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Biomedical subjects

V E Smirnov

Publications and source records attributed to V E Smirnov.

At least 19 recordsLinked to original sources

[Stenting of left common carotid artery kinking in the region of carotid subclavian anastomosis in a patient operated for occlusion of left subclavian artery].

The paper presents a case report of left common carotid artery kinking treated by stenting in a patient with aortoarteritis. The kink had developed 10 months after performance of carotid-subclavian anastomosis for occlusion of left subclavian artery and steal syndrome. The stenting procedure of left common carotid artery is described. Follow-up for 42 months and control angiography 6 months after stent implantation demonstrated good outcome and regression of neurological symptoms. Special features of stenting procedure in coiled artery with unaltered walls are analysed. The authors mention that carotid stenting in this patient was the most appropriate method of surgical treatment. It is the first description of stent use for carotid artery kinking correction.

Adult↗

[Risk factors of vascular brain disorders in patients with diabetes mellitus].

Several studies of patients with diabetes mellitus were analyzed in review. The aim of these studies was to determine the most significant risk factors of vascular brain disorders. The pattern and peculiarities of microvascular disorders which progress simultaneously with changes in brain vessels are discussed. The interaction between several risk factors of major arteries atherosclerosis is analyzed what is of reasonable practical importance.

Cerebrovascular Disorders↗

[Diagnosis and treatment of acute paraproctitis].

The results of treatment of 399 patients with various forms of acute paraproctitis are discussed. Comparative evaluation of therapeutic methods applied in the clinic is made. The authors suggest a complex method of treatment in which they use thermography with fluid crystals in topical diagnosis of abscesses of the pararectal fatty tissue and apply papain in combination with medium-frequency ultrasound for the treatment of perineal wounds. This method led to recovery of 97.4% of patients.

Abscess↗

[Physical activity and physical work capacity of patients with initial manifestations of cerebrovascular disorders in arterial hypertension].

The routine protocol of general and neurological examinations and some special questionnaires were used to examine physical activity (FA) and physical working capacity (FWC) in a random population from one of the Moscow districts which included 1200 persons (males and females aged 30-64 years). The majority of the examinees were those who had slight and moderate exercises, mainly sitting work, did few or no physical exercises. The proportion of persons with low physical activity increased with age both among males and females. The ratios generally remained despite the presence of early signs of abnormal blood supply. Bicycle ergometer testings showed a significant reduction in the physical working capacity of the patients with abnormal brain blood supply, in a greater extent, in arterial hypertension. Decreased functional activity and functional working capacity may regarded as one of the risk factors for cerebrovascular disorders, in arterial hypertension in particular, and should be borne in mind in implementing preventive measures.

Adult↗

[Detection of the pathology of the major cerebral arteries in transient disorders of cerebrovascular circulation using Doppler ultrasonography].

One hundred and six males aged 40-59 were examined generally, neurologically and using ultrasonic dopplerography within one month following an emergency call for transitory ischemic attacks, hypertensive cerebral crises. Ultrasound signs of arterial lesions were recorded in 79.2% of the examinees. Hemodynamic disturbances occurred most frequently (50.9%). Arterial stenosis was diagnosed in 27.4% of cases. With growing number of risk factors, the incidence of major arteries lesions was on the increase.

Adult↗

[Evaluation of late results of stroke based on 12-year prospective study].

A study was made of the results of the 12-year prospective follow-up of 140 patients (69 men and 71 women) who suffered brain stroke. The initial group of patients included 1538 persons. The survived patients (9.1%) pertained mainly to the number of those who developed brain stroke at an age under 70 years and was not accompanied by grave clinical disorders in the majority of cases. On the whole these were patients with brain infarction of hemispherical localization. In the final stage of the work, almost half of the patients did not show any motor disorders and 70.7% of the patients retained the everyday life activity.

Activities of Daily Living↗

[Study of prevalence and structure of cerebrovascular disorders in different regions of the USSR based on simultaneous epidemiological examinations].

The authors describe the data of the screenings of the representative random samples from the open male population aged 20 to 54 years, carried out in accordance with the common program in 6 cities of this country. The prevalence of definite cases of cerebrovascular diseases (CVD) ranged from 7.7% in Moscow to 12% in Irkutsk. As to the structure of cerebrovascular injuries, the initial manifestations of brain blood supply insufficiency accounted for 68%. The prevalence of CVD turned out to be the greatest in Western Siberia, the least in the European region. The transcaucasian republics occupy an intermediate position.

Adult↗

[Possibilities of liquid crystal thermography in the diagnosis of acute paraproctitis].

Results of using coloured thermography with cholesterol liquid crystals in complex diagnostics in 123 patients with different forms of acute paraproctitis are presented. The diagnostic value of the method was established to increase along with deepening and spreading the inflammation focus and development of the scar process in the pararectal fat. In 46 patients (37.4%) with deep forms of the disease the liquid crystal thermography has acquired the leading diagnostic value.

Abscess↗