[Amputation in vascular diseases].
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Biomedical subjects
Publications and source records attributed to A Ia Shabalin.
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The surgical management of 53 patients with high chronic occlusion of the abdominal aorta is reported. The authors unite this pathology under the term "chronic abdominal aorta obstruction syndrome". In 10 patients eversion endarterectomy was performed, in 22--aortofemoral bypass, in 21--prosthetic replacement of the aorta and of the iliac arteries with synthetic grafts. An original techinque of "milking" the thrombus down from the proximal aorta is described; it simplifies the operative procedure and prevents grave complications during surgery in patients with high occlusions of the abdominal aorta. Good results in the immediate postoperative period were achieved in 85% of the cases. Postoperative mortality comprised 12%. Late results were followed-up in 35 patients during 1 to 5 years. In 28 patients the results of surgery proved good.
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A high percentage of restenoses after roentgenovascular dilatation of the renal arteries laid the basis of a search for new therapeutic methods for these patients. Experiments on implantation of nitinol spiral endoprostheses showed their ability for long-term permeability of renal arteries, not causing their thrombosis and intimal spreading, destruction of formed elements of the blood, change in plasma proteins. Morphological investigations have shown rapid formation (during 14 days) of connective tissue neointima, covered on the side of the blood flow with the true vascular endothelium (ensuring a nonadhesive surface and laminar blood flow), around the coils of an endoprosthesis. This method after its experimental development started to be used in clinical practice. The authors reported the first experience in the clinical use of this method (12 patients with vasorenal hypertension). A 15-month follow-up revealed a stable antihypertensive effect in all patients.
A high percentage of restenoses after roentgenovascular dilatation of the renal arteries laid the basis of a search for new therapeutic methods for these patients. Experiments on implantation of nitinol spiral endoprostheses showed their ability for long-term permeability of renal arteries, not causing their thrombosis and intimal spreading, destruction of formed elements of the blood, change in plasma proteins. Morphological investigations have shown rapid formation (during 14 days) of connective tissue neointima, covered on the side of the blood flow with the true vascular endothelium (ensuring a nonadhesive surface and laminar blood flow), around the coils of an endoprosthesis. This method after its experimental development started to be used in clinical practice. The authors reported the first experience in the clinical use of this method (12 patients with vasorenal hypertension). A 15-month follow-up revealed a stable antihypertensive effect in all patients.
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