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
A radioactive liquid waste repository was found to be a habitat of the rich microbial community with a high catabolic potential. Groundwater from a depth of 162-189 m contained aerobic saprotrophic and anaerobic fermentative, sulfate-reducing, and denitrifying bacteria. Nitrate-reducing bacteria residing in this groundwater were isolated in pure cultures. Based on the results of their physiological studies, 16S rRNA sequencing, and phylogenetic analysis, the microorganisms isolated were ascribed to one phylogenetic branch, the gamma-subclass of gram-negative bacteria. Among six isolates, four belonged to the genus Acinetobacter, whereas two others belonged to the genera Comamonas and Aeromonas. The data obtained indicate that the microflora of the repository can exert a certain effect on the chemical composition of the formation fluids and bearing rocks, as well as on the migration of radionuclides.
