Objective. To demonstrate the results of endovascular intervention in patients with acute arterial mesenteric ischemia, while observing indications developed clinic. Material and methods. In total, approach treatment ischemia were used 49 compliance criteria, intestinal revascularization was performed 27 patients. Various techniques (aspiration, balloon dilation, artery stenting their combinations). Extracorporeal filtration as a for reperfusion syndrome after 10 Results. Angiographic...

To evaluate the results of surgical treatment arterial acute mesenteric ischemia in a single hospital over 15-year period (from 2007 to 2022).There were 385 patients with occlusion superior or inferior artery period. The causes thromboembolism (51%), its thrombosis (43%) and (6%). Female predominated (258 67%), while male comprised 33% (n=127). Age ranged from 41 97 years (mean 74±9). main diagnostic method for intestinal was contrast-enhanced computed tomography CT angiography. Intestinal...

The article summarizes the international experience of using different types anesthesia for surgical treatment carotid artery lesions. anesthesiology support surgery on basin includes general and combined various types. regional is a separate field in surgery. paper presents advantages disadvantages each anesthetic technique. recent publications show superiority terms its cost-effectiveness, less frequent use temporary intraluminal shunt, possibility to constant monitoring patient’s...

It is presented 5 clinical observations of acute ischemia intestine in which different endovascular interventions including isolated superior mesenteric artery stenting, rheolytic and aspiration thrombectomy combination techniques were applied. Surgical success with blood flow restoration was achieved 4 patients. 2 patients have required laparotomy intestinal resection. In 1 case extent resection significantly reduced after previous thrombectomy. There no deaths. concluded that may be...

To evaluate the efficacy and safety of supra-aortic vessels reconstruction within acute period stroke.Early surgery was performed in 7 patients aged 67±9 years. Revascularization made after 4.6 days ischemic stroke on average (range from 2 to days). Neurological status before assessed using NIHSS scale, mean preoperative score 3.9±2.7 (0-7). All had brain lesions (4-32 mm, 10 mm) unilateral with carotid stenosis or occlusion. Carotid artery stenting patients, endarterectomy - 4 segment I...

Objective. The aim of this study is to assess the safety use regional anesthesia for performing carotid endarterectomy (CEA) in patients acute phase ischemic stroke. Material and methods . included 66 stroke (atherothrom-botic subtype according TOAST classification) who underwent endarterectomy. inclusion criteria were as follows: atherothrombotic (first 28 days), ipsilateral symptomatic ≥ 50% stenosis internal artery, 1-4 points neurological deficit modified Rankin Scale (mRS), 1-13...

To assess an efficacy and safety of brachiocephalic arteries reconstruction at the acute stage stroke.Early was made in 7 patients (mean age 67±9 years). Mean terms after stroke were 4.6 days (range 2-7 days). Pre- postoperative neurological state assessed by NIHSS score preoperative 3.9±2.7 these patients, range 0-7). All had ipsilateral cerebral ischemic lesions with stenosis/occlusion artery. Their mean dimension 10 mm 4-32 mm). Internal carotid artery stenting 2 endarterectomy - 4 1st...

THE OBJECTIVE was to report our experience of endovascular treatment in patients with acute thromboembolic occlusion the superior mesenteric artery (SMA). METHODS AND MATERIALS . 13 SMA underwent intervention. There were 4 (31 %) men and 9 (69 women. The average age 76±9 years. time from beginning disorder intervention mechanical reperfusion ranged 65 hours, averaging (22±17) hours. Initial leukocytosis (16.5±5.8)·10/9 l (from 9.2 28.8·10/9 l). Various manipulations applied achieve...

Aim The purpose of this study was to analyse the world literature dedicated problem concerning treatment a combination internal carotid artery stenosis at extracranial level and an arterial aneurysm brain, as well demonstrate own results surgical patients presenting with concomitant pathology basin. Patients methods From 2013 2019, clinical course combined basin (an intracranial level) revealed in 35 1638 examined patients. There were ten men 25 women, mean age 66±7 years. In all patients,...

Background. Traumatic brain injury (TBI) remains a big problem of modern neurosurgery, accompanied by high rates disability and lethality. Venous thromboembolism (VTE) including venous thrombosis pulmonary embolism (PE) plays significant role in the structure mortality this pathology. Regimens schemes pharmacological prevention VTE TBI as well corresponding preventative measures are not yet determined completely. Aim. To identify frequency patients with isolated moderate severe TBI, to...

AIM OF STUDY . To compare the results of carotid endarterectomy performed at different times (1st, 2nd and 3rd week) acute period ischemic stroke. MATERIAL AND METHODS. In stroke (1–21 days), 92 patients with symptomatic stenosis internal artery 50% or more were operated on using There 66 men 26 women. The average age was 65.7±8.4 years. All divided into three groups depending timing operation: Group 1, where operation 1st week (n=48); 2, after (n=28); 3, (n=16). In-hospital endpoints study...

This review article presents an analysis of the world literature devoted to treating patients with tandem stenosis intra- and extra-cranial parts internal carotid artery. We indicate frequency lesion occurrence describe applied instrumental methods its diagnosis. The demonstrates results surgical treatment in both early more modern studies describes possibilities endovascular correction extra- intra-cranial authors emphasise lack large-scale — including randomised regarding combined, need...

The paper presents the literature data concerning results and surgical approaches to treatment of tandem occlusion in ICA system. authors describe two clinical cases endovascular ipsilateral middle cerebral artery (MCA). In both cases, cause two-level was complicated by thrombosis atherosclerotic plaque extracranial part with distal thromboembolism SMA. antegrade approach used patients, when stented at first stage, second stage aspiration thrombectomy from SMA performed. period onset...

<h3>ЦЕЛЬ ИССЛЕДОВАНИЯ</h3> Анализ частоты выявления венозных тромбоэмболических осложнений (ВТЭО) у стационарных пациентов с разрывом аневризмы головного мозга образованием нетравматического субарахноидального кровоизлияния (САК) и оценка исходов антикоагулянтной профилактики лечения ВТЭО. <h3>МАТЕРИАЛ И МЕТОДЫ</h3> Проведено одноцентровое когортное ретроспективное исследование. В основу положен анализ результатов диагностики, ВТЭО 36 нетравматическим САК на фоне разрыва артериальной мозга,...

The paper presents the latest data on applications of various types endovascular interventions superior mesenteric artery. Efficiency a number devices for reperfusion therapy with acute ischemia is described. results works largest samples patients (frequency laparotomy, intestinal resection and lethality), timing surgery comparative open operations in basin artery are also discussed.

The manuscript is devoted to world experience of carotid endarterectomy and artery stenting in advanced age patients. Some authors report the advantages endovascular surgery elderly patients while others prefer endarterectomy. Senile (75-80 years old) with asymptomatic internal stenosis one most difficult group for management. This due a more complex assessment perioperative surgical risk, high incidence complicated atherosclerotic plaques arteries dubious benefits considering short life...

Objective To evaluate the effectiveness and safety of various heparin therapy regimens for venous thromboembolic complications in patients with acute cerebral circulatory disorders hemorrhagic type. Material methods In a prospective single-center study, treatment results 62 hypertensive brain hematoma were analyzed. All divided into two comparable groups: group «very early» prophylactic or first 48 hours from moment disease (n=35) «early» therapy, later than intracerebral development (n=27)....

To analyze own experience of diagnosis and treatment patients with extracranial internal carotid artery lesion cerebrovascular malformations.There were 16 combined intracranial for the period January 2013 - December 2014. Occlusive-stenotic tortuosity ICA observed in 11 5 cases respectively.Incidence was 5.2% (16 out 308 observations lesion). Surgical performed 7 including two-stage intervention 4 simultaneous surgery 3 cases. Mean time between neurosurgical vascular stages 6 months....

The objective is to describe the case of successful endovascular treatment residual chronic subdural hematoma. Clinical case. Patient A., 77 years old, was admitted hospital with a directional diagnosis stroke. During further examination, left hemispheric hematoma volume 100 cm 3 revealed. patient twice performed closed external drainage And for each subsequent control computed tomography studies, effect on brain determined. Endovascular selective embolization middle meningеal artery...