RESUMEN
The results of examination and treatment of 66 patients, suffering occlusion-stenotic affection of the lower extremities arteries, to whom transcutaneous transluminal balloon angioplasty was performed, are adduced. Immediate postoperative complications after endovascular interventions have occurred in 4 (6.1%) patients. The immediate complications, causes of their occurrence, methods of treatment, ways of prophylaxis were analyzed. In 50% of patients, suffering complications of endovascular interventions in immediate postoperative period, it is possible to eliminate them, using simple prophylactic measures.
Asunto(s)
Angioplastia de Balón , Isquemia/terapia , Pierna/irrigación sanguínea , Adulto , Anciano , Anciano de 80 o más Años , Angioplastia de Balón/efectos adversos , Angioplastia de Balón/métodos , Velocidad del Flujo Sanguíneo/fisiología , Enfermedad Crónica , Humanos , Isquemia/diagnóstico , Isquemia/fisiopatología , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Periodo Posoperatorio , Factores de TiempoRESUMEN
Surgical treatment of 91 patients, suffering the renal cell cancer (RCC), complicated by tumoral thrombosis of inferior vena cava, was analyzed. In accordance to the Mayo clinic classification, there in the patients the tumoral thrombus spreading was revealed, depending on tumoral affection of a kidney (right-sided/left-sided): level 0--in 39 (31/8); level I--in 20 (6/14); level II--in 17(12/5); level III--in 11 (11/0); level IV--in 4 (3/1). Incomplete apparatus cavaplication was performed in 32 patients. There was proved, that incomplete apparatus cavaplication constitutes an effective method of surgical prophylaxis of pulmonary thromboembolism in patients, suffering RCC.
Asunto(s)
Carcinoma de Células Renales/cirugía , Neoplasias Renales/cirugía , Nefrectomía/métodos , Embolia Pulmonar/prevención & control , Trombectomía/métodos , Vena Cava Inferior/cirugía , Trombosis de la Vena/cirugía , Anciano , Carcinoma de Células Renales/complicaciones , Femenino , Humanos , Neoplasias Renales/complicaciones , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Filtros de Vena Cava , Vena Cava Inferior/patología , Trombosis de la Vena/etiologíaRESUMEN
There were analyzed the results of examination and treatment of 12 patients, suffering critical ischemia of the lower extremities tissues in the occlusion-stenotic affection of the femoro-popliteo-tibial segment vessels, to whom miniinvasive endovascular interventions were done. Complex clinico-instrumental examination of the patients (ultrasound duplex scanning, roentgenocontrast angiography, multispiral CT with intravenous contrasting) have permitted to substantiate the indications for conduction of endovascular interventions for critical ischemia of the lower extremities. The zone of reconstruction passability was confirmed after performance of endovascular transcutaneous balloon angioplasty in the follow-up terms up to 1 year in 9 (75%) patients, the lower extremities were saved in 10 (83.3%).
