Aim: To evaluate the importance of surgical bypass between the terminal part of functional arteriovenous shunt(av) for hemodialysis on upper extremity and inner jugular vein in axillosubclavian venous segment obstruction associatedwith central venous hypertension.Method: Retrospective assessment of surgical bypass between central segments of av fi stula and ipsilateral/contralateralinner jugular vein using ePTFE graft in 17 patients over a 20 year period (1987-2006). Results: The surgical procedure was not associated with intra- or post-operative complications. Primary cumulativebypass and av fi stula function persisted for 26 months on average.Conclusion: An accurate bypass to salvage the functional dialysis access associated with central venous hypertensionrequires careful decision based on clinical and radiological examination. The bypass procedure is benefi cial whereendovascular treatment is not indicated. Clinical and radiological bypass monitoring is crucial.
- MeSH
- angiografie metody využití MeSH
- arteriovenózní píštěl diagnóza chirurgie komplikace MeSH
- arteriovenózní zkrat škodlivé účinky využití MeSH
- dialýza ledvin metody škodlivé účinky využití MeSH
- horní končetina chirurgie MeSH
- hypertenze etiologie komplikace MeSH
- kardiovaskulární chirurgické výkony metody využití MeSH
- katetrizace centrálních vén metody škodlivé účinky využití MeSH
- lidé MeSH
- pooperační období MeSH
- retrospektivní studie MeSH
- venae jugulares chirurgie MeSH
- Check Tag
- lidé MeSH
The authors describe surgical treatment for high risk patients with abdominal aortic aneurysms of complicated morphology for standard endovascular repair. This was achieved by combining endovascular stent-grafting for aneurysmal sac exclusion with conventional vascular surgical procedures.
- MeSH
- aneurysma břišní aorty chirurgie MeSH
- cévy - implantace protéz MeSH
- lidé MeSH
- stenty MeSH
- výkony cévní chirurgie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The most significant precancerosis in the esophageal cancer is Barrett's esophagus. The risk of malignant transformation is determined primarily in accordance with the degree of dysplastic alterations of the mucosa. Indication of "preventive" extirpation of the esophagus should be supported by other factors, for example by detection of p53 mutation or expression. The study reports on the evaluation of a group of 20 patients with Barrett's esophagus treated at the 1st Department of Surgery, the p53 level and its correlation with histological findings evaluated in these patients. A good correlation was found between the grade of Barrett's esophagus dysplasia and high p53 positivity. This correlation was also confirmed by detection of early carcinoma in patients with "preventive" extirpation of the esophagus due to a high-grade dysplasia. Preliminary results show that examination of p53 level in specimens taken from the esophageal mucosa may be helpful for the estimation of malignant potential of the dysplastic mucosa.
- MeSH
- Barrettův syndrom metabolismus patologie MeSH
- lidé MeSH
- nádorové biomarkery analýza MeSH
- nádorový supresorový protein p53 analýza MeSH
- nádory jícnu diagnóza metabolismus MeSH
- prekancerózy diagnóza metabolismus MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
The authors describe a promising abdominal aortic aneurysm treatment--a combined endovascular/surgical approach--used in two cases of aneurysm taking the aortic visceral branches region.
- MeSH
- aneurysma břišní aorty patologie chirurgie MeSH
- cévy - implantace protéz MeSH
- lidé středního věku MeSH
- lidé MeSH
- stenty MeSH
- vnitřnosti krevní zásobení MeSH
- výkony cévní chirurgie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
The authors describe their own initial experience with saphenoperitoneal modification of the peritoneovenous shunt in intractable ascites solution. Their findings with this easy type of permanent ascites drainage using the "patient's own resources" are puzzling.
- MeSH
- ascites etiologie chirurgie MeSH
- jaterní cirhóza komplikace MeSH
- lidé MeSH
- peritoneovenózní zkrat metody MeSH
- vena saphena transplantace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The authors describe their indication tactics for AAA elective treatment. Based on one-month morbidity and mortality they evaluate the results obtained in the past six years and compare the methods of open surgery, endovascular repair and combined strategy in AAAs elective repair.
- MeSH
- aneurysma břišní aorty chirurgie MeSH
- cévy - implantace protéz MeSH
- elektivní chirurgické výkony MeSH
- lidé MeSH
- stenty MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
The authors describe femoral - internal iliac bypass creation to remove ischemic complications in aortoiliac aneurysm endovascular repair. Based on a good experience with bypass in 6 patients they recommend its preventive indication when both internal iliac arteries are overstented.
- MeSH
- aneurysma břišní aorty chirurgie MeSH
- arteria femoralis chirurgie MeSH
- arteria iliaca chirurgie MeSH
- cévy - implantace protéz MeSH
- lidé MeSH
- stenty MeSH
- výkony cévní chirurgie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH