Abstract:

Aim: was to identify and analyze key factors affecting the outcome of subarachnoid hemorrhage (SAH) in patients with ruptured cerebral aneurysms and endovascular embolization.

Materials and methods: as a material for this study, results of endovascular treatment of 150 patients with ruptured cerebral aneurysms operated in the acute period of subarachnoid hemorrhage were analyzed.

Results: statistically significant factors influencing the target indicator «Unfavorable outcome» on the Rankin scale (mRs 3-5) and the indicator «Fatal outcome» in patients with SAH who underwent endovascular method were identified. Among factors contributing to an unfavorable outcome are: severity of neurological status, prevalence of SAH according to computed tomography (CT), timing of surgical treatment from the moment of onset of SAH symptoms.

Conclusion: factors of severity of the condition on the Hunt-Hess scale (HH), severity of subarachnoid hemorrhage on the Fischer scale (F) and timing of the operation have the greatest influence on the outcome of subarachnoid hemorrhage of aneurysmal genesis.

Abstract:

Chemodectomas are rare, in most cases, benign neoplasms. They originate from the chemoreceptor cells of the carotid glomus in the bifurcation of the carotid artery. Chemodectoma treatment is surgical. Classical removal of the tumor carries a high risk of damage of arteries and nerves. We present a case report of high localization (C1) carotid chemodectoma removal in a hybrid operating room. Tumor was successfully removed after selective embolization of chemodectoma with protection of distal flow of the internal carotid artery. This approach helped to minimize intraoperative blood loss, as well as to shorten time of intervention.

References

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18.   Базылев В.В., Шматков М.Г., Морозов З.А. и др. Сравнение показателей качества жизни пациентов, перенесших каротидную эндартерэктомию и стентирование сонных артерий. Диагностическая и интервиционная радиология. 2017; 11(11): 54-58.

Bazylev VV, Shmatkov MG, Morozov ZA, et al. Comparison of Indicators of quality of life in patients undergoing carotid endarterectomy and carotid stenting. Diagnosticheskaya i Interventsionnaya radiologiya. 2017; 11(11): 54-58 [In Russ].

Abstract:

Article presents our experience of endovascular occlusion of gonadal veins in patients with pelvic congestion syndrome (PCS). Interventional treatment of patients with this pathology requires further research.

Aim: was to study aspects of endovascular occlusion of gonadal veins in patients with pelvic congestion syndrome.

Materials and methods: 22 patients with a primary form of pelvic congestion syndrome were included in a prospective, single-center study. The diagnosis was based on screening ultrasound duplex angioscanning. The criterion for inclusion in the study was the presence of varicose expansion of ovarian veins (OV) of more than 5 mm in combination with its valve failure. Exclusion criteria were: presence of secondary PCS against the background of obstructive syndromes, multivessel anatomy type of OV, pregnancy at any gestation age.

To assess the dynamics of manifestations of pelvic venous congestion, we used the PVVQ questionnaire (Pelvic Varicose Veins Questionnaire) and the PCS clinical severity scale - PVCSS (Pelvic Venous Clinical Severity Score), as well as the visual-analogue scale (VAS) of main symptoms of the disease.

Instrumental research methods included: ultrasound duplex transvaginal and transabdominal angioscanning (UDAS), multispiral computer phlebography (MSCT-phlebography), digital phlebography with invasive direct phlebomanometry.

Results: technical success of endovascular occlusion of ovarian veins was 100%. In two cases, immediately after the operation, a second intervention was performed: in one case - resection of the ovarian vein, in the second - re-positioning of the microspiral. In the long-term follow-up period, in one of the women due to relapse, the ovarian vein occlusion procedure was repeated.

Conclusions: estimation of results of clinical research methods, showed a decrease in the intensity of manifestations of pelvic congestion syndrome basing on severity scale and a visual-analogue scale, as well as an improvement in the quality of life of patients.

References

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9.     Sharma K, Bora M.K, Varghes J et al. Role of Trans Vaginal Ultrasound and Doppler in Diagnosis of Pelvic Congestion Syndrome. J. Clinic. And Diagnos. Research. 2014; 8(7): OD05 – OD07.

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Abstract:

Results of successful surgical treatment of a patient with an extremely rare disease - Parkes-Weber- Rubashov syndrome, manifestating by arteriovenous malformations of the lower limb and spinal cord are presented. Endovascular embolization of arteriovenous malformation of the lower limb was treated with use of three Flipper coils due to the severity of the clinical symptoms. A conclusion about the effectiveness of this method of treatment is presented. 

References

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10.   Revencu N., Boon L.M. Parkes Weber syndrome, vein of Galen aneurysmal malformation, and other fast-flow vascular anomalies are caused by RASA1 mutations. Hum Mutat. 2008; 29:959-65.

11.   Thiex R., Mulliken J.B. A novel association between RASA1 mutations and spinal arteriovenous anomalies. AJNR Am J Neuroradiol. 2010; 31:775-79.

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15.   Revencu N. Parkes Weber syndrome, vein of Galen aneurysmal malformation, and other fast-flow vascular anomalies are caused by RASA1 mutations. Hum Mutat. 2008; 29(7):959-965.

16.   Burrows PE., Gonzalez-Garay M.L., Rasmussen J.C. Lymphatic abnormalities are associated with RASA1 gene mutations in mouse and man. PNAS. 2013; 110: 8621-8626.

17.   Konyushevskaya A.A., Yaroshenko S.Ya. Klinicheskiy sluchay redkoy nasledstvennoy patologii - sindrom Klippelya-Trenone-Vebera-Rubashova v praktike vracha-pediatra [Rare hereditary pathology in practice of pediatrics - Klippel-Trenone-Weber-Rubashov syndrome (case report)]. Zdorov'ye rebenka. 2014; 2(53): 117 - 122 [In Russ].

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Abstract:

Case report of two-staged treatment of hard palate hemangioendoteliom when at 1st stage has been executed bilateral selective endovascular emblization of maxillar final branches arteries by PVA spheres, and on 2nd tumor has been cut.

In the foreign literature till now it is described only about 30 cases of such tumor hard palate lesion. The combination of endovasculat embolization and traditional surgery methods leads to good esthetic and functional results of treatment with minimum surgical risk.  

References 

1.    Gordуn-Núñcez M.A. et al. Intraoral epithelioid hemangioendothelioma. А case report and review of the literature. Med. Oral. Patol.Oral. Cir. Bucal. 2010; 15 (2): 340–346.

2.    Chatelain B. et al. Maxillary epithelioid hemangioendothelioma. Сase report and review of the literature. Rev. Stomatol. Chir. 2009; 110 (1): 45–49.

3.    Mohtasham N. et al. Epithelioid hemangioendothelioma of the oral cavity. А case report. J. Oral. 2008; 50 (2): 219–223.

4.    Chi A.C. et al. Epithelioid hemangioendothelioma of the oral cavity. Report of two cases and review of the literature. Med. Oral. Pathol. Oral. Radiol. End. 2005; 100 (6): 717–724.

5.    Flaitz C.M. et al. Primary intraoral epithelioid hemangioendothelioma presenting in childhood: review of the literature and case report. Ultrastruct. Pathol. 1995; 19 (4): 275–279.

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Abstract:

Purpose. Оf the study was to prevent complications and improve the results of left-sided varicocele treatment.

Material and methods. Severe complications of open surgery (Ivanisevich technique) and endovascular procedures (left internal testicular vein embolization with metal coils) were analyzed.

Results. In all these cases we performed control angiographywas perfomed and the degree of anatomical and functional disturbances was assessed. Ways of complication prevention and countermeasures were offered.

Conclusions. Visualization of testicular venous bed should be made before any surgical or endovascular intervention on left varicocele. A surgeon should be aware of all possible complications. If some complication occurs, urgent visualization of the vascular bed and tissues ought to be performed, angiography being the golden standard. Complications if diagnosed should be eliminated as soon as possible by specialists. 

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Abstract:

Arteriovenous malformation (AVM) of kidney - is rarely seen vascular anomaly, with clinical polymorphism (hematuria, hypertension, left ventricular hypertrophy, heart failure, abdominal pain), and difficult diagnostic algorithms and is often a cause for radical organ-resecting operations (nephrectomy).

Article describes a case report of 37 years old patient with a diagnosis of «arteriovenous malformation of left renal artery», and the clinical picture of hematuria, post-hemorrhagic anemia. Patient underwent ultrasound of kidneys and bladder (no disease found) and multi-slice computed tomography (AVM of upper pole of left kidney, sized 5,4x5,0 cm).

Patient underwent endovascular embolization of AVM with 4 coils «Flipper». Patients was discharged on the 7th day without complications after the control ultrasound and MSCT The use of selective endovascular embolization of renal AVM reduces or removes clinical manifestations, and has lower operational risks, as well as allows you to save the function of the intact portion of renal parenchyma, which don't lead to patient's disability (in comparison with to organ-resecting surgery).

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