[Vertebro-basilar insufficiency syndrome: preoperational diagnosis]. / Zespól kregowo-podstawny--diagnostyka przedoperacyjna.

Indications for surgery of vertebro-basilar insufficiency are: stenosis or occlusion due to atherosclerosis. The initial parts of carotid, subclavian arteries or brachiocephalic trunk one must frequent involved. From the other hand arterial compression on vertebral arteries (diskopathies or osteopathies) leads to symptoms of cerebral ischaemia. In diagnosis very important are history of disease, physical examination and neurologic assessment. Additional procedures consisted of: color Doppler-scan, transcranial Doppler, cerebral CT-scan and angiography. By-pass of stenotic or occlusive segment of artery is procedure of choice in this disease.

[Clinical evaluation of a polyester vascular prosthesis impregnated with albumins from material of the Vascular Surgical Clinic AM in Wroclaw in the years 1994-1997. Introductory report]. / Ocena kliniczna poliestrowej impregnowanej albuminami protezy naczyniowej w materiale Kliniki Chirurgii Naczyniowej AM we Wroclawiu w latach 1994-1997. Doniesienie wstepne.

The aim of this work was clinical evaluation of impregnated (albumins) prostheses of Polish production. Those prostheses were compared with polyester knitted vascular prostheses. We evaluated a group of 48 patients to whom prostheses covered with albumins were implanted and 52 patients to whom nonimpregnated prosthesis was implanted in 1994-1997. The prostheses were implanted in aortofemoral segment. The achieved results prove the good quality of the impregnated prosthesis and its high value for vascular reconstructive surgery.

[The issue of lower limb amputations in vascular diseases]. / Zagadnienie amputacji konczyn dolnych przy wspól-istniejacych schorzeniach naczyniowych.

A series of 363 amputations in 335 patients treated between 1979 and 1988 because of chronic peripheral vascular disease was reviewed. In years from 1979 to 1988 3500 vascular surgical procedures were carried out. In 217 cases (6,2%) subsequent amputation was necessary. Previously, from 1962 to 1978 it had occurred in 8,5%. The authors experience is indicative of limb vascularization as decisive factor in choosing the level of amputation. In high aortoiliac arterial occlusion a vascular procedure is carried out, resulting in good blood supply of the stump allowing lowering the level of amputation and shortening recovery period.