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Biomedical subjects

V I Smorzhevskiĭ

Publications and source records attributed to V I Smorzhevskiĭ.

At least 19 recordsLinked to original sources
PubMed2002

[Prophylaxis and treatment of a pulmonary artery thromboembolism].

Experience of treatment of 103 patients with an acute thromboembolism (TE) of a. pulmonalis (AP) was analyzed. According to clinic, angiographical and hemodynamical investigations data the indications for performance of operative and conservative treatment depending on degree of the pulmonary blood flow disorder were substantiated. Comparative analysis of results of treatment of TEAP using different thromboembolic preparations was conducted. Efficacy of thrombolysis depends on time passed away from moment of lesion. In 69% patients thromboembolectomy is effective.

Combined Modality Therapy↗
PubMed1997

[The evaluation of the elastic properties of the arterial wall by ultrasonic study data in patients with atherosclerotic vascular lesions].

Ultrasonic scanning method in a real scale of time was used in examination of 10 patients with abdominal aorta (AA) aneurysm, 10-with arterial hypertension (AH), 10-with obliterating atherosclerosis of the lower extremities vessels (OALEV) without AH and practically healthy controls aged 32-45 years. AA aneurysm and OALEV diagnosis was made according to the ultrasonic investigation and roentgen-contrast angiography data obtained. The statistically significant (P < 0.05) reduce of AA wall distentivity and its rigidity increase was disclosed while there were no differences of the values of vessel diameter, normalized for the body surface square, determined by the measured magnitude of the relative vessels deformation caused by the pulse change in arterial pressure. The changes of the vascular wall elastic-viscositive properties in patients with OALEV and AH were directed similarly but they lacked intensity. The AA aneurysm magnitude did not correlate with the degree of vascular wall distentivity (r = 0.46).

Adult↗
PubMed1993

[Surgical treatment of multiple occlusions of the aortic arch arteries].

The results of treatment of 174 patients with lesions of the arteries of the aortic arch are presented. Multiple lesions of the coronary arteries were revealed in 78 patients, of the brachiocephalic trunk--in 45, their combination--in 52. In patients with the ischemic heart disease, in average, 3,4 aortocoronary shunts were placed. In patients with the impaired cerebral circulation, reconstruction of 2-3 arteries was performed simultaneously in their unilateral lesions. In case of their bilateral lesions, the blood flow restoration was performed in two stages with a 2-4 week interval. Improvement of the indices of intravascular hemodynamics was achieved in 97.5% of the patients, neurologic symptoms were completely eliminated in 71% of the patients. Three patients died from cardio-vascular failure.

Adult↗
PubMed1990

[Intragastric blood flow in the etiology of duodenal ulcer--new aspects of surgical treatment].

In the experiment on dogs and in patients with duodenal ulcer disease, it was established that the regulation of acid production besides the vagal nerves was mediated by the intragastric gastrin transport with the blood flow. A method of preoperative diagnosis of the intensity of intragastric blood flow permitting to define more accurately the indications for the choice of a method for surgical treatment has been developed. Supplementation of the selective proximal vagotomy with circular mucosectomy at the boundary between the antrum and body of a stomach enhances the effectiveness of operation due to reduction of the antral gastrin influence on the acid-producing zones of the stomach.

Animals↗
PubMed1990

[The therapeutic procedure in thromboembolism of the pulmonary artery].

Clinical symptomatology, ECG, roentgenography, echocardiography, blood biochemistry, angiopulmonography with manometry of the pulmonary artery and right heart compartments were used to diagnose in 14 patients (age: 25-65 years) massive and submassive pulmonary artery thromboembolism. The angiopulmonographic index exceeded 18 points. Treatment included embolectomy, medical therapy (heparine, indirect anticoagulants), thrombolytic agents (celiase) and symptomatic therapy. The results of medical treatment were good in 80% of patients. Good results in embolectomy were observed in 77.7%. The authors formulate absolute and relative indications to urgent embolectomy in conditions of artificial circulation.

Adult↗