[Sympathectomy and intra-arterial perfusion therapy in critical ischemia of the lower limbs]. / Simpatéktomiia i vnutriarterial'naia perfuzionnaia terapiia pri kriticheskoi ishemii nizhnikh konechnostei.

The results of 177 sympathectomies fulfilled in 152 patients with critical ischemia of the lower extremities are presented. Good and satisfactory results were obtained in 69.3% of patients after lumbar sympathectomy only. When the operation was combined with prolonged intraarterial catheter therapy positive effects were noted in 79.7% of the cases. This combined method of treatment is thought to be expedient for patients with the IV degree ischemia.

[The comprehensive diagnosis of the aortic arch syndrome in nonspecific aortoarteritis]. / Kompleksnaia diagnostika sindroma dugi aorty pri nespetsificheskom aortoarteriite.

The authors provide a scheme of a comprehensive diagnosis of the aortic arch syndrome in nonspecific aortoarteritis. It includes the clinical and laboratory data together with the data on the anamnesis, angiography and ultrasound dopplerography. The derangement of the aortic arch was diagnosed in 65 (41%) out of 128 patients. There were 53 (81.5%) women and 12 (18.5%) men. The derangement of the branches of the aortic arch was most frequently (in 33.8% patients) associated with vasorenal hypertension syndrome. The use of modern research methods in combination with the clinical data and findings of objective examinations turned out fairly effective in the diagnosis of the derangement of the aortic arch in nonspecific aortoarteritis.

[The noninvasive diagnosis of occlusive lesions of the internal carotid arteries]. / Neinvazivnaia diagnostika okkliuzionnykh porazhenii vnutrennikh sonnykh arterii.

Thirty patients with atherosclerotic occlusive alterations of the internal carotid artery were examined with an ultrasonic apparatus with nonattenuating waves. The method allowed to exactly diagnose occlusions of the internal carotid arteries and hemodynamically reliable stenoses of the carotid arteries.

[Regional hemodynamics of the penis in erectile impotence]. / Regionarnaia gemodinamika polovogo chlena pri érektil'noi impotentsii.

Regional hemodynamics of the penis is an essential part in the complex investigation of patients with erectile impotence. It is an actual problem to find diagnostically valuable noninvasive techniques allowing one to make a reliable assessment of penile erection mechanisms in various groups of the patients. In this line the authors faced the problem to find out the diagnostic value of dopplerography in measuring the linear rate of the blood flow (LRBF) in the penile arteries during the complex study of penile hemodynamics with regard to various groups of patients. The authors employed the following techniques: measurement of penile systolic pressure; determination of the penile-brachial index; rheophallography and determination of rheographic index; dopplerography and LRBF measurements. A total of 60 males were under study: group I--controls (20 males); group II--sexologically compromised patients without any disease of major vessels; group III--patients with Leriche's syndrome. The findings were analysed in variance. The coefficient of paired correlation was derived. Comparing each parameter between the groups showed a significant difference in each method between groups 2 and 3, as for parameters, only LRBF varied greatly in these groups.