RESUMO
The paper analyzes indications for, frequency, safety, and efficiency of inferior vena cava (IVC) suprarenal filter implantation. The study based on the Medline database has indicated that an IVC suprarenal filter should be implanted following very strict indications, such as extensive caval thrombosis; renal vein thrombosis with a thrombus in the IVC; some vascular anomalies; a renal tumor process with a tumor thrombus in the IVC; prevention of pulmonary embolism in pregnant women with deep vein thrombosis; and prior to surgery. IVC suprarenal implantation done as clinically indicated is an effective and safe method to prevent pulmonary embolism.
Assuntos
Implantação de Prótese , Embolia Pulmonar/prevenção & controle , Filtros de Veia Cava , Humanos , Seleção de Pacientes , Implantação de Prótese/efeitos adversos , Implantação de Prótese/instrumentação , Implantação de Prótese/métodos , Embolia Pulmonar/etiologia , Resultado do TratamentoAssuntos
Aorta Abdominal/fisiopatologia , Aneurisma Aórtico/diagnóstico por imagem , Dissecção Aórtica/diagnóstico por imagem , Ruptura Aórtica/diagnóstico por imagem , Aortografia/métodos , Tomografia Computadorizada por Raios X/métodos , Idoso , Dissecção Aórtica/etiologia , Dissecção Aórtica/fisiopatologia , Aneurisma Aórtico/complicações , Aneurisma Aórtico/fisiopatologia , Ruptura Aórtica/etiologia , Ruptura Aórtica/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de SaúdeRESUMO
The results of radiation diagnostic techniques were analyzed in 29 patients with aortic aneurysmal ruptures with formation of aortic anastomoses. The examination and treatment of 362 patients with abdominal aortic aneurysmal ruptures revealed that 23 (6.35%) patients had anastomoses (aortocaval (n = 15), aortoduodenal (n = 6), aortogastric (n = 1), and aortoureteral (n = 1)). Six patients were observed to have secondary aortointestinal anastomoses occurring after reconstructive vascular surgery. In one patient, abdominal aortic aneurysmal rupture first led to the formation of a primary aortoduodenal anastomosis and some time after surgery a secondary aortointestinal fistula emerged. One out of 113 patients with aortic dissecting aortic aneurysms had an aortopulmonary fistula. Ultrasonography, computed tomography, and angiography were performed in 27, 19, and 14 patients, respectively. Radiation diagnostic techniques revealed fistulas in 9 (31%) out of the 29 patients. The diagnosis of aortic anastomoses presents challenges.
Assuntos
Angiografia/métodos , Aneurisma da Aorta Abdominal/diagnóstico , Ruptura Aórtica/diagnóstico , Fístula Arteriovenosa/diagnóstico , Fístula Intestinal/diagnóstico , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia Doppler/métodos , Idoso , Idoso de 80 Anos ou mais , Aorta Abdominal/diagnóstico por imagem , Aneurisma da Aorta Abdominal/complicações , Ruptura Aórtica/complicações , Fístula Arteriovenosa/etiologia , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Fístula Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Veias Pulmonares/diagnóstico por imagem , Estudos Retrospectivos , Veias Cavas/diagnóstico por imagemRESUMO
Treatment of patients with abdominal aortic aneurysms has been analyzed. From 506 patients (265 emergency and 241 elective cases) treated in the department of urent vascular surgery 36 had "chronic disruptions". Validity of this term is discussed. The authors consider the term "repeated disruption" as the most adequate.
Assuntos
Aneurisma da Aorta Abdominal , Ruptura Aórtica , Terminologia como Assunto , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/cirurgia , Ruptura Aórtica/diagnóstico , Ruptura Aórtica/cirurgia , Doença Crônica , Feminino , Humanos , Masculino , Fatores de TempoRESUMO
Four hundred and forty seven patients with aneurysms of the abdominal aorta (AAA), including 238 patients with aneurysmal rupture, were admitted to the Research Institute of Emergency Care in 1990 to 2000. The results of studies in 225 patients (ultrasonography in 197, computed tomography in 59, and angiography in 104), including 155 patients with aneurysmal rupture were analyzed. Computed tomography (CT) has proved to be the most accurate technique in the detection and estimation of the size of aneurysms, as well as in the identification of ruptures (83.9%) and inferior to angiography (AG) in the study of involvement of the branches of the abdominal aorta. Ultrasound study (US) ranks below CT in its accuracy (US detects ruptures in 67.8%); however, US surpasses CT and AS in screening, particularly valuable at an admission unit and an intensive care unit, which permits repeated studies. AG has turned out to be the most valid method in identifying the involvement of renal and iliac arteries in aneurysm and in detecting aortocaval anastomoses; yet it is inferior to US and CT (the former revealed rupture and dissection in 18.6% of cases) in solving other diagnostic tasks. Based on the analysis, the optimal sequence of studies in the patients is US, CT, and AG.
Assuntos
Aneurisma da Aorta Abdominal/diagnóstico , Ruptura Aórtica/diagnóstico , Idoso , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Aneurisma da Aorta Abdominal/patologia , Ruptura Aórtica/diagnóstico por imagem , Aortografia , Anastomose Arteriovenosa/diagnóstico por imagem , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
The paper is concerned with the description of the first experience in a new method of roentgen endoprosthetics of the cervical canal of the uterus using a nitinol spiral prosthesis. The spiral has a shape memory effect. Prostheses were implanted to 13 patients with strictures or atresia of the cervical canal after bougienage for a period of 193 days. A new canal was formed with further epithelialization within this period. Recurrences after prosthesis removal were unnoticed.
Assuntos
Ligas , Colo do Útero/patologia , Complicações Pós-Operatórias/terapia , Próteses e Implantes , Adulto , Carcinoma in Situ/complicações , Carcinoma in Situ/cirurgia , Colo do Útero/diagnóstico por imagem , Colo do Útero/cirurgia , Constrição Patológica/diagnóstico por imagem , Constrição Patológica/terapia , Dilatação , Feminino , Humanos , Terapia a Laser , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/etiologia , Desenho de Prótese , Radiografia , Fatores de Tempo , Neoplasias do Colo do Útero/complicações , Neoplasias do Colo do Útero/cirurgiaAssuntos
Transtornos de Deglutição/prevenção & controle , Neoplasias Esofágicas/complicações , Estenose Esofágica/complicações , Próteses e Implantes , Idoso , Animais , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/etiologia , Desenho de Equipamento , Humanos , Masculino , Coelhos , Radiografia , U.R.S.S.RESUMO
An analysis of the literature and personal observations of 27 patients with extracranial aneurysms of the arteries enabled the authors to determine clinical symptoms, methods of diagnosis and surgical treatment of the disease. Resection of the aneurysm with suturing the artery defect is recommended as optimal techniques of the operation for posttraumatic aneurysms, resection with the end-to-end anastomosis being proposed for a true aneurysm of the aorta arch branches.