ABSTRACT
In this work we have summarized 3-years experience of the treatment of acute coronary syndrome with the use of endovascular methods and presented organizational basis allowing to realize 24-hour work of the endovascular service, and algorithm of examination and treatment of patients admitted with diagnosis of acute coronary syndrome. During the analyzed period invasive interventions were carried out in 1417 patients (transluminal angioplasty - in 93, angioplasty with stenting - in 1356 patients) with mean door to balloon time 37.7 min. For stenting we used 925 standard metal stents and 584 drug eluting stents. Coronary artery bypass surgery was performed in 150 patients. Severe complications during hospital stay developed in 3% of patients. Fifteen patients died, 14 of them were admitted in a state of cardiogenic shock. Repeat coronary angiography in remote period was fulfilled in 170 patients with recurrence of angina. Restenoses were found in 31.2% of these patients, predominantly in those with implanted standard metal stents.
Subject(s)
Acute Coronary Syndrome/therapy , Angioplasty, Balloon, Coronary , Cardiology Service, Hospital/organization & administration , Coronary Angiography , Coronary Artery Bypass/methods , Acute Coronary Syndrome/complications , Acute Coronary Syndrome/diagnosis , Acute Coronary Syndrome/mortality , Angioplasty, Balloon, Coronary/adverse effects , Angioplasty, Balloon, Coronary/methods , Coronary Restenosis/etiology , Coronary Restenosis/therapy , Emergency Service, Hospital/organization & administration , Female , Humans , Male , Middle Aged , Outcome and Process Assessment, Health Care , Personnel Staffing and Scheduling/organization & administration , Secondary Prevention , Shock, Cardiogenic/etiology , Shock, Cardiogenic/mortality , StentsABSTRACT
117 patients with hepatic hemangioma were treated. 17 patients were operated on with the use of laser and plasmic scalpel. The possibility and technical features of liver resections by hepatic hemangiomas are discussed. In 8 of 17 operated patients, endovascular hemangiomatous vessel occlusion was effective. Authors state the necessity of reduction of surgical treatment of hepatic hemangiomas and substantiate the need of dynamic observation of such lesions of the liver.
Subject(s)
Hemangioma/surgery , Liver Neoplasms/surgery , Adult , Aged , Female , Hepatectomy , Humans , Laser Therapy , Male , Middle Aged , Treatment Outcome , Young AdultSubject(s)
Abdominal Injuries/therapy , Aneurysm, False/therapy , Angiography , Embolization, Therapeutic , Hepatic Artery , Liver/injuries , Wounds, Nonpenetrating/therapy , Adolescent , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Follow-Up Studies , Hepatic Artery/diagnostic imaging , Humans , MaleABSTRACT
The authors analyze data on patients diagnosed as having occupational disease in 1970-1995 and grouped according to age, sex, length of service, occupational hazards. Incidence of various syndromes in occupational diseases is calculated. The authors detail some items obscuring diagnosis of occupational diseases and necessitate referral to various professionals for precise and early diagnosis.