Electronic journal ANGIOLOGIA.ru
№ 1 / 2010
Role of vascular surgery by experience of the Great Patriotic War
(to the 65th anniversary of the Victory in the Great Patriotic War)
Kokhan E.P., Gliantsev S.P., Galik N.I., Tsymbal E.V.
The article evaluates the importance of vascular surgery for traumatic injuries of the vessels. Approaches to the surgical treatment of vascular injuries on the battlefield are analyzed. The role of Soviet surgeons in developing approaches to major arteries during the early period after injury is shown.
What is clinical epidemiology and does a doctor need it? (Part I)
Shalnova S.A.
In the first part of the article, definition of the epidemiology is formulated and its importance and place in clinical practice are presented.
Multislice computed tomography (MSCT) of the heart and coronary arteries
Sinitsyn V.E.
The article presents utility of multislice computed tomography in the diagnosis of diseases of the heart and coronary arteries; it also gives indications for making an examination and reports methodical aspects and possible complications.
Enhancement of helical (multislice) computed tomography through the use of current contrast media
Davydenko P.I., Karmazanovskii G.G.
The article gives a brief historical review of the use of contrast agents, describes the utility of multislice computed tomography using current contrast media, and shows the significance of contrast study in clinical practice.
NO and cardiovascular pathology
Adasheva T.V.
The review article reports current notions of the physiology of nitric oxide system and its role in the pathogenesis of cardiovascular disease. The significance of endothelium as a therapeutic target for the treatment of cardiovascular disease is presented.
Methodological approaches to ultrasound assessment of the pathogenetic and hemodynamic significance of steno-occlusive disease of the innominate, carotid, subclavian and vertebral arteries (literature review)
Leliuk S.E., Opolskaia E.I., Shlyk E.V., Leliuk V.G.
The review article gives a detailed description of the pathogenesis of ischemic cerebrovascular disease as well as methodological approaches to ultrasound assessment of the pathogenetic and hemodynamic significance of steno-occlusive disease of the innominate, carotid, subclavian and vertebral arteries.
Cerebral venous blood flow (literature review)
Maliarova E. IU., Bogolepova E.A., Abalmasov V.G., Leliuk S.E., Lelyuk V.G.
The review article presents current notions of the cerebral venous system anatomy, physiology of the cerebral venous blood flow and methods for assessing cerebral venous hemodynamics.
The review analyses approaches to management of patients with atrial fibrillation, who have to take vitamin K antagonists in order to prevent arterial thromboembolic events in case the patient has an exacerbation of coronary disease and/ or requires a percutaneous coronary intervention. Because the problem is little-studied, the majority of opinions about the most effective and safest modes of administering antithrombotic agents in the above-mentioned clinical situations, are based on the results of follow-up of the patients, the information about features of the action of drugs, and common sense. Current recommendations are presented for long-term antithrombotic therapy in patients with atrial fibrillation, who take vitamin K antagonists and have undergone coronary stenting.
To the centenary of the first description of non-specific aortoarteritis by M. Takayasu
Pokrovskii A.V., Kuntsevich G.I., Zotikov A.E., Burtseva E.A., Kul’bak V.A., Iudin V.I.
The presented literature review is dedicated to the 100th anniversary of the first case report of non-specific aortoarteritis. The review describes the history of the disease concept, covers the issues of its etiology and pathogenesis, as well as problems in the management of patients with this pathology.
Transluminal balloon angioplasty in the treatment of lower limb critical ischemia
Kaputin M.IU., Ovcharenko D.V., Soroka V.V., Borovskii I.E., Dudanov I.P., Bregovskii V.B.
Purpose of the study. To evaluate the efficacy of transluminal balloon angioplasty, or percutaneous transluminal angioplasty (PTA) in the treatment of critical lower limb ischemia (CLI). Materials and methods. Between November 2004 and April 2008, 89 PTA were performed in 82 patients with CLI. The patients’ age ranged from 45 to 89 years; mean age 67.8+9.8 years. 50 (61%) patients had ischemic foot ulcers, 17 (20.7%) had gangrene and 15 (18.3%) suffered from ischemic rest pain. 45 (54.9%) patients had diabetes mellitus, including 33 (40.2%) with insulin-dependent diabetes. There were 60 (72.3%) patients with coronary disease, 65 (79.3%) with arterial hypertension, 25 (30.5%) with cerebrovascular disease and 13 (15.9%) with chronic renal failure. 6 (7.3%) patients were on chronic hemodialysis. Distribution of cases according to the level of lesion was as follows: iliac level – 4 (6.3%), femoropolitelial – 55 (49.5%), lower leg arteries – 52 (46.8%). Type C and type D lesions (TASC) occurred in 89.2 % cases. Occlusions were observed in 82% of all lesions. Subintimal angioplasty was performed in 42.2 % of the patients. Stenting was used in 14 (7.3%) cases. Results. Angiographic and clinical success of the procedure was achieved in 75 (91.5%) patients. No CLI was observed at one and three years’ follow-up in 79.4 and 52.9% of the patients, respectively.
Annual Congress of the Cardiovascular and Interventional Radiological Society of Europe (CIRSE-2008)
Shipovskii V.N., Valiaev M.A.
The congress discussed the results in such fields of endovascular surgery as carotid stenting, transcatheter embolization, endovascular repair of the aorta and its branches, angioplasty of the lower leg arteries in patients with diabetic foot, vena cava filters and thrombolysis for deep vein thrombosis, peripheral arterial interventions, intrahepatic biliary interventions, Transjugular Intrahepatic Portosystemiс Shunt (TIPSS), uterine artery embolization, vertebroplasty, venous interventions, renal artery interventions etc.
Review of materials of the 23rd World Congress of the International Union of Angiology (Athens, Greece, June 21-25, 2008)
Ignatiev I.M.
The article provides a review of materials presented at the 23rd World Congress of the International Union of Angiology, held in Athens, Greece, 21-25. June 2008. The forum discussed the actual problems of vascular and endovascular surgery and angiology. A high scientific and organizational level of the congress is noted.
XVI World Congress of the International Union of Phlebology (UIP)
Review of materials of the congress
Sapelkin S.V.
The main topics of the congress touched upon issues related to the application of the techniques of thermal ablation and sclerotherapy for varicose veins, prevention and treatment of venous thrombosis, new research in the field of compression therapy. The plenary meetings started developing evidence-based guidelines for the management of patients with lymphedema and venous malformations. Also some Russian reports presented at the forum are reviewed.
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