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Surgical treatment of acute arterial diseases in COVID-19 patients 新冠肺炎患者急性动脉疾病的外科治疗
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316021223
A. Krasnikov, D. Maryan, Yuri Alborov, Daniela Stepanov, Y. Belov
Objective. To study the efficiency of surgical treatment of acute arterial diseases in patients with COVID-19. Material and methods. There were 85 surgeries on the great arteries between January 2021 and October 2021. Fifty-four patients underwent 67 interventions on the lower limb arteries and 15 patients underwent 18 surgeries on the upper limb arter-ies. All patients were diagnosed with COVID-19 bilateral pneumonia and positive PCR with various CT grades of lung lesion. Indication for emergency surgical treatment was critical lower limb ischemia or acute lower limb ischemia associated with thrombosis/embolism of the main arteries. Mean age of patients was 74.4±2.2 years. Results. We performed the following interventions: thrombectomy from the lower limb arteries — 44 (51.8%) patients, endarter-ectomy from superficial femoral artery — 1 (1.1%), re-canalization and balloon angioplasty of tibial arteries — 1 (1.1%), hybrid operations — 6 (7%), thrombectomy from the upper limb arteries — 18 (21.1%), aortoiliac bifurcation replacement — 1 (1.1%), surgery for bleeding from the main arteries — 14 (16.8%) patients. All patients continued postoperative anticoagulation and an-tiplatelet therapy. In 3% of cases, we decreased amputation level to the middle third of the lower leg and preserved the knee joint. In early postoperative period, 20% of patients developed distal thrombosis with irreversible ischemia of the lower extremity that required amputation at the hip level. The mortality rate amounted to 43.4%. It was mainly associated with respiratory failure and volume of lung lesion. Conclusion. Surgical treatment of arterial thrombosis/embolism or critical ischemia is effective. However, treatment may be fol-lowed by certain complications including progression of COVID-19 viral pneumonia with respiratory failure and acute respiratory distress syndrome. Therefore, these patients require an individualized approach and collegial decision-making regarding emergency surgery. © 2023, Media Sphera Publishing Group. All rights reserved.
目标。目的探讨新冠肺炎急性动脉病变的外科治疗效果。材料和方法。在2021年1月至2021年10月期间，有85例大动脉手术。54例患者进行了67次下肢动脉干预，15例患者进行了18次上肢动脉手术。所有患者均诊断为COVID-19双侧肺炎，PCR阳性，肺病变CT分级不一。急诊手术治疗的指征是严重下肢缺血或伴有大动脉血栓/栓塞的急性下肢缺血。患者平均年龄74.4±2.2岁。结果。我们实施了以下干预措施:下肢动脉取栓44例(51.8%)，股浅动脉内膜切除术1例(1.1%)，胫骨动脉再通管和球囊成形术1例(1.1%)，混合手术6例(7%)，上肢动脉取栓18例(21.1%)，主动脉髂分叉置换术1例(1.1%)，主动脉出血手术14例(16.8%)。所有患者术后继续进行抗凝和抗血小板治疗。在3%的病例中，我们将截肢水平降低到小腿的中间三分之一，并保留了膝关节。术后早期，20%的患者发生下肢不可逆缺血远端血栓形成，需要在髋关节水平截肢。死亡率为43.4%。主要与呼吸衰竭和肺病变体积有关。结论。手术治疗动脉血栓/栓塞或严重缺血是有效的。然而，治疗后可能出现某些并发症，包括COVID-19病毒性肺炎进展伴呼吸衰竭和急性呼吸窘迫综合征。因此，这些患者需要一个个性化的方法和合议决策关于紧急手术。©2023,Media Sphera出版集团。版权所有。
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引用次数: 0
Surgical treatment of type I aortic dissection with lesion of supra-aortic arteries 伴有主动脉上动脉病变的I型主动脉夹层的手术治疗
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316031313
V. A. Mironenko, S. V. Garmanov, M. Mamilov, S.R. Gadzhimuradov
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引用次数: 0
Association of clinical and mechanical parameters of intraoperative samples of thoracic aorta in patients with aortic aneurysm 主动脉瘤患者术中胸主动脉标本的临床参数与力学参数的关系
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316051540
S.I. Sazonova, V.V. Saushkin, D.S. Panfilov, V.V. Shipulin, A.N. Maltseva, B.A. Bazarbekova, A.B. Skosyrsky, B.N. Kozlov
{"title":"Association of clinical and mechanical parameters of intraoperative samples of thoracic aorta in patients with aortic aneurysm","authors":"S.I. Sazonova, V.V. Saushkin, D.S. Panfilov, V.V. Shipulin, A.N. Maltseva, B.A. Bazarbekova, A.B. Skosyrsky, B.N. Kozlov","doi":"10.17116/kardio202316051540","DOIUrl":"https://doi.org/10.17116/kardio202316051540","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135559659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate results of deep femoral artery revascularization in patients with critical ischemia of the lower extremities following occlusion of autologous venous femoral-popliteal bypass graft 自体静脉股腘旁路移植术闭塞后下肢严重缺血患者股深动脉血运重建的即时效果
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316051463
A.S. Artemova, Yu.K. Belova, M.A. Chernyavskiy
{"title":"Immediate results of deep femoral artery revascularization in patients with critical ischemia of the lower extremities following occlusion of autologous venous femoral-popliteal bypass graft","authors":"A.S. Artemova, Yu.K. Belova, M.A. Chernyavskiy","doi":"10.17116/kardio202316051463","DOIUrl":"https://doi.org/10.17116/kardio202316051463","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"273 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135559663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic homograft for valved conduit infection in a patient with severe heart failure after previous Bentall—De Bono procedure 同种主动脉移植治疗先前本特尔-德博诺手术后严重心力衰竭患者的有瓣导管感染
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316041437
E. Charchyan, D. A. Chakal, A. Skvortsov, V. Khovrin, S. Fedulova, M. Malahova, Y. Belov
{"title":"Aortic homograft for valved conduit infection in a patient with severe heart failure after previous Bentall—De Bono procedure","authors":"E. Charchyan, D. A. Chakal, A. Skvortsov, V. Khovrin, S. Fedulova, M. Malahova, Y. Belov","doi":"10.17116/kardio202316041437","DOIUrl":"https://doi.org/10.17116/kardio202316041437","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68311436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative outcomes and perioperative risk factors in elderly patients with heart valve and coronary artery disease 老年心脏瓣膜合并冠状动脉疾病患者术后结局及围手术期危险因素分析
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316041411
A.N. Baydeuov, I. I. Skopin, A. Otarov, P. V. Kakhktsyan
{"title":"Postoperative outcomes and perioperative risk factors in elderly patients with heart valve and coronary artery disease","authors":"A.N. Baydeuov, I. I. Skopin, A. Otarov, P. V. Kakhktsyan","doi":"10.17116/kardio202316041411","DOIUrl":"https://doi.org/10.17116/kardio202316041411","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68311458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term results of myocardial revascularization by direct and sequential venous grafts in multiple-vessel coronary artery disease 多支冠状动脉疾病直接和序贯静脉移植心肌血运重建的远期效果
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio20231601117
I. R. Rafaeli, A. N. Pankov, S. P. Semitko
{"title":"Long-term results of myocardial revascularization by direct and sequential venous grafts in multiple-vessel coronary artery disease","authors":"I. R. Rafaeli, A. N. Pankov, S. P. Semitko","doi":"10.17116/kardio20231601117","DOIUrl":"https://doi.org/10.17116/kardio20231601117","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68307854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Humanist surgeon, prominent clinician and healthcare organizer who was ahead of his time... (In memory of academician of the USSR academy of medical sciences Yu.Yu. Dzhanelidze (1883—1950). By the 140th anniversary) 人文主义外科医生，杰出的临床医生和医疗保健组织者谁是领先于他的时代…(纪念苏联医学科学院俞宇院士)Dzhanelidze(1883 - 1950)。到140周年时)
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316041449
T. Morgoshiya
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引用次数: 0
Follow-up of patients with left ventricular assist device 左室辅助装置患者的随访
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316041358
A. Begdildayev, B.U. Turtabaev, E.B. Ustemirov, A.U. Azimzhanova, V.K. Seisembekov, K.G. Kapusidi, S. Joshibayev
{"title":"Follow-up of patients with left ventricular assist device","authors":"A. Begdildayev, B.U. Turtabaev, E.B. Ustemirov, A.U. Azimzhanova, V.K. Seisembekov, K.G. Kapusidi, S. Joshibayev","doi":"10.17116/kardio202316041358","DOIUrl":"https://doi.org/10.17116/kardio202316041358","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68311067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Carotid endarterectomy in a patient with «kissing carotid» arteries in the retropharynx 颈动脉内膜切除术治疗咽后颈颈动脉吻合患者1例
Q4 Medicine
Kardiologiya i serdechno-sosudistaya khirurgiya
Pub Date : 2023-01-01 DOI: 10.17116/kardio202316041427
A. Lysenko, G. I. Salagaev, P. V. Lednev, A. Samedov, Y. Belov, G. F. Magomedova
{"title":"Carotid endarterectomy in a patient with «kissing carotid» arteries in the retropharynx","authors":"A. Lysenko, G. I. Salagaev, P. V. Lednev, A. Samedov, Y. Belov, G. F. Magomedova","doi":"10.17116/kardio202316041427","DOIUrl":"https://doi.org/10.17116/kardio202316041427","url":null,"abstract":"","PeriodicalId":17701,"journal":{"name":"Kardiologiya i serdechno-sosudistaya khirurgiya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68311330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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