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Sclerosurgical treatment of the ruptured abdominal aortic aneurisms

https://doi.org/10.24884/0042-4625-2018-177-6-11-15

Abstract

The objective of the study is to assess the efficacy of the invented in the clinic technique of sclerosurgical treatment of the ruptured abdominal aortic aneurisms.

Material and methods. The analysis of the treatment of 40 patients with ruptured abdominal aortic aneurism was done. All patients were divided into two groups consisted of 20 patients. The first group of patients were treated using conventional technique. Patients from the second group were treated using sclerosurgical treatment. The aneurysm was neither opened nor resected. The aneurism was punctured and injected 4 ml of 70 % ethanol under ultrasound guidance.

Results. The second group of patients had decreased both the postoperative complications and mortality rate by 10 % and 30 % respectively.

Conclusion. The original technique of sclerosurgical treatment of the ruptured abdominal aortic aneurisms is effective and pathogenically supported.

About the Authors

B. S. Sukovatykh
Federal State Budgetary Educational Institution of Higher Education «Kursk State Medical University».
Russian Federation


L. N. Belikov
Regional Budgetary Institution of Healthcare «City clinical hospital of emergency medical care».
Russian Federation


M. B. Sukovatykh
Federal State Budgetary Educational Institution of Higher Education «Kursk State Medical University».
Russian Federation


A. I. Itinson
Regional Budgetary Institution of Healthcare «City clinical hospital of emergency medical care».
Russian Federation


References

1. Majstrenko D. I., Generalov M. I., Tarazov P. G., Zherebcov F. K., Osovskih V. V., Ivanov A. S., Oleshhuk A. N., Granov D. A. Endovaskuljarnoe protezirovanie anevrizm abdominal’nogo otdela aorty. Vestnik khirurgii. 2015. № 2. Р. 25–29. (In Russ.).

2. Generalov M. I., Majstrenko D. N., Tarazov P. G., Osovskih V. V., Zherebcov F. K., Ivanov A. S., Kornyushina M. K., Krotova O. A., Krasil’nikova L. A. Neposredstvennye rezul’taty endovaskulyarnogo protezirovaniya infrarenal’nogo otdela aorty u bol’nykh s tyazheloj soputstvuyushhei patologiei. Vestnik khirurgii. 2010. № 5. Р. 56–61. (In Russ.).

3. Bokeriya L. A., Chigogidze N. A., Arakelyan V. S., Papitashvili V. G., Thagapsova M. M., Odishariya N. T. Rezul’taty endovaskulyarnogo lecheniya anevrizm brjushnoi aorty. Angiologiya i sosudistaya khirurgiya. 2015. № 2. Р. 59–65. (In Russ.).

4. Generalov M. I., Majstrenko D. N., Tarazov P. G., Osovskih V. V., Ivanov A. S., Bykovskii A. V., Yakovleva E. K., Krotova O. A., Krasil’nikova L. A. Opyt endovaskulyarnogo protezirovaniya anevrizm infrarenal’nogo otdela aorty. Luchevaya diagnostika i terapiya. 2012. № 4. Р. 104–109. (In Russ.).

5. Thagapsova M. M., Chigogidze N. A., Papitashvili V. G., Shogenova S. R. Endoprotezirovanie kak metod lecheniya anevrizmy bryushnogo otdela aorty pri vysokom operacionnom riske otkrytogo vmeshatel’stva. Klinicheskaya fiziologiya krovoobrashheniya. 2014. № 3. Р. 76–81. (In Russ.).

6. Francevich M. A., Cygankov V. N., Pokrovskij A. V. Opyt primeneniya sistemy stent-grafta dlya polnost’ju chreskozhnogo endoprotezirovaniya infrarenal’nogo otdela aorty. Angiologiya i sosudistaya khirurgiya. 2015. № 4. Р. 97–103. (In Russ.).

7. Zatevahin I. I., Zolkin V. N., Shikovskij V. N., Matyushkin A. V., Tishhenko I. S., Berezhnoj K. Ju. Pyatiletnii rezul’tat ekstrennogo endoprotezirovaniya anevrizmy bryushnoi aorty pri ee razryve. Kubanskii medicinskii vestnik. 2013. № 5. Р. 95–98. (In Russ.).

8. Maksimov A. V., Hasanov R. N., Halilov I. G., Generalov M. I., Mcmanus S., Balashova S. A. Ekstrennoe endoprotezirovanie pri razryve anevrizmy bryushnoi aorty. Angiologiya i sosudistaya khirurgiya. 2011. № 3. Р. 65–68. (In Russ.).

9. Kristina A. Giles, Allen D. Hamdan. Population-based outcomes following endovascular and open repair of ruptured abdominal aortic aneurysms // J. Endovasc. Ther. 2009. № 16. P. 554–564.

10. Dillavou E. D., Muluk S. C., Makaroun M. S. A decade of change in abdominal aortic aneurysm repair in the United States : have we improved outcomes equally between men and women? // J. Vasc. Surg. 2006. № 43. P. 230–238.

11. Moll F. L., Powell J. T., Fraedrich G. Management of abdominal aortic aneurysms clinical practice guidelines of the european society for vascular surgery // J. Vasc. Surg. 2011. № 41. P. 1–58.

12. Sosudistaya khirurgiya po Hajmovichu: v 2 t. Vol. 2 / per. s angl.; pod red. EH. Ashera, A. V. Pokrovskogo. 5-e izd. M.: BINOM. Laboratoriya znanij, 2010. 534 s. (In Russ.).


Review

For citations:


Sukovatykh B.S., Belikov L.N., Sukovatykh M.B., Itinson A.I. Sclerosurgical treatment of the ruptured abdominal aortic aneurisms. Grekov's Bulletin of Surgery. 2018;177(6):11-15. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-6-11-15

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ISSN 0042-4625 (Print)
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