V. Rogovskiy, B. Koval, O. Rodionov, I. I. Avgustinovych, A. A. Pysarenko
{"title":"Experience in treatment of post-traumatic arteriovenous discharges syndrome resulting from gunshot wounds of the main vessels","authors":"V. Rogovskiy, B. Koval, O. Rodionov, I. I. Avgustinovych, A. A. Pysarenko","doi":"10.30978/HV2018-3-84","DOIUrl":"https://doi.org/10.30978/HV2018-3-84","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87234766","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}
The aim — investigation of independent prognostic factors of minimal dependence in everyday activities one year after ischemic stroke by developing a prognostic mathematical model. Materials and methods. The neurological and functional status of 150 patients (74 (49.3 %) women and 76 (50.7 %) men of mean age of (67.4 ± 0.7 years) with primary ischemic stroke and primary arterial hypertension in anamnesis was evaluated. Neurological deficit was evaluated by the NIHSS scale. The assessment of everyday life activity was provided by Bartel index (BI). The cognitive status was evaluated by MMSE scale. Diagnosis of hypertension was based on the results of clinical, instrumental examination and medical documentation. We applied daily blood pressure (BP) monitoring from the moment of admission every 4 hours for 6 days of acute period. The variability of SBP and DBP was determined by calculating the standard deviation for 6 days, as well as for the period from the first to the third and from the third to the sixth day. Results and discussion. A year after stroke, the median of the Barthel index values was 85, the minimum value was 45, the maximum — 100, the first quartile — 75, the third quartile — 95 points. Data on 105 patients with neurological deficit of moderate (82) and severe (23) degrees took part in the determination of the functional recovery prognostic predictors by BI. Of the 161 indicators that characterized the pathology and the results of an additional patient’s examination, 18 variables that had a reliable correlation with the BI score in a year were selected and involved in logistic regression analysis. According to the stepbystep analysis, (10 steps), the independent prognostic factors of minimal dependence in daily activities in a year were determined in patients with moderate and severe ischemic stroke: duration of hypertension (B coefficient = –0.11), thickness of the intimamedia complex (B coefficient = –7.62), the MMSE score (B coefficient = 0.19), gender (B coefficient = –2.13), intake of sartans in combination with calcium antagonists or in monotherapy (B coefficient = –1.31), achievement of target BP in antihypertension therapy (its efficiency) (B coefficient = +2.95); constant — 7.43. The obtained model has a sensitivity of 95.3 %, a specificity of 88.9 % and a diagnostic accuracy of 93.4 %, an area under the ROC curve — 0.926 (95 % confidence interval: 0.881 — 0.972). Conclusions. The main tasks at the stage of rehabilitation of patients for achievement of a minimum functional dependence in a year in the case of moderate to severe ischemic stroke is to prevent the progression of the atherosclerotic process, improve cognitive functions and achieve the primary hypertension treatment effectiveness.
{"title":"Prediction of functional consequences of cerebral ischemic stroke one year after its occurrence","authors":"T. Cherenko, Yu.L. Heletyuk","doi":"10.30978/HV2018-3-28","DOIUrl":"https://doi.org/10.30978/HV2018-3-28","url":null,"abstract":"The aim — investigation of independent prognostic factors of minimal dependence in everyday activities one year after ischemic stroke by developing a prognostic mathematical model. Materials and methods. The neurological and functional status of 150 patients (74 (49.3 %) women and 76 (50.7 %) men of mean age of (67.4 ± 0.7 years) with primary ischemic stroke and primary arterial hypertension in anamnesis was evaluated. Neurological deficit was evaluated by the NIHSS scale. The assessment of everyday life activity was provided by Bartel index (BI). The cognitive status was evaluated by MMSE scale. Diagnosis of hypertension was based on the results of clinical, instrumental examination and medical documentation. We applied daily blood pressure (BP) monitoring from the moment of admission every 4 hours for 6 days of acute period. The variability of SBP and DBP was determined by calculating the standard deviation for 6 days, as well as for the period from the first to the third and from the third to the sixth day. Results and discussion. A year after stroke, the median of the Barthel index values was 85, the minimum value was 45, the maximum — 100, the first quartile — 75, the third quartile — 95 points. Data on 105 patients with neurological deficit of moderate (82) and severe (23) degrees took part in the determination of the functional recovery prognostic predictors by BI. Of the 161 indicators that characterized the pathology and the results of an additional patient’s examination, 18 variables that had a reliable correlation with the BI score in a year were selected and involved in logistic regression analysis. According to the stepbystep analysis, (10 steps), the independent prognostic factors of minimal dependence in daily activities in a year were determined in patients with moderate and severe ischemic stroke: duration of hypertension (B coefficient = –0.11), thickness of the intimamedia complex (B coefficient = –7.62), the MMSE score (B coefficient = 0.19), gender (B coefficient = –2.13), intake of sartans in combination with calcium antagonists or in monotherapy (B coefficient = –1.31), achievement of target BP in antihypertension therapy (its efficiency) (B coefficient = +2.95); constant — 7.43. The obtained model has a sensitivity of 95.3 %, a specificity of 88.9 % and a diagnostic accuracy of 93.4 %, an area under the ROC curve — 0.926 (95 % confidence interval: 0.881 — 0.972). Conclusions. The main tasks at the stage of rehabilitation of patients for achievement of a minimum functional dependence in a year in the case of moderate to severe ischemic stroke is to prevent the progression of the atherosclerotic process, improve cognitive functions and achieve the primary hypertension treatment effectiveness.","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86520781","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}
O. I. Nishkumai, K. Lazarieva, G. Mostbauer, P. Lazariev, Yu. V. Rudenko
{"title":"Markers of bone remodeling, 25(ОH)D3 level and lipid metabolism parameters in elderly women with uncomplicated arterial hypertension","authors":"O. I. Nishkumai, K. Lazarieva, G. Mostbauer, P. Lazariev, Yu. V. Rudenko","doi":"10.30978/hv2018-3-60","DOIUrl":"https://doi.org/10.30978/hv2018-3-60","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75962448","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}
Ukrainian Association of Interventional Cardiology established Percutaneous Coronary Interventions Registry (PCI Registry) in 2010. The first protocol was filled on 12.04.2010. By now (23.07.2018, 17 h 58 min) the Registry was filled by 106,244 patients who underwent coronary angiography, percutaneous coronary intervention (PCI) or both procedures simultaneously. For the year 2017 in the clinics participating in the Registry, coronary angiography was performed on 32,112 patients (+9.3 %), PCI — on 14,510 patients (+12.6 %), PCI in STEMI patients — in 7,846 cases (+6 %). The number of PCI in patients with STEMI per million of population increased by 8.0 % compared to 2016 and amounted to 220 patients. The number of STEMI patients hospitalized for percutaneous reperfusion was quite adequate and corresponded to the main world trends in the treatment of acute myocardial infarction (0 — 4h — 44 %, 4 — 6h — 22 %, 6 — 12h — 20 %, 12 — 24h — only 14 %, respectively). The indicators of hospital mortality have noticeably changed in 11 regions of Ukraine (Vinnytsia, Dnipropetrovsk, Transcarpathian, Ivano-Frankivsk, Kyiv (together with the city of Kyiv), Lviv, Odesa, Poltava, Kharkiv, Kherson, Cherkasy), which have half of the population of the country and established regional reperfusion networks. The decrease of mortality due to acute myocardial infarction (АМІ) was statistically significant (p < 0.0001). The average hospital mortality in these regions was 11.6 % (14.2 % in the same regions in 2015), which is 18.3 % lower than in 2015. As a result of these changes in same areas in 2017, 420 lives more were saved than in 2015. The decrease in mortality in 11 regions caused a slight decrease in hospital mortality rate from AMI in the country: by 12.5 % in 2017, by 13.2 % in 2016. In some regions general indicators are still high. There was a tendency to increase the frequency of detection of patients with AMI without ST segment elevation: in 2016 — 424 per 1 million people, in 2017 — 489. Such an increase is fixed first during the existence of the Registry. It is possible that this phenomenon is caused by the consequences of the reperfusion paradox, which, in fact, were already pointed out during the development of the reperfusion system in European countries.
{"title":"Register of percutaneous coronary interventions: expanded comparative analysis of results of 2016 and 20 17. From reperfusion paradox to decrease of mortality","authors":"M. Sokolov","doi":"10.30978/hv2018-3-9","DOIUrl":"https://doi.org/10.30978/hv2018-3-9","url":null,"abstract":"Ukrainian Association of Interventional Cardiology established Percutaneous Coronary Interventions Registry (PCI Registry) in 2010. The first protocol was filled on 12.04.2010. By now (23.07.2018, 17 h 58 min) the Registry was filled by 106,244 patients who underwent coronary angiography, percutaneous coronary intervention (PCI) or both procedures simultaneously. For the year 2017 in the clinics participating in the Registry, coronary angiography was performed on 32,112 patients (+9.3 %), PCI — on 14,510 patients (+12.6 %), PCI in STEMI patients — in 7,846 cases (+6 %). The number of PCI in patients with STEMI per million of population increased by 8.0 % compared to 2016 and amounted to 220 patients. The number of STEMI patients hospitalized for percutaneous reperfusion was quite adequate and corresponded to the main world trends in the treatment of acute myocardial infarction (0 — 4h — 44 %, 4 — 6h — 22 %, 6 — 12h — 20 %, 12 — 24h — only 14 %, respectively). The indicators of hospital mortality have noticeably changed in 11 regions of Ukraine (Vinnytsia, Dnipropetrovsk, Transcarpathian, Ivano-Frankivsk, Kyiv (together with the city of Kyiv), Lviv, Odesa, Poltava, Kharkiv, Kherson, Cherkasy), which have half of the population of the country and established regional reperfusion networks. The decrease of mortality due to acute myocardial infarction (АМІ) was statistically significant (p < 0.0001). The average hospital mortality in these regions was 11.6 % (14.2 % in the same regions in 2015), which is 18.3 % lower than in 2015. As a result of these changes in same areas in 2017, 420 lives more were saved than in 2015. The decrease in mortality in 11 regions caused a slight decrease in hospital mortality rate from AMI in the country: by 12.5 % in 2017, by 13.2 % in 2016. In some regions general indicators are still high. There was a tendency to increase the frequency of detection of patients with AMI without ST segment elevation: in 2016 — 424 per 1 million people, in 2017 — 489. Such an increase is fixed first during the existence of the Registry. It is possible that this phenomenon is caused by the consequences of the reperfusion paradox, which, in fact, were already pointed out during the development of the reperfusion system in European countries.","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81276967","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}
V. Lazoryshynets, K. Rudenko, O. Krykunov, A. Rusnak, O. Trembovetska, L. Nevmerzhytska, P. Danchenko
{"title":"Surgical treatment of hypertrophic cardiomyopathy: what’s new?","authors":"V. Lazoryshynets, K. Rudenko, O. Krykunov, A. Rusnak, O. Trembovetska, L. Nevmerzhytska, P. Danchenko","doi":"10.30978/HV201827","DOIUrl":"https://doi.org/10.30978/HV201827","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75178719","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}
{"title":"Prevention of cardiac events in perioperative period in patients with acute calculous cholecystitis and coronary heart disease","authors":"V. Mishalov, S. O. Kondratenko, L. Markulan","doi":"10.30978/HV2018223","DOIUrl":"https://doi.org/10.30978/HV2018223","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76673033","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}
{"title":"Preoperative planning of on-pump beating-heart coronary artery bypass grafting based on prediction of intraoperative complications","authors":"O. Zhurba","doi":"10.30978/hv2018246","DOIUrl":"https://doi.org/10.30978/hv2018246","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90594753","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}
Мета роботи — визначити вплив феномена невідновленого кровотоку (ФНК) після проведення черезшкірного коронарного втручання (ЧКВ) на динаміку змін кінцеводіастолічного індексу (КДІ), кінцевосистолічного індексу (КСІ) та фракції викиду (ФВ) лівого шлуночка (ЛШ) у пацієнтів з гострим інфарктом міокарда з елевацією сегмента ST (STEMI). Матеріали і методи. У дослідженні взяли участь 105 пацієнтів віком від 36 до 85 років (у середньому (60,4 ± 2,0) року), котрих госпіталізували до Харківської міської клінічної лікарні № 8 у період із січня 2014 р. до вересня 2017 р. з діагнозом STEMI та у середньому через (7,6 ± 1,2) години після виникнення перших ознак захворювання провели ЧКВ. ФНК визначали за допомогою індексу MBG (Myocardial Blush Grade) як відсутність оптимальної міокардіальної перфузії в разі індексу MBG ≤ 2 балів. Основну групу склали 12 (16,7 %) пацієнтів з ФНК, контрольну — 60 (83,3 %) пацієнтів, чиї ангіографічні дані відповідали критеріям успішної ЧКВ. За час спостереження 72 пацієнтам, залученим у дослідження, тричі було проведено ехокардіографію — у середньому через (1,1 ± 0,6), (9,3 ± 1,2) та (8,3 ± 0,6) міс з моменту інвазивного втручання. Критеріями несприятливого перебігу ремоделювання ЛШ вважали збільшення КДІ ЛШ більш ніж на 20 % через (8,3 ± 0,6) міс порівняно з початковим та збільшення КСІ ЛШ понад 35 мл/м2. Критерієм несприятливих змін ФВ через (8,3 ± 0,6) міс після STEMI слугувало значення цього показника ≤ 40 %. Результати та обговорення. Вихідні досліджувані ехокардіографічні характеристики у групах пацієнтів статистично значуще не відрізнялися. Пацієнти основної групи демонстрували статистично значущо гірші результати ремоделювання ЛШ за даними ехокардіографії порівняно з контрольною групою: збільшення КДІ понад 20 % від вихідного значення (відношення шансів (ВШ) 10,6; 95 % довірчий інтервал (ДІ) 2,63 — 42,65; р 5 % (ВШ 0,05; 95 % ДІ 0,06 — 0,41; р 0,05). Висновки. Розвиток ФНК у вигляді порушення міокардіальної перфузії після проведення ЧКВ у пацієнтів з STEMI асоціюється з розвитком несприятливого ремоделювання ЛШ через (8,3 ± 0,6) міс спостереження, а саме зі збільшенням КДІ та КСІ ЛШ, відсутністю позитивної динаміки ФВ ЛШ.
{"title":"Influence of unrecovered bloodflow phenomenon in patients with acute myocardial infarction with ST segment elevation after percutaneous coronary intervention on the dynamics of some echocardiography indicators during long-term follow-up","authors":"V. Tseluyko, M. M. Dyolog, O. Leonenko","doi":"10.30978/hv2018260","DOIUrl":"https://doi.org/10.30978/hv2018260","url":null,"abstract":"Мета роботи — визначити вплив феномена невідновленого кровотоку (ФНК) після проведення черезшкірного коронарного втручання (ЧКВ) на динаміку змін кінцеводіастолічного індексу (КДІ), кінцевосистолічного індексу (КСІ) та фракції викиду (ФВ) лівого шлуночка (ЛШ) у пацієнтів з гострим інфарктом міокарда з елевацією сегмента ST (STEMI). Матеріали і методи. У дослідженні взяли участь 105 пацієнтів віком від 36 до 85 років (у середньому (60,4 ± 2,0) року), котрих госпіталізували до Харківської міської клінічної лікарні № 8 у період із січня 2014 р. до вересня 2017 р. з діагнозом STEMI та у середньому через (7,6 ± 1,2) години після виникнення перших ознак захворювання провели ЧКВ. ФНК визначали за допомогою індексу MBG (Myocardial Blush Grade) як відсутність оптимальної міокардіальної перфузії в разі індексу MBG ≤ 2 балів. Основну групу склали 12 (16,7 %) пацієнтів з ФНК, контрольну — 60 (83,3 %) пацієнтів, чиї ангіографічні дані відповідали критеріям успішної ЧКВ. За час спостереження 72 пацієнтам, залученим у дослідження, тричі було проведено ехокардіографію — у середньому через (1,1 ± 0,6), (9,3 ± 1,2) та (8,3 ± 0,6) міс з моменту інвазивного втручання. Критеріями несприятливого перебігу ремоделювання ЛШ вважали збільшення КДІ ЛШ більш ніж на 20 % через (8,3 ± 0,6) міс порівняно з початковим та збільшення КСІ ЛШ понад 35 мл/м2. Критерієм несприятливих змін ФВ через (8,3 ± 0,6) міс після STEMI слугувало значення цього показника ≤ 40 %. Результати та обговорення. Вихідні досліджувані ехокардіографічні характеристики у групах пацієнтів статистично значуще не відрізнялися. Пацієнти основної групи демонстрували статистично значущо гірші результати ремоделювання ЛШ за даними ехокардіографії порівняно з контрольною групою: збільшення КДІ понад 20 % від вихідного значення (відношення шансів (ВШ) 10,6; 95 % довірчий інтервал (ДІ) 2,63 — 42,65; р 5 % (ВШ 0,05; 95 % ДІ 0,06 — 0,41; р 0,05). Висновки. Розвиток ФНК у вигляді порушення міокардіальної перфузії після проведення ЧКВ у пацієнтів з STEMI асоціюється з розвитком несприятливого ремоделювання ЛШ через (8,3 ± 0,6) міс спостереження, а саме зі збільшенням КДІ та КСІ ЛШ, відсутністю позитивної динаміки ФВ ЛШ.","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91390947","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}
Yuri Panichkin, V. Zakharova, Yu.L. Konopliova, A. Yu. Gavrilishin, E. V. Beshlyaga, Izabela Skiba, M. Pogorelov, A. Solodovnik
{"title":"To the issue of corrosion of occluders from beta-zirconium alloy in experimental study of endovascular devices for the closure of arterial duct","authors":"Yuri Panichkin, V. Zakharova, Yu.L. Konopliova, A. Yu. Gavrilishin, E. V. Beshlyaga, Izabela Skiba, M. Pogorelov, A. Solodovnik","doi":"10.30978/hv2018238","DOIUrl":"https://doi.org/10.30978/hv2018238","url":null,"abstract":"","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89113858","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}
The aim — to distinguish variants of the topography of the small subcutaneous vein (SSV) and its femoral branch (FB) according to the ultrasound scan, as well as to determine the pathways for the spread of venous reflux and to develop anatomical and hemodynamic classification of varicose veins (VV) types. Materials and methods. We analyzed the results of the study of SSV topography variants in 474 patients of the general population and ways of distribution of blood reflux in SSV basin in 126 patients with VV, who were diagnosed and treated at O. O. Shalimov National Institute of Surgery and Transplantology of NAMS of Ukraine within the period of 2003 — 2007. Results and discussion. 6 variants of topography of SSV and 5 variants of topography of its FB were singled out. The most common variant, which occurs in 47.0 % of patients, is the influx of SSV into the popliteal vein with an isolated trunk. In the total number of the examined patients, SSVs had hip extension in the form of FB in 40.9 % and had no fistula with popliteal vein in 17.9 % of cases. The study of ways of venous reflux spreading made it possible to distinguish the following types of FB in the SSV basin: 1) the trunk type — in 76.2 %; 2) the inflow type — in 17.5 %; 3) the perforation type — in 6.3 % of patients. Conclusions. The most common type that occurs in 76.2 % of patients is the formation of blood reflux at the level of saphenopopliteal fistula and its spread along the SSV trunk. Of the total number of patients with VV, an «atypical» distribution of blood reflux was registered in 23.8 % of cases.
目的-根据超声扫描区分小皮下静脉(SSV)及其股支(FB)的地形变化，以及确定静脉反流扩散的途径，并建立静脉曲张(VV)类型的解剖学和血流动力学分类。材料和方法。我们分析了2003 - 2007年在乌克兰NAMS的O. O. Shalimov国家外科和移植研究所诊断和治疗的126例VV患者中，474例普通人群中SSV地形变异的研究结果和SSV盆地血液反流的分布方式。结果和讨论。筛选出SSV地形的6个变异和其FB地形的5个变异。最常见的变异，发生在47.0%的患者中，是SSV流入具有孤立干的腘静脉。在所有检查的患者中，40.9%的ssv有FB形式的髋关节伸展，17.9%的ssv没有腘静脉瘘。通过对静脉回流扩散方式的研究，可以区分出SSV盆内FB的以下类型:1)主干型-占76.2%;2)流入型-占17.5%;3)穿孔类型——6.3%的患者。结论。最常见的类型发生在76.2%的患者中，是在隐腘瘘水平形成血液反流并沿SSV干扩散。在VV患者的总人数中，23.8%的病例记录了“非典型”血液反流分布。
{"title":"Clinical and anatomical variants of varicose veins in the basin of small subcutaneous vein","authors":"A. Guch, O. V. Ligonenko, O. I. Nabolotny","doi":"10.30978/hv2018268","DOIUrl":"https://doi.org/10.30978/hv2018268","url":null,"abstract":"The aim — to distinguish variants of the topography of the small subcutaneous vein (SSV) and its femoral branch (FB) according to the ultrasound scan, as well as to determine the pathways for the spread of venous reflux and to develop anatomical and hemodynamic classification of varicose veins (VV) types. Materials and methods. We analyzed the results of the study of SSV topography variants in 474 patients of the general population and ways of distribution of blood reflux in SSV basin in 126 patients with VV, who were diagnosed and treated at O. O. Shalimov National Institute of Surgery and Transplantology of NAMS of Ukraine within the period of 2003 — 2007. Results and discussion. 6 variants of topography of SSV and 5 variants of topography of its FB were singled out. The most common variant, which occurs in 47.0 % of patients, is the influx of SSV into the popliteal vein with an isolated trunk. In the total number of the examined patients, SSVs had hip extension in the form of FB in 40.9 % and had no fistula with popliteal vein in 17.9 % of cases. The study of ways of venous reflux spreading made it possible to distinguish the following types of FB in the SSV basin: 1) the trunk type — in 76.2 %; 2) the inflow type — in 17.5 %; 3) the perforation type — in 6.3 % of patients. Conclusions. The most common type that occurs in 76.2 % of patients is the formation of blood reflux at the level of saphenopopliteal fistula and its spread along the SSV trunk. Of the total number of patients with VV, an «atypical» distribution of blood reflux was registered in 23.8 % of cases.","PeriodicalId":23425,"journal":{"name":"UMJ Heart & Vessels","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86020368","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}
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