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1دورية أكاديمية
المؤلفون: Y. V. Gavrishuk, V. A. Manukovskiy, A. N. Tulupov, A. E. Demko, E. A. Kolchanov, V. E. Savello, D. V. Kandyba, I. V. Kazhanov, S. A. Platonov, A. S. Kazankin
المصدر: Вестник хирургии имени И.И. Грекова, Vol 180, Iss 4, Pp 18-27 (2021)
مصطلحات موضوعية: splenic rupture, selective angioembolization, minimally invasive spleen injuries management, organ-preserving spleen injuries management, spleen injuries, Surgery, RD1-811
الوصف: The Objective was to assess and improve the treatment results of victims with spleen injury in blunt abdominal trauma by using high-tech minimally invasive methods of diagnosis and treatment.Methods and materials. The article analyzed the results of treatment of 86 patients with isolated and combined blunt spleen injuries who received conventional surgery, and 52 similar patients who were treated in accordance with the new algorithm. This algorithm included conventional splenectomy for unstable hemodynamics and non-operative and minimally invasive management for stable hemodynamics after MSCT. In the absence of CT signs of ongoing bleeding, non-operative management was performed, if ongoing bleeding signs were detected, angiography with selective angioembolization was performed.Results. In both groups, most of the victims with blunt spleen injury were admitted to the trauma center after traffic accidents and catatraumas. There were no statistically significant differences in the injury severity (ISS, Tsibin scales), and the condition severity (VPH-SP). The tactics of non-operative and minimally invasive management was applied in 31 patients of the prospective group with stable hemodynamics. Non-operative management was performed on 16 patients of the prospective group. Four patients of this group underwent angiography and selective embolization of the branches of the splenic artery. In the retrospective group, there was a greater number of local complications compared to the prospective group (p=0.006). The decrease in the number of visceral and generalized complications was statistically insignificant (p>0.05). In the retrospective group, 21 victims died. Of these, 12 patients died from severe combined trauma and massive blood loss during the first 24 hours. In the prospective group, the total number of deaths was 10 patients. Of these, 6 died from polytrauma with acute massive blood loss, 1 – from severe traumatic brain injury, 1 – from PE, 2 – from sepsis. In the prospective group, among the patients with stable hemodynamics who had conservative treatment of abdominal trauma, 2 deaths were observed in the long-term period due to severe traumatic brain injury and PE.Conclusion. Organ-preserving management was carried out in 26 of 52 (50 %) patients, the number of performed diagnostic laparocenteses was reduced by 50.6 %, laparoscopies – by 16.5 %, laparotomies – by 60.7 %, the duration of inpatient treatment of surviving patients was more than for 7 days, mortality – by 5.2 %.
وصف الملف: electronic resource
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2دورية أكاديمية
المؤلفون: A. N. Ryazanov, V. V. Soroka, S. P. Nokhrin, D. V. Kandyba, S. A. Platonov, V. N. Zhigalo, A. V. Osipov, A. B. Kurilov, E. P. Ryazanova, P. M. Malkova
المصدر: Вестник хирургии имени И.И. Грекова, Vol 179, Iss 6, Pp 66-71 (2021)
مصطلحات موضوعية: thoracic aorta, aneurysm, rupture, clinical mask, hemothorax, endovascular treatment, stent graft, Surgery, RD1-811
الوصف: The article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit. Signs of neurological symptoms regressed. Spiral computed tomography of the chest organs was performed with suspected pulmonary embolism, the results of which revealed an aneurysm of the descending thoracic aorta, complicated by a rupture with the formation of a right-sided hemothorax. The patient underwent endoprosthesis of the thoracic aorta with stent graft. After 2 days, thoracoscopic sanitation, drainage of the right pleural cavity was performed. The postoperative period proceeded without peculiarities. The patient was discharged on the 12th day in satisfactory condition. At control examination in 1, 6, 12 months, the long-term steady positive result was noted. Endovascular methods minimize the risk of postoperative complications, contributing to a favorable outcome of the disease.
وصف الملف: electronic resource
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3دورية أكاديمية
المؤلفون: Ya. V. Gavrishuk, I. V. Kazhanov, A. N. Tulupov, A. E. Demko, D. V. Kandyba, S. I. Mikityuk, E. A. Kolchanov
المصدر: Вестник хирургии имени И.И. Грекова, Vol 178, Iss 4, Pp 58-60 (2019)
مصطلحات موضوعية: abdominal trauma, spleen injury, angiography and selective embolization, Surgery, RD1-811
الوصف: The article describes the clinical experience of treatment of the victim using minimally invasive methods such as angiography and embolization. The applied treatment tactics made it possible to preserve the damaged parenchymal organ of the abdominal cavity and avoid performing other more traumatic surgical interventions (laparoscopy, laparotomy).
وصف الملف: electronic resource
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4دورية أكاديمية
المؤلفون: K. N. Babichev, A. N. Shishkevich, Z. M. Abdullaev, A. V. Savello, A. A. Dubinin, D. V. Kandyba, D. V. Svistov
المصدر: Вестник хирургии имени И.И. Грекова, Vol 176, Iss 6, Pp 83-86 (2017)
مصطلحات موضوعية: thromboembolism of the lung artery, systemic thrombolysis, intravascular thrombectomy, Surgery, RD1-811
وصف الملف: electronic resource
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5دورية أكاديمية
المؤلفون: S. N. Illarioshkin, P. A. Slominsky, M. I. Shadrina, M. V. Partola, D. V. Kandyba, N. M. Zhulev
المصدر: Анналы клинической и экспериментальной неврологии, Vol 2, Iss 2, Pp 45-50 (2017)
مصطلحات موضوعية: cadasil, leukoencephalopathy, notch3, mutation screening, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a recently described familial form of ischemic stroke caused by mutations in the Notch3 gene on chromosome 19q12. Clinically, CADASIL develops as a cerebrovascular small vessel disease: against a background of repeated lacunar strokes, progressing are subcortical, pseudobulbar and cerebellar syndromes and cognitive decline. Neuroimaging methods (CT, MRI) reveal combination of small lacunar infarcts of variable location withdiffuse white matter changes (leucoaraosis). In this paper we present the first description of a Russian family with the verified mutation in the Notch3 gene, nucleotide change 832GA in exon 5 leading to substitution of valine to methionine (Val252Met) at protein codon 252. This missense mutation is novel and has not been reported before in other families with CADASIL syndrome. The observation presented confirms that CADASIL syndrome should be suspected in all cases of white matter disease of unknown origin.
وصف الملف: electronic resource
Relation: https://annaly-nevrologii.com/journal/pathID/article/viewFile/403/310; https://doaj.org/toc/2075-5473; https://doaj.org/toc/2409-2533
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6دورية أكاديمية
المؤلفون: D. V. Kandyba, A. V. Savello, D. V. Svistov, K. N. Babichev, S. A. Landik
المصدر: Патология кровообращения и кардиохирургия, Vol 16, Iss 3, Pp 27-33 (2015)
مصطلحات موضوعية: АНЕВРИЗМА ГОЛОВНОГО МОЗГА, БАЛЛОН-АССИСТЕНЦИЯ, ПЛОТНОСТЬ ПАКОВКИ, BALLOON-ASSISTING, Surgery, RD1-811
الوصف: Проанализированы 270 эмболизированных аневризм у 260 пациентов. В зависимости от метода окклюзии аневризм головного мозга были выделены три группы пациентов. Пациентам I группы была выполнена эмболизация аневризм без использования ассистирующих методов. Во II группе пациентов использовалась баллон-ассистенция. У пациентов III группы аневризмы выключены из кровотока в условиях стент-ассистенции. Использование стента уменьшало влияние геометрии аневризм головного мозга на качество окклюзии: радикальность операции не зависела от объема и размеров шейки аневризмы, а также слабо зависела от плотности паковки. Применение ассистирующих методов позволяет радикально выключить из кровотока аневризмы с неблагоприятной геометрией, представляющих проблему для техники традиционной эмболизации.
وصف الملف: electronic resource
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المؤلفون: V. S. Dayneko, A. V. Osipov, O. N. Reznik, S. A. Platonov, M. A. Kiselev, M. I. Safoev, A. V. Sviatnenko, I. V. Ulyankina, I. V. Loginov, D. O. Kuzmin, V. E. Savello, V. N. Kravchuk, A. E. Demko, D. V. Kandyba, V. A. Manukovsky
المصدر: Russian Journal of Transplantology and Artificial Organs. 25:31-37
مصطلحات موضوعية: Transplantation, Immunology and Allergy
الوصف: Hepatic artery thrombosis (HAT) following liver transplantation (LT) is a severe life-threatening complication that can lead to graft loss and mortality after LT. According to different reports, HAT incidence ranges from 2% to 9%. Modern endovascular and radiosurgical techniques allow for minimally invasive liver graft revascularization. Nonetheless, a major consequence of even a successful revascularization is ischemic cholangiopathy, which can lead to ischemic biliary strictures and anastomotic leak. The paper presents a clinical case of long-term complex treatment of combined complications of LT using minimally invasive endovascular and endoscopic techniques.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::286d36d2767add7cb9fc900da9736f0e
https://doi.org/10.15825/1995-1191-2023-1-31-37 -
8
المؤلفون: D V Svistov, D V Kandyba, Sh Kh Gizatullin, A V Stanishevskiy, E V Vinogradov, Savello Av, K N Babichev
المصدر: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko. 85(5)
مصطلحات موضوعية: medicine.medical_specialty, business.industry, medicine.medical_treatment, Middle meningeal artery, Embolization, Therapeutic, Meningeal Arteries, Chronic subdural haematoma, Surgery, surgical procedures, operative, Chronic subdural hematoma, medicine.artery, Hematoma, Subdural, Chronic, medicine, Humans, cardiovascular diseases, Neurology (clinical), Embolization, Endovascular treatment, business
الوصف: Middle meningeal artery embolization as primary method for treatment of chronic subdural hematomas became more popular in past decade. There are few large case series (150 patients) and literature reviews characterizing advantages and drawbacks of endovascular treatment and technical features of surgeries. In this manuscript, the authors report 11 patients with chronic subdural hematoma scheduled for middle meningeal artery embolization and review the literature data on this issue.В течение последних лет возрастает внимание специалистов к использованию эмболизации средней оболочечной артерии в качестве самостоятельного метода лечения хронических субдуральных гематом. В литературе представлены несколько крупных (свыше 150) серий клинических наблюдений и систематических обзоров, характеризующих преимущества и недостатки внутрисосудистого лечения, а также технические аспекты выполнения операций. В настоящей работе представлена серия клинических наблюдений (32 случая) эмболизации средней оболочечной артерии как исчерпывающего лечения хронических субдуральных гематом и приведен анализ данных литературы.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ce76c04f549badc9e2fbfd3d77720b3f
https://pubmed.ncbi.nlm.nih.gov/34714006 -
9
المؤلفون: D. V. Kandyba, A. V. Zenin, K. N. Babichev
المصدر: Russian journal of neurosurgery. 20:61-67
مصطلحات موضوعية: medicine.medical_specialty, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Vertebral artery, Geography, Planning and Development, Stent, Femoral artery, 030204 cardiovascular system & hematology, Management, Monitoring, Policy and Law, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, Aneurysm, medicine.artery, Angiography, medicine, Embolization, Radial artery, business, 030217 neurology & neurosurgery, Cerebral angiography
الوصف: The study objective is to present a clinical case of using transradial access for embolization of an aneurysm of the basilar artery (BA) bifurcation. Materials and methods. A patient, 67 years old, sought medical help at the I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine complaining of headaches. Computed angiography of the brain had shown a large aneurysm of the BA with an absolutely wide neck. Embolization of the aneurysm using stent assistance (Y-stenting) was performed with access through the radial artery. The results were compared to data from scientific literature (about 16 cases).Results. Aneurysm embolization level was II or IIIb per the modified Raymond–Roy classification was performed. No complications were observed, blood flow in the radial artery was preserved. The patient was released on day 2 after the surgery. No signs of blood flow through the aneurysm were observed during control selective cerebral angiography 12 months later. According to literature data, transradial access is preferable only with pathology of the vertebrobasilar system, especially if standard access is impossible to form due to atherosclerotic damage of the femoral artery, angling of the aortic arch, and pathological vessel tortuosity.Conclusion. Routine use of transradial access in surgery of pathologies of the cerebral flow is not justifiable. But in some cases, this alternative access can be more effective and safer compared to the standard access. The main advantages of this access are reduced rate of complications of arterial access and possibility of early patient activization.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::74d6b41192472825b4b9de725eded00c
https://doi.org/10.17650/1683-3295-2018-20-4-61-67 -
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المؤلفون: Z. M. Abdullaev, D V Kandyba, A. N. Shishkevich, Savello Av, K N Babichev, A. A. Dubinin, Svistov Dv
المصدر: Вестник хирургии имени И.И. Грекова, Vol 176, Iss 6, Pp 83-86 (2017)
مصطلحات موضوعية: medicine.medical_specialty, Lung, RD1-811, business.industry, General surgery, General Medicine, 030204 cardiovascular system & hematology, Massive thromboembolism, thromboembolism of the lung artery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, intravascular thrombectomy, Intervention (counseling), systemic thrombolysis, medicine, Surgery, In patient, 030212 general & internal medicine, business, Artery
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6aeba0333b9dbc8dc6094643ff2c0f39
https://doi.org/10.24884/0042-4625-2017-176-6-83-86
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