RESUMO
OBJECTIVE: To study the results of stenting the left coronary artery trunk and to determine the possibility of using Empira dilatation balloon catheters for kissing dilatation. SUBJECT AND METHODS: The left coronary artery trunk was stented in 47 patients, which constituted 1.39% of the total number of the stented patients. Bifurcation stenting was performed in 48.9%. T and crush stenting procedures were used in 4 and 2 patients, respectively. Stenting of the left coronary artery trunk with transition to the orifice of the anterior interventricular artery or the circumflex artery was carried out in 12 and 5 patients, respectively. RESULTS: The angiographic success rate was 100%; there were no fatal outcomes. After endovascular treatment, 20 (42.5%) patients belonged to Functional Class (FC) 0-I angina; 24 (51.1%) and 3 (6.4%) were diagnosed with FC II and III, respectively. CONCLUSION: It was ascertained that it was expedient to use the Empira dilatation balloon catheters for kissing dilatation. The left coronary artery trunk can be successfully stented if the patent is carefully prepared for the intervention.
Assuntos
Angioplastia Coronária com Balão , Doença das Coronárias/cirurgia , Vasos Coronários , Stents , Idoso , Angioplastia Coronária com Balão/instrumentação , Angioplastia Coronária com Balão/métodos , Pesquisa Comparativa da Efetividade , Angiografia Coronária/métodos , Doença das Coronárias/diagnóstico , Doença das Coronárias/fisiopatologia , Vasos Coronários/diagnóstico por imagem , Vasos Coronários/fisiopatologia , Vasos Coronários/cirurgia , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Stents/classificação , Stents/normas , Resultado do TratamentoRESUMO
The systemic inflammatory response, induced by the lipopolysaccharides of the normoflora of the operated patients was studied on the example of the plasma changes in 107 patients. All patients were divided in 4 groups, depending on the level of lipopolysaccharides in plasma. Thus, patients with the complicated course of the acute cholecystitis, demonstrated the increased lipopolysaccharides levels. The last correlates with the surgical access, the duration of the operation and early complications development. The results may be used for the diagnostics and decision making in emergency situations.
Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Emergências , Endotoxemia/epidemiologia , Lipopolissacarídeos/sangue , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bashkiria/epidemiologia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Endotoxemia/sangue , Endotoxemia/etiologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Morbidade/tendências , Estudos Retrospectivos , Índice de Gravidade de Doença , Taxa de Sobrevida/tendências , Adulto JovemRESUMO
Morphological changes in the zone of plastic surgery with polypropylene graft were studied in experiment. Results of treatment of 195 patients with ventral hernias were analyzed. Study group consisted of 86 (44.1%) patients who underwent hernioplasty with subaponeurotic localization of the graft. Subaponeurotic hernioplasty was performed in 109 (55.9%) patients (control group). Algorithm of choice of plastic surgery's method in ventral hernia was developed with consideration of localization and size of hernia that permitted to reduce rate of early postoperative complications and to improve long-term results.