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[PMID]:29049246
[Au] Autor:Imai Y; Yamashita T; Topaz O
[Ad] Endereço:aDepartment of Cardiology, Hokkaido Ohno Memorial Hospital, Sapporo, Hokkaido, Japan bDuke University School of Medicine, Durham, NC, USA.
[Ti] Título:Synergistic ELCA-aspiration-DES thrombus removal strategy-embolus impact in high-risk plaque: A case report.
[So] Source:Medicine (Baltimore);96(42):e8328, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Thin-cap fibroatheroma (TCFA) and red thrombus are suggested as a high-risk of embolic complications during percutaneous coronary intervention (PCI). Intracoronary aspiration procedures occasionally result in either an insufficient thrombus removal or provide no significant effects on TCFA. PATIENT CONCERNS: A 76-year-old male underwent coronary angiography for chest pain. DIAGNOSES: Coronary angiography revealed a tight stenosis at the right coronary artery which resulted in treatment by PCI. Optical frequency domain imaging (OFDI) delineated a red thrombus with TCFA. INTERVENTIONS: To avoid embolic complications, excimer laser coronary angioplasty (ELCA) was applied with intracoronary aspiration before drug-eluting stent (DES) implantation. OUTCOMES: The red thrombus was vaporized by ELCA in an energy-intensity dependent manner and subsequently removed by intracoronary aspiration. The fibrous cap of TCFA was dissected with the material beneath the cap ablated by ELCA and extensively removed by intracoronary aspiration. DES implantation and postdilatation achieved an optimal result without flow compromise. This combined synergistic strategy of ELCA-aspiration-DES yielded a successful outcome. LESSONS: A synergistic embolus removal strategy combining ELCA, aspiration and DES implantation is a promising option for the treatment of high-risk plaque with potential embolic complications.
[Mh] Termos MeSH primário: Angioplastia a Laser/métodos
Doença da Artéria Coronariana/cirurgia
Stents Farmacológicos
Trombose/cirurgia
[Mh] Termos MeSH secundário: Idoso
Angiografia Coronária
Doença da Artéria Coronariana/diagnóstico por imagem
Seres Humanos
Masculino
Intervenção Coronária Percutânea/efeitos adversos
Trombose/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008328


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[PMID]:27534206
[Au] Autor:Kotani J
[Ti] Título:[Excimer laser angioplasty].
[So] Source:Nihon Rinsho;74 Suppl 4 Pt 1:419-23, 2016 Jun 20.
[Is] ISSN:0047-1852
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Mh] Termos MeSH primário: Angioplastia a Laser/métodos
Doença das Coronárias/cirurgia
[Mh] Termos MeSH secundário: Angioplastia a Laser/história
Angioplastia a Laser/instrumentação
História do Século XX
História do Século XXI
Seres Humanos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160818
[Lr] Data última revisão:
160818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE


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[PMID]:27244920
[Au] Autor:Osmanov RR
[Ti] Título:[A MIDDLE-TERM RESULTS OF ENDOVENOUS LASER ABLATION FOR VARICOSE DISEASE OF THE LOWER EXTREMITIES].
[So] Source:Klin Khir;(2):48-51, 2016 Feb.
[Is] ISSN:0023-2130
[Cp] País de publicação:Ukraine
[La] Idioma:rus
[Ab] Resumo:Abstract The results of endovascular laser ablation (EVLA) under ultrasonographic control in treatment of the lower extremities varicose disease (LEVD) in 189 patients (214 extremities) were analyzed. There was established, that for the trustworthy information obtaining the ultrasonographic duplex angioscanning conduction is necessary. The fibrous involution of a big subcutaneous vein trunk was achieved in (97.7 ± 1.0)% observations, in (1.9 ± 0.9)%--while the clinical signs absence--there were revealed the echo-signs of a reflux recurrence--the "ultrasonographic recurrence", and in one observation--a clinical recurrence of LEVD. In (5.1 ± 1.5)% observations in fibrous involution of the segments treated the signs of venous insufficiency in earlier competent parts were revealed--the disease progress registered. The recurrence rate and the pain syndrome severity did not depend on the treated veins diameter. High security of EVLA was established while the complications analyzing.
[Mh] Termos MeSH primário: Angioplastia a Laser
Extremidade Inferior/cirurgia
Veia Safena/cirurgia
Varizes/cirurgia
Insuficiência Venosa/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Extremidade Inferior/irrigação sanguínea
Extremidade Inferior/diagnóstico por imagem
Extremidade Inferior/patologia
Masculino
Meia-Idade
Dor/fisiopatologia
Dor/prevenção & controle
Dor/cirurgia
Recidiva
Veia Safena/diagnóstico por imagem
Veia Safena/patologia
Resultado do Tratamento
Ultrassonografia
Varizes/diagnóstico por imagem
Varizes/patologia
Insuficiência Venosa/diagnóstico por imagem
Insuficiência Venosa/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160602
[St] Status:MEDLINE


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[PMID]:26916777
[Au] Autor:Bozkurt AK; Yilmaz MF
[Ad] Endereço:Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey akbozkurt@yahoo.com.
[Ti] Título:A prospective comparison of a new cyanoacrylate glue and laser ablation for the treatment of venous insufficiency.
[So] Source:Phlebology;31(1 Suppl):106-13, 2016 Mar.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Cyanoacrylate ablation is the newest nonthermal vein ablation technique. The one-year results of a prospective comparative study of a new cyanoacrylate glue versus endovenous laser ablation for the treatment of venous insufficiency is presented. MATERIAL AND METHODS: A total of 310 adult subjects were treated with cyanoacrylate ablation or endovenous laser ablation. The primary endpoint of this study was complete occlusion of the great saphenous vein. Secondary endpoints were procedure time, procedural pain, ecchymosis at day 3, adverse events, changes from baseline in Venous Clinical Severity Score, and Aberdeen Varicose Vein Questionnaire. RESULTS: Operative time was shorter (15 ± 2.5 versus 33.2 ± 5.7, <0.001), and periprocedural pain was less (3.1 ± 1.6 versus 6.5 ± 2.3, <0.001) in cyanoacrylate ablation group compared to the endovenous laser ablation group. Ecchymosis at the third day was also significantly less in cyanoacrylate ablation group (<0.001). Temporary or permanent paresthesia developed in seven patients in endovenous laser ablation group and none in cyanoacrylate ablation group (p = 0.015). One, three, and 12 months closure rates were 87.1, 91.7, and 92.2% for endovenous laser ablation and 96.7, 96.6, and 95.8% for cyanoacrylate ablation groups. Closure rate at first month was significantly better in cyanoacrylate ablation group (<0.001). Although there is a trend of better closure rates in cyanoacrylate ablation patients, this difference did not reach to the statistical difference at sixth and 12th month (p = 0.127 and 0.138, respectively). Both groups had significant improvement in Venous Clinical Severity Score and Aberdeen Varicose Vein Questionnaire postoperatively (<0.001), but there was no significant difference in Venous Clinical Severity Score and Aberdeen Varicose Vein Questionnaire scores between the groups at first, sixth, and 12 months. Only a slightly better well-being trend was noted in cyanoacrylate ablation group in terms of Aberdeen Varicose Vein Questionnaire scores (p = 0.062). CONCLUSIONS: The efficacy and safety analysis shows that cyanoacrylate ablation is a safe, simple method which can be recommended as an effective endovenous ablation technique. The follow-up data more than one year will clarify the future role of cyanoacrylate ablation for the treatment incompetent great saphenous veins.
[Mh] Termos MeSH primário: Angioplastia a Laser/métodos
Cianoacrilatos/administração & dosagem
Índice de Gravidade de Doença
Inquéritos e Questionários
Insuficiência Venosa/terapia
[Mh] Termos MeSH secundário: Adulto
Angioplastia a Laser/efeitos adversos
Cianoacrilatos/efeitos adversos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Fatores de Tempo
Insuficiência Venosa/fisiopatologia
[Pt] Tipo de publicação:CLINICAL TRIAL; COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cyanoacrylates)
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160227
[St] Status:MEDLINE
[do] DOI:10.1177/0268355516632652


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[PMID]:26447137
[Au] Autor:Spinedi L; Staub D; Uthoff H
[Ad] Endereço:Department of Angiology, University Hospital Basel, Basel, Switzerland.
[Ti] Título:Successful lysis in a stroke following endovenous laser ablation and extensive miniphlebectomy of varicose veins.
[So] Source:Phlebology;31(4):296-8, 2016 May.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Stroke is a very rare but potential fatal complication of endovenous thermal treatment in patients with a right-to-left shunt. To our best knowledge, there are only two reports in the literature of stroke after endovenous thermal ablation of varicose veins, one after endovenous laser ablation and one after radiofrequency ablation and phlebectomy, both treated conservatively. This report describes a successful lysis in a patient with an ischemic stroke associated with bilateral endovenous heat-induced thrombosis class I after endovenous laser ablation of both great saphenous vein and extensive miniphlebectomy in a patient with an unknown patent foramen ovale.
[Mh] Termos MeSH primário: Angioplastia a Laser/efeitos adversos
Isquemia Encefálica
Procedimentos Endovasculares/efeitos adversos
Forame Oval Patente/cirurgia
Complicações Pós-Operatórias
Veia Safena/cirurgia
Acidente Vascular Cerebral
Terapia Trombolítica
[Mh] Termos MeSH secundário: Isquemia Encefálica/diagnóstico por imagem
Isquemia Encefálica/etiologia
Isquemia Encefálica/terapia
Feminino
Seres Humanos
Meia-Idade
Complicações Pós-Operatórias/diagnóstico por imagem
Complicações Pós-Operatórias/terapia
Acidente Vascular Cerebral/diagnóstico por imagem
Acidente Vascular Cerebral/etiologia
Acidente Vascular Cerebral/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170105
[Lr] Data última revisão:
170105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151009
[St] Status:MEDLINE
[do] DOI:10.1177/0268355515610235


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[PMID]:25883245
[Au] Autor:Aktas AR; Ozkan U
[Ad] Endereço:Faculty of Medicine, Department of Radiology, Süleyman Demirel University, Isparta, Turkey aykutraktas@gmail.com.
[Ti] Título:Secondary ablation of saphenous veins: The reasons and the ratios.
[So] Source:Phlebology;31(2):141-4, 2016 Mar.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess recurrence of saphenous veins and their tributaries following endovenous laser ablation (EVLA) and define primary or secondary ablation ratios as a result of misinterpretation, new incompetency formation, and re-canalization. METHODS: The EVLA procedure was applied for vein insufficiency to 50 symptomatic patients (range, 22-78 years; mean age 45 ± 14 years; gender, 18 [36%] men, and 32 [64%] women). Before and after the procedure, a total of 80 legs were prospectively evaluated for recanalization of the great and small saphenous vein, anterolateral, posteromedial, intersaphenous thigh, and the calf veins by Doppler ultrasonography. EVLA was performed on the saphenous veins along with their tributaries, and was defined as the primary ablation. EVLA and alcohol ablation after the first procedure was defined as the secondary ablation. We evaluated the veins according to re-canalization and secondary ablation, and also measured the primary and secondary ablation ratios. RESULTS: Seventy-three (97.0%) VSM and 39 (95.0%) VSP were treated with primary ablation and 2(3.0%) VSM and 2 (5.0%) VSP were treated with secondary ablation because of newly developed incompetency. In addition, 15 (71.0%) saphenous tributaries were treated with primary and 6 (29.0%) with secondary ablation. After primary or secondary ablation, 9 (12.0%) misinterpretation or new incompetency formation was found during a one-year follow-up. Seven (9.0%) VSM were re-canalized at the mean length of 46 ± 15 cm (range 32-65 cm) in one year. The laser energy in the re-canalized VSM was 78 ± 25 joules/cm (range 61-83) and all were retreated with laser or foam sclerotherapy. CONCLUSIONS: VSM re-canalization and new vessel incompetency formation are reasons for secondary ablation, which is not a rare condition. Follow-up examinations and anatomical mapping are crucial for detecting new vessel formation or miss-interpretation after sclerotherapy or EVLA treatment.
[Mh] Termos MeSH primário: Angioplastia a Laser
Veia Safena
Ultrassonografia Doppler
Insuficiência Venosa
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Recidiva
Veia Safena/diagnóstico por imagem
Veia Safena/cirurgia
Insuficiência Venosa/diagnóstico por imagem
Insuficiência Venosa/cirurgia
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:170103
[Lr] Data última revisão:
170103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150418
[St] Status:MEDLINE
[do] DOI:10.1177/0268355515581742


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[PMID]:25589597
[Au] Autor:El-Sheikha J; Nandhra S; Carradice D; Acey C; Smith GE; Campbell B; Chetter IC
[Ti] Título:Compression regimes after endovenous ablation for superficial venous insufficiency--A survey of members of the Vascular Society of Great Britain and Ireland.
[So] Source:Phlebology;31(1):16-22, 2016 Feb.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice. METHODS: Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland. RESULTS: Valid replies were received from 41% (n = 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50)--P = 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks)--P = 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1­14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1­14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes. CONCLUSION: Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.
[Mh] Termos MeSH primário: Angioplastia a Laser/métodos
Ablação por Cateter/métodos
Escleroterapia/métodos
Meias de Compressão
Insuficiência Venosa/terapia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Irlanda
Masculino
Guias de Prática Clínica como Assunto
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170103
[Lr] Data última revisão:
170103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150116
[St] Status:MEDLINE


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[PMID]:25587022
[Au] Autor:Yilmaz S; Delikan O; Aksoy E
[Ad] Endereço:Department of Cardiovascular Surgery, Hitit University, Corum Education and Research Hospital, Corum, Turkey drlabarna@gmail.com.
[Ti] Título:Saphenous nerve injury after endovenous laser ablation of incompetent greater saphenous vein: An electroneuromyography study.
[So] Source:Phlebology;31(2):106-10, 2016 Mar.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: To determine whether endovenous laser ablation of incompetent greater saphenous vein causes a detectable impairment in saphenous nerve conduction. MATERIAL AND METHODS: Thirty-five patients (mean age: 44.78 ± 8.6, male/female ratio: 16/19) who were operated on for incompetent greater saphenous veins, underwent electroneuromyography before and two weeks after the operation. Dysesthesia was questioned as to whether having unpleasant abnormal sensation after the operation. Positive electroneuromyography findings for saphenous nerve injury included a sensory nerve action potential amplitude <2 µV or a nerve conduction velocity <48.0 m/s or a latency onset >5.0 ms. RESULTS: Thirty-four patients were available at two-week follow-up. All patients achieved complete proximal closure. Three patients (8.8%) had dysesthesia at two weeks. Mean electroneuromyography values were not significantly different between preoperative and postoperative period. Postoperatively, none of the patients had abnormal sensory nerve action potential or latency onset, whereas nerve conduction velocity decreased below the lower limit in two patients. These two patients were not among those having dysesthesia and they had no other complaints. CONCLUSION: Injury to saphenous nerve seems not likely during endovenous laser ablation of incompetent greater saphenous veins, as evidenced by normal electroneuromyography values found after the operation.
[Mh] Termos MeSH primário: Angioplastia a Laser/efeitos adversos
Condução Nervosa
Complicações Pós-Operatórias/fisiopatologia
Veia Safena
Insuficiência Venosa
[Mh] Termos MeSH secundário: Adulto
Eletromiografia
Feminino
Seres Humanos
Masculino
Meia-Idade
Traumatismos dos Nervos Periféricos/etiologia
Traumatismos dos Nervos Periféricos/fisiopatologia
Veia Safena/inervação
Veia Safena/cirurgia
Insuficiência Venosa/fisiopatologia
Insuficiência Venosa/cirurgia
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150115
[St] Status:MEDLINE
[do] DOI:10.1177/0268355514568533


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[PMID]:25342648
[Au] Autor:Flessenkämper I; Hartmann M; Hartmann K; Stenger D; Roll S
[Ad] Endereço:Center for Vascular Medicine, Helios Klinikum Emil von Behring, Berlin, Germany ingo.flessenkaemper@helios-kliniken.de.
[Ti] Título:Endovenous laser ablation with and without high ligation compared to high ligation and stripping for treatment of great saphenous varicose veins: Results of a multicentre randomised controlled trial with up to 6 years follow-up.
[So] Source:Phlebology;31(1):23-33, 2016 Feb.
[Is] ISSN:1758-1125
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: High ligation and stripping was compared to endovenous laser ablation for the therapy of great saphenous vein varicosity. Long-term efficacy was assessed in terms of avoidance of inguinal reflux and mechanisms of recurrence were investigated. DESIGN: Multicentre, randomised, three-arm, parallel trial. MATERIALS AND METHODS: A total of 449 patients were randomised into three different treatment groups: high ligation and stripping group (n = 159), endovenous laser ablation group (n = 142; 980 nm, 30 W continuous mode, bare fibre) or a combination of laser ablation with high ligation (endovenous laser ablation group/ high ligation group, n = 148). Patients were examined clinically and by duplex ultrasound once a year.The primary end point of this study is inguinal reflux at the saphenofemoral junction after 2 years. This paper presents secondary data on sonographically determined inguinal reflux and clinical recurrences in the treated area after up to 6 years of follow-up. RESULTS: Median time to follow-up was 4.0 years; the mean time follow-up 3.6 years. Follow-up rates were: 2 years 74%, 3 years 47%, 4 years 39%, 5 years 36% and 6 years 31%. Most reflux into the great saphenous vein appeared in the endovenous laser ablation group (after 6 years: high ligation/stripping versus endovenous laser ablation p = 0.0102; high ligation/endovenous laser ablation vs. endovenous laser ablation p < 0.0002). Furthermore, more refluxive side branches were also observed in the endovenous laser ablation group (after 6 years high ligation/stripping vs. endovenous laser ablation p = 0.0569; high ligation/endovenous laser ablation vs. endovenous laser ablation p = 0.0111). In terms of clinical recurrence during the 6 years post therapy, no significant differences between the three treatment groups were observed (p values from log-rank test: high ligation/stripping vs. endovenous laser ablation p = 0.5479; high ligation/stripping vs. high ligation/endovenous laser ablation p = 0.2324; high ligation/endovenous laser ablation vs. endovenous laser ablation p = 0.0848).The postoperative decline and later development in Class C (clinical etiological anatomical pathological) went parallel in all groups. CONCLUSIONS: Clinical recurrence appears with the same frequency in all three treatment groups, but the responsible pathological mechanisms seem to differ. Most reflux into the great saphenous vein and side branches appears after endovenous laser ablation, whereas more saphenofemoral junction-independent recurrences are seen after high ligation/stripping.
[Mh] Termos MeSH primário: Angioplastia a Laser/métodos
Veia Safena/diagnóstico por imagem
Varizes/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Ultrassonografia Doppler Dupla
Varizes/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1610
[Cu] Atualização por classe:170103
[Lr] Data última revisão:
170103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141025
[St] Status:MEDLINE
[do] DOI:10.1177/0268355514555547


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[PMID]:26419035
[Au] Autor:Grihn VK; Kondratenko PG; Melekhovets YV; Sinyachenko YO; Sinyachenko OV
[Ti] Título:[EFFICACY OF SURGICAL TREATMENT OF VARICOSE DISEASE, DEPENDING ON ADSORPTION-RHEOLOGIC PROPERTIES OF BLOOD].
[So] Source:Klin Khir;(5):48-51, 2015 May.
[Is] ISSN:0023-2130
[Cp] País de publicação:Ukraine
[La] Idioma:rus
[Ab] Resumo:Physico-chemical adsorption-rheological properties of venous blood in patients, suffering varicose disease of the lower extremities, and their impact on efficacy of various methods of surgical treatment were studied. Conduction of endovasal laser coagulation in combination with crossectomy have promoted enhancement of operative treatment efficacy in patients in initial terms of observation (in 1 week), in 1 month a complete occlusion of the vein was noted more rarely. Efficacy of a small--power laser ablation with irradiation power of 10 W and less in 4 weeks postoperatively is higher, than of surgical treatment with a laser irradiation power 15 W. In a varicose disease of the lower extremities there were observed the raising of the blood volume toughness, superficial relaxation and superficial stress on background of reduction of the toughness--elasticity module, superficial toughness and superficial elasticity. Crossectomy conduction did not influence the integral dynamics of adsorption--rheological properties of venous blood, but in 1 month after endovasal laser coagulation a normalization of physicchemical parameters of blood was noted. Application of laser irradiation of the 10 W power and less promotes inhibition of the relaxation properties of venous blood; a prognostic meaning owes initial value of the blood volume toughness.
[Mh] Termos MeSH primário: Terapia com Luz de Baixa Intensidade/métodos
Extremidade Inferior/cirurgia
Veia Safena/cirurgia
Varizes/radioterapia
Varizes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Angioplastia a Laser/métodos
Feminino
Hemorreologia/efeitos da radiação
Seres Humanos
Fotocoagulação a Laser/métodos
Extremidade Inferior/irrigação sanguínea
Extremidade Inferior/patologia
Extremidade Inferior/efeitos da radiação
Masculino
Meia-Idade
Veia Safena/patologia
Resultado do Tratamento
Varizes/patologia
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:161018
[Lr] Data última revisão:
161018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151001
[St] Status:MEDLINE



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