree of the acute ischemia syndrome taken into account. In cases of severe ischemia the clinical assessment is found to be insufficient. Clear information was obtained by means of microscopic examination of biopsies of muscles by the original express method. Three types of ischemic injuries of the muscular tissue were distinguished as a basis for the estimation of the severity of ischemic alterations.