[The risk prediction of erectile failure developing after the reconstruction of the aortoiliac segment]. / Prognozirovanie riska razvitiia érektsionnoi nedostatochnosti posle rekonstruktsii aortopodvzdoshnogo segmenta.

The authors suggest their method for prognosticating the risk of formation of erectile incompetence after reconstruction of the aortoiliac segment. In 78 patients with Leriche's syndrome and maintained erectile function 13 qualitative parameters were determined before the operation (the degree of intermittent claudication, the duration of the disease of the lower limbs, the results of ultrasonic dopplerography and angiography), which were then converted to quantitative discrete characteristics. The obtained set of characteristics was used for prognosticating the condition of the sexual function after the operation by means of the familiar methods of regressive analysis on a personal PS/XT computer according to a program of multidimensional regression in the packet of programs. Clinical tests confirmed the high accuracy of the prognosis of the value characterizing the condition of the sexual function by this method. Such prognostication makes it possible to substantiate with high authenticity the expediency of combined revascularization of the lower limbs and cavernous bodies of the penis and opens real prospects of improving its results.

[The prognosis of the efficacy of revascularization of the penile corpora cavernosa in the surgical treatment of Leriche's syndrome]. / Prognozirovanie éffektivnosti revaskuliarizatsii kavernoznykh tel polovogo chlena pri khirurgicheskom lechenii sindroma Lerisha.

The authors have developed a procedure for predicting the efficiency of penal spongy body revascularization in surgical management. Thirteen qualitative parameters, such as duration of sexual dysfunction, libido, having a sexual intercourse partner, degree of intermittent claudication, duration of lower extremity diseases, penal erection angle after drug test and ultrasound Doppler echography with drug test, were evaluated in 36 patients with Leriche's syndrome and erectile dysfunction. The qualitative parameters obtained were converted to quantitative discrete characteristics. The set of characteristics was used to predict the postoperative parameter--the value characterizing the sexual function by using the well-known methods of regression analysis on a PS/XI personal computer by the multiple regression programme in the Statgraphics program package. The high accuracy of prediction of the value characterizing the sexual function by this method makes it possible to substantiate the expediency of penal spongy body revascularization and opens up new ways for improving its outcomes.

[The clinical aspects of using Vazaprostan in patients with atherosclerotic involvement of the vessels of the extremities]. / Klinicheskie aspekty primeneniia vazaprostana u bol'nykh s ateroskleroticheskim porazheniem sosudov konechnostei.

A study was made of the clinical efficacy of vasaprostane and its influence on peripheral hemodynamics, microcirculation and hemostasis. The results of the studies made it possible to ascertain that the drug is highly effective, which enables the abatement of the ischemic syndrome to be attained. Vasaprostane was found to improve regional hemodynamics and microcirculation. In addition, it corrected hemostatic disorders.

[Surgical treatment and prevention of angiogenic impotence in combination with revascularization of the lower extremities in Leriche's syndrome]. / Khirurgicheskoe lechenie i profilaktika vaskulogennoi impotentsii v sochetanii s revaskuliarizatsiei nizhnikh konechnostei pri sindrome Lerisha.

The article deals with the results of combined revascularization of the lower limbs and penis in 29 patients with Leriche's syndrome. It was accomplished by creating an autovenous shunt between the blades of the prosthesis or common femoral artery with the dorsal artery of the penis. In the late-term postoperative period the initially lost sexual function was restored in 6 patients and improved or maintained on the preoperative level in 16 patients. On the basis of comparison of the results with the sexual function in patients who were treated by bifurcation aortofemoral shunting it is concluded that the suggested surgical tactics in the prevention and treatment of vasculogenic impotence in Leriche's syndrome produces a significant clinical effect.

[Treatment of occlusive vascular diseases of the lower extremities using the method of autologous transfusion of UV-irradiated blood]. / Lechenie obliteriruiushchikh zabolevanii sosudov nizhnikh konechnostei metodom autotransfuzii UF-obluchennoi krovi.

Knott's autotransfusion of UV-irradiated blood was performed in 163 inoperable patients, including 141 patients with obliterating atherosclerosis and 22 patients with endarteritis. Good clinical effect was produced that was particularly apparent in patients with obliterating atherosclerosis. Assessment of the effects of autotransfusion of US-irradiated blood on microcirculation, peripheral circulation, hemostasis and humoral immunity in the two samples confirmed the method's efficiency.