[Remote results of endovascular treatment for TASC II type C and D lesions of the superficial femoral artery]. / Otdalennye rezul'taty éndovaskuliarnogo lecheniia porazhenii poverkhnostnoi bedrennoi arterii tipov C i D po klassifikatsii TASC II.

The article reflects the experience in and efficacy of endovascular interventions in patients presenting with type C and D lesions of the superficial femoral artery (SFA) according to the TASC II classification. The study included a total of 89 patients with the pathology involved. The obtained findings demonstrated encouraging immediate and remote results of the interventions performed, thus making it possible to recommend the use of angioplasty and stenting of long occlusions of the SFA, yielding satisfactory results in the majority of cases, both immediately after the operation and in the remote period.

[Endovascular treatment of acute mesenteric ischaemia in thrombosis of superior mesenteric artery]. / Éndovaskuliarnoe lechenie ostroi mezenterial'noi ishemii pri tromboze verkhnei bryzheechnoi arterii.

The article deals with the problems related to acute impairment of mesenteric blood circulation, known as a nosological entity associated with an extremely high mortality rate. The authors point out that there are currently no common approaches to appropriate management of the pathology concerned and define the role of modern minimally invasive methods, which roentgenosurgical interventions belong to, making it possible to rapidly, safely and efficiently cope with the problem of thrombosis of mesenteric vessels, as well as to decrease lethality and improve the prognosis in this cohort of patients. Also presented herein is a detailed description of a clinical case report regarding successful endovascular treatment of a patient suffering from acute thrombosis of the superior mesenteric artery. This is followed by assessing efficacy and safety of the method employed, and, finally, suggesting tactical solutions in treatment of patients presenting with acute pathology of mesenteric vessels.

[Results of endovascular treatment of patients with type C and D lesions of the aortoiliac segment according to the TASC II classification]. / Rezul'taty éndovaskuliarnogo lecheniia bol'nykh s porazheniiami aorto-podvzdoshnogo segmenta tipov S i D po klassifikatsii TASC II.

Presented herein are the results of endovascular interventions carried out in patients with occlusive lesions of the terminal portion of the aorta and iliac arteries (types C and D according to the TASC II classification). The study comprised a total of 45 subjects with type C and D lesions. The technical success rate in the group of patients with type C lesions amounted to 100% and in the group of those with type D lesions to 92.8%. One-year primary patency of iliac arteries after the endovascular intervention was assessed in 40 patients and amounted to 100% for type C lesions and to 92.8% for type D lesions. The obtained findings are strongly suggestive of a possibility of extending the indications for endovascular surgical interventions in management of patients with type C and D lesions, which makes it possible to achieve good immediate and remote results. This type of treatment may be regarded as a method of choice before further considering feasibility of an open surgical intervention.

[Analysis of immediate and mid-term outcomes of surgical and endoscopic treatment of patients with coronary heart disease and multiple lesions of coronary arteries].

The study included retrospective analysis of the results of treatment in 529 patients with CHD and multiple coronary lesions divided into 2 groups. Group 1 included 280 patients who underwent surgical myocardial revascularization, group 2 comprised 249 patients after coronary stenting. The groups did not significantly differ in the occurrence of serious clinical complications (death, acute myocardial infarction) in both early and mid-late postoperative periods. Patients in group 2 more frequently suffered anginal attacks and required repeat myocardial revascularization. The main factor limiting clinical efficiency of endovascular procedures was coronary restenosis in roughly 34% of the patients.

[Coronary bypass grafting or endovascular angioplasty in patients with coronary artery disease with multivascular coronary lesions].

Myocardial revascularization in a standard method of treatment of patients with severe stenocardia and hemodynamically significant lesions of coronary vessels. Nowadays, endovascular correction techniques are more and more wide-spread in patients with multi-vascular lesions. Earlier comparative studies demonstrated absence of differences according to lethal outcome and acute myocardial infarction frequencies, but a higher requirement for repeated interventions and a higher rate of stenocardia recurrence after endovascular technique application vs. surgical treatment. However, nowadays stents with antiproliferative coating allowing for significant reduction in restenosis rate are widely used. This article is dedicated to analysis of the results of surgical and endovascular treatment of patients with multi-vascular coronary lesions.

[Development of transmural myocardial infarction in young persons with intact coronary arteries during methadone use for the treatment of heroine addiction]. / Transmural'nyi unfarkt miokarda u molodykh bol'nykh s neizmenennymi koronarnymi arteriiami, prinimavshikh metadon.

Linkage between acute coronary syndrome and narcotic drug (cocaine) intake was first described by D. Colleman in 1982. However risk of development of acute myocardial infarction during replacement therapy after opioid withdrawal has not been elucidated. The paper contains description of two cases of development of myocardial infarction in young persons with intact coronary arteries who received synthetic opioid methadone for facilitation of heroine discontinuation. These clinical cases should draw attention of physicians to side effects of the use of methadone for the treatment of heroine addiction.