A5081008671- Cardiac, Anesthesia and Surgical Outcomes
- Congenital Heart Disease Studies
- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Surgical site infection prevention
- Renal and Vascular Pathologies
- Acute Kidney Injury Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiovascular Issues in Pregnancy
- Acute Ischemic Stroke Management
- Anesthesia and Neurotoxicity Research
- Cardiac and Coronary Surgery Techniques
- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Aortic Disease and Treatment Approaches
- Language, Communication, and Linguistic Studies
- Peripheral Nerve Disorders
- Hepatocellular Carcinoma Treatment and Prognosis
- Cardiovascular Conditions and Treatments
- Inhalation and Respiratory Drug Delivery
- Medical Imaging and Analysis
- Birth, Development, and Health
- Pelvic floor disorders treatments
- Neonatal Respiratory Health Research
Saint Petersburg State Pediatric Medical University
2015-2024
First Pavlov State Medical University of St. Petersburg
2021
The evolution of reconstructive surgery brachiocephalic arteries originates from the first operations in form vascular ligation to high-tech ones (carotid endarterectomy, carotid stenting, artery prosthetics, carotid-subclavian anastomosis, bypass surgery, etc.). This work describes detail interrelationships development stroke with pathology (atherosclerosis, dissection, aneurysm, Kimmerle anomaly). Further, stages formation main methods surgical treatment these pathologies. Various...
THE AIM. To determine frequency and severity of cardiac surgery-associated acute kidney injury (CSA-AKI) according to the predictive RACHS system 6 risk categories in newborns infants with CHD. PATIENTS AND METHODS. The study included 65 children under 1 year CHD, 29 them (44.62%) neonates 36 (55.38%) from month underwent surgery. diagnosis AKI was set up AKIN criteria (2007), allocating 3 stages using serum creatinine level (SCr). surgery associated distributed by RESULTS. 72,1% 41,67%...
A retrospective analysis of cases sternal infection development was made in 388 cardiovascular patients from 2006 to 2012. The standard preventive measures wound were applied the first period 2009. method «elimination infection» used second 2009 application allowed reducing rate 7,7 0,5% (odds ratio 0,099,95% CI: 0,013-0,747; p=0,025). According results statistical most significant factors were: body mass index (p=0,002), resternotomy early postoperative (p<0,001), risk according EuroSCORE...
To assess linear and geometric parameters of the aortic valve to determine changes which are associated with impaired leaflets coaptation root enlargement.Surgical anatomy its spatial relationships surrounding heart structures were studied plastination by using combined silicon technologies. 123 specimens preserved original geometry created silicone technique perfusion embalming. Analysis included 15 signs dilatation 108 without evidence dilatation. Multiple logistic regression was used for...
Цель исследования: изучить динамику показателей газового состава артериальной и центральной венозной крови у новорожденных с синдромом малого сердечного выброса после кардиохирургических вмешательств определить их прогностическую значимость.
Цель. Выявить критерии снижения системного потока крови (синдрома малого сердечного выброса) у новорожденных с параллельной циркуляцией на основании изменений газового состава артериальной и центральной венозной крови.
The objective: to identify laboratory markers of systemic perfusion in newborns with functional single ventricle on mechanical ventilation after surgical correction. Subjects and methods. Blood gas parameters were retrospectively analyzed 52 congenital heart defects univentricular hemodynamic All samples divided into three groups based arterial blood saturation (SaO 2 ): Group 1 – hypoxia ≤ 65%); normoxemia = 65-85%); 3 hyperoxemia > 85%). Stroke volume cardiac index evaluated...
Objective. To study the immediate and long-term results of new modified technique eversion carotid endarterectomy (ECEAE). Material method. The involved 150 patients with 60–99% stenosis internal artery (ICA) who were divided into 2 groups depending on type surgical treatment: Group1 (n=61) – underwent ECEAE according to method developed by V.L. Sergeev et al.; Group (n=89) described R. Kieny. two methods evaluated. Results. In postoperative period, no advantages any revealed. distant 24...
Objective: To identify risk factors for unfavorable outcome in newborns operated on congenital pathology of the aortic arch. Materials and methods research: Data from results treatment 79 patients with arch were analyzed effectiveness therapy was assessed. All underwent an examination study obstetric gynecological history, life history illness, assessment existing complaints after birth their changes over time. The obtained clinical, echocardiographic laboratory parameters compared....
Purpose of the study : to evaluate results using a protocol for prevention bleeding in cardiac surgical patients with pathology aortic valve and root optimize tactics preventing bleeding. Materials methods first group included 185 root, who underwent surgery on valve, during treatment which was applied. The second consisted 237 whose not used. Data were collected management preoperative, intraoperative postoperative periods, such as:– anamnestic data, echocardiographic examination,...
The study is devoted to the assessment of hemodynamic parameters in healthy newborns early neonatal period. authors examined 76 aged up 7 days. 12 (15.7%) children were diagnosed with intrauterine growth retardation hypotrophic type and 14 (18.49%) premature. evaluated diameter outgoing tract left ventricle, pulmonary artery trunk, mitral tricuspid valve rings. disc method was used determine final diastolic volume ventricle. pulse Doppler integrated flow rate outflow on valves. After US...
Актуальность. Стернальная инфекция является основным источником заболеваемости и смертности среди кардиохирургических пациентов сопровождается значительным повышением расходов на лечение. Антибиотикопрофилактика контроль гликемии снизили частоту, однако не привели к полному устранению этого жизнеугрожающего состояния. Нами было проведено мультицентровое исследование с целью определить эффективность детализированного протокола, включающего до-, интра- послеоперационные меры, в том числе...
Aim. To develop theoretical models of changes in haemodynamic parameters patients with univentricular haemodynamics. Methods. We analysed the effects redistributing blood flow between two circulatory systems (pulmonary and systemic) on systemic oxygen delivery examined arterial venous gas compositions. Mathematical analyses basis into pulmonary system its consumption during circulation were performed according to Fick principle for cardiac output. Calculations using equations describing...
Dissection of brachiocephalic and intracranial arteries is the leading cause ischemic stroke at a young age. It rupture intima artery with formation an intrahepatic (intramural) hematoma, to stenosis / or occlusion its lumen high probability acute developing. The epidemiology, etiology, pathogenesis, clinical picture dissection are described in scientific work. article presents modern principles treatment this pathology.
Цель. Исследовать течение интра- и послеоперационного периода у новорожденных детей раннего возраста после кардиохирургических операций с применением модифицированной методики комбинированной кристаллоидно-кровяной холодовой кардиоплегии системы доставки уменьшенным объемом заполнения.
Objective: to evaluate the efficiency of combined use traditional respiratory support and noninvasive ventilation (NV) in therapy acute distress syndrome (ARDS) after cardiosurgical interventions. Subjects materials. The study included 31 patients. basis for ARDS was that met with principles safe artificial (AV); a natural surfactant endobronchially administered all cases. condition continuation randomization achievement oxygenation index (PaO2/FiO2) up 200 during assisted (AV) pressure (PS)...
The objective: the aim of study was to identify relationship between arterial hypocapnia and systemic hypoperfusion in newborns with single ventricular physiology after hemodynamic correction congenital heart disease. Subjects methods. 125 defects operated from 2014 2018 were examined retrospectively. Arterial central venous blood gases collected postoperative period. A total 670 pairs laboratory results selected. Results. Based on presence/absence (PaCO2 less than 35 mm Hg), 2 groups...
The temporary pacing is provided as a key principle of maintenance and correction hemodynamics after weaning the patient from cardiopulmonary bypass. There are conventional algorithms pacing, but substantiation electrode fixation areas variable. authors experimentally investigated efficacy epicardial in DDD DDDBV using 18 laboratory animals cardiac surgery with application hemodynamic parameters were compared given groups. It was noted that case conditions best effect. recommended more...