Assuntos
Angioplastia Coronária com Balão/métodos , Arteriopatias Oclusivas/diagnóstico por imagem , Arteriopatias Oclusivas/cirurgia , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/cirurgia , Isquemia/diagnóstico por imagem , Isquemia/cirurgia , Perna (Membro)/irrigação sanguínea , Perna (Membro)/cirurgia , Adulto , Idoso , Arteriopatias Oclusivas/complicações , Humanos , Isquemia/etiologia , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Resultado do Tratamento , Ultrassonografia Doppler/métodosRESUMO
The methods of direct revascularization of the lower extremities in occlusive-stenotic lesion at the stage of severe ischemia were used in 144 patients. Of them in 35, simultaneously or with a several day interval, the ++roentgeno-endovascular dilatation (RED) in the several segments of the arterial bed was carried out, in 36--RED was performed in combination with 2-3 procedures of plasmapheresis, in 16 patients in occlusion to a large extent, the isolated balloon profundoplasty was performed, in 46 patients with total lesion of the vessels--isolated RED of the aorto-iliac segment. This contributed to increase in the effectiveness of the collateral blood flow in the vessels of the lower extremities. A high effectiveness of the methods employed was noted in follow-up of from 1 to 5 years. The indications for the use of RED and causes of failures are presented.
Assuntos
Doenças da Aorta/terapia , Arteriosclerose Obliterante/terapia , Cateterismo , Endarterite/terapia , Isquemia/terapia , Perna (Membro)/irrigação sanguínea , Adulto , Idoso , Aorta Abdominal , Doenças da Aorta/complicações , Doenças da Aorta/diagnóstico por imagem , Arteriosclerose Obliterante/complicações , Arteriosclerose Obliterante/diagnóstico por imagem , Endarterite/complicações , Endarterite/diagnóstico por imagem , Artéria Femoral , Humanos , Artéria Ilíaca , Isquemia/diagnóstico por imagem , Isquemia/etiologia , Pessoa de Meia-Idade , RadiografiaRESUMO
The experience with implantation of the first 100 cardiostimulators is summarized. The necessity for more wide use of the programmed electrocardiostimulators in the clinical practice is noted. The most effective method for control of the implanted system is the use of the electrocardiostimulation analyser which permits artificial reproduction of the functions of perception and imposing the rhythm of an electrocardiostimulator.