RESUMEN
In unfavourable outcomes of direct operations on the aorta, the main importance is attached to thrombosis of the reconstructed segment and the subsequent development of their specific complications. Measures for thrombosis prevention, the use of hyperbaric oxygenation, and appraisal of coronary circulation on the basis of the results of bicycle ergometry play a significant role in providing safety of the operation.
Asunto(s)
Aorta Abdominal/cirugía , Complicaciones Posoperatorias/prevención & control , Lesión Renal Aguda/prevención & control , Derivación Arteriovenosa Quirúrgica , Prótesis Vascular , Endarterectomía , Prueba de Esfuerzo , Arteria Femoral/cirugía , Humanos , Periodo Intraoperatorio , Flujo Sanguíneo Regional , Trombosis/prevención & controlRESUMEN
Using bicycle ergometry in combination with quantitative and qualitative assessment of ECG changes (in 605 coronary patients), and with direct measurement of oxygen consumption and systemic oxygen supply efficiency (118 coronary patients), a possibility of non-invasive assessment of the severity of coronary arterial affection prior to coronary angiography and the identification of patients with poor prognosis is demonstrated. This assessment lends a more objective foundation to the determination of indications for coronary angiography and prospective aortal-coronary shunting.