PubMed Health⌕ Search

Biomedical subjects

Iu M Zigmantovich

Publications and source records attributed to Iu M Zigmantovich.

18 recordsLinked to original sources
PubMed2006

[Syndrome of diabetic foot and atherosclerosis of the lower extremity arteries].

Obstructive damages of the peripheral arteries in diabetes mellitus patients are known to occur 4 times more often than in patients not having diabetes. For the recent 10 years 390 patients with serious decompensated diabetes mellitus and diabetic foot have been examined and treated. The atherosclerotic process in the low extremity arteries in diabetes mellitus patients was found to be more distally located, symmetrical and the ischemia signs were quickly progressing and badly answered to treatment. As a rule, sympathectomy and restoring operations were ineffective, often followed by necrotic alterations of the foot skin and gangrene. Our data have shown that even young patients with the main type of blood flow having the diabetic foot syndrome have certain signs of atherosclerotic affection of the low extremity arteries. It must be taken into consideration in their treatment.

Adolescent↗
PubMed2006

[Treatment of combined lesions of brachiocephalic and lower limb arteries].

Treatment results of 364 patients with multifocal lesions of brachiocephalic and lower limb arteries are analyzed. Indications for surgical treatment were based on priority principle. Staged surgical policy results in 5-year survival of 88-93% patients, improves life quality and saved limbs in 90-93% patients compared with conservative treatment. One-stage surgical interventions are associated with high lethality and should be performed with strong indications only. Conservative treatment cannot be regarded as alternative to surgical procedures.

Aged↗
PubMed1993

[Surgical treatment of patients with generalized atherosclerosis of the aorta and its branches].

The article analyses experience accumulated since September 1988 by the Department of Vascular Surgery based on Nizhny Novgorod Regional Clinical Hospital. The Department is equipped with apparatuses by means of which patients with generalized atherosclerotic lesions of the aorta and its branches can be examined to a full measure. The authors performed 287 operations on 205 patients with 3.9% mortality. The tactics of surgical treatment of patients with various atherosclerotic lesions of the aorta and its branches are analysed. It is concluded that multistage correction of the blood flow is most optimal in such patients.

Aorta, Abdominal↗
PubMed1990

[Surgical tactics in combined occlusive diseases of the brachiocephalic arteries and terminal segment of the aorta].

An associated pathology of brachycephalic arteries and aortofemoral segment was found in 37.7% of cases. Operations on brachycephalic arteries (1st stage of the treatment) were performed on 29 patients, on the aorto-femoral segment (2nd stage)--on 26 patients. An interval between the stages was from 2-3 weeks up to 1-1.5 months and depended on the degree of occlusive injury of the aorto-femoral segment. All the patients showed clinical improvement confirmed by control rheovasography.

Adult↗
PubMed1985

[Immediate and remote results of decompression of the celiac trunk].

Results of elimination of the extravasal compression of the celiac trunk in 22 patients are analyzed. Unsatisfactory results of decompression can be explained by secondary alterations of the vessel due to the formation of scars. Thoracophrenolumbotomy in the left ninth intercostal space is recommended for performing the decompression of the celiac trunk.

Adult↗
PubMed1985

[Diagnosis of chronic occlusive diseases of the visceral branches of the abdominal aorta].

On the basis of the examination of 113 patients the author considers that patients with abdominal pains associated with the amount of food, progressing loss of weight, systolic noise in the projection of visceral arteries, positive nitroglycerine and thermal tests have high probability of detection of the syndrome of chronic abdominal ischemia. These signs should be taken into consideration when examining patients under conditions of the outpatient clinic and nonspecialized hospitals.

Abdomen↗
PubMed1985

[Characteristics of reconstructive operations in combined aortoiliac and femoropopliteal occlusions].

The article analyzes results of 123 primary operations for associated lesions of the aorto-iliac and femoro-popliteal segments. The authors consider that in overwhelming majority of patients the blood flow may be reestablished via the profound artery of the femur after its plasty. In patients with a wild stenosis of the femoral artery due to thickening of the intima in the zone of distal anastomosis no endarterectomy should be performed.

Adult↗
PubMed1982

[Diagnosis and treatment of the chronic abdominal ischemia syndrome].

This is a collected report on 95 patients with chronic lesions of one or several visceral branches of the abdominal aorta. Restorative operations were performed on 92 patients. Necessity of examining patients with suspicion of the syndrome of chronic abdominal ischaemia in a special vascular surgery department is mandatory. For final diagnosis and choice of surgical tactics aortography in two projections is necessary. The progressive character of the disease is underlined. Restorative operations on the visceral branches of the abdominal aorta are preferred.

Abdomen↗
PubMed1981

[Restoration of the blood flow in the inferior mesenteric artery in reconstructive operations on the aortofemoral segment].

The early postoperative period in 82 patients subjected to operations on the aorta to repair blood-flow along the inferior mesenterial artery was found to have more favourable course. In 78 patients (95.1%) with the repaired blood-flow in the inferior mesenterial artery there were no cases of severe enteroparesis. The authors recommend to repair the blood flow along the inferior mesenterial artery in reconstructive operations on the aorta-femoral segment.

Aorta, Abdominal↗