П. А. Куприянов и его работа в Первом Ленинградском медицинском институте: «С глубоким проникновением в детали избранной специальности»

Since 1926, Peter Andreevich Kupriyanov served at Z.P. Solovyov Central Red Army Military Hospital of Leningrad and simultaneously began to work part-time at Pavlov First Medical Institute of Leningrad. This article talks about the work of P.A. Kupriyanov at The First Medical Institute of Leningrad from 1926 to 1948.С 1926 г. Петр Андреевич Куприянов служит в Ленинградском Центральном Красноармейском Военном госпитале им. З. П. Соловьева и, одновременно по совместительству, начинает работать в Первом Ленинградском медицинском институте им. акад. И. П. Павлова. В настоящей статье отражена работа П. А. Куприянова в 1-м ЛМИ в период с 1926 по 1948 г

THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS

OBJECTIVE. The aim of the research was to compare the influence of the endovenous laser coagulation (EVLC) on the pulmonary system with the performing of the Troyanov–Trendelenburg operation and without it. MATERIAL AND METHODS. We performed 108 endovenous laser coagulation for 16 patients without great saphenous vein trunk dressing and for 92 patients with dressing. The Russian portable laser device «Diolan» was used for the endovenous laser coagulation, wavelength of 980 nm, capacity of 16–20 watts. An intraoperative transesophageal echocardiography was carried to 12 patients to visualize heart chambers in the moment of the laser exposure. RESULTS. The patients without Troyanov–Trendelenburg operation had massive inflow of gas bubbles and detritus into pulmonary system during the endovenous laser coagulation. CONCLUSION. The obtained results showed the qualitative and quantitative differences in the character of the substrate entering the heart and the pulmonary system

Biological age and its role in stratification of cardiac risk

Risk stratification in elderly patients is very important, as none of the applied models for the prediction of mortality in cardiac surgery does not take into account the whole complex of physiological features of the aging organism.The objective was to analyze the effectiveness of the method of qualitative assessment of biological age.Material and methods. Our study included 127 patients (87 male and 40 female) aged 65 to 84 years (mean age – 72.2±4.7 years) who underwent elective cardiac surgery. Perioperative factors were analyzed. The primary endpoint of the study was a 30-day mortality rate.Results. The total 30-day mortality rate was 13.4 % (17 patients). Perioperative predictors of 30-day mortality rate were the calculated values of the CAF scale (p=0.006), the surgery volume (p=0.044), the use of extracorporeal blood circulation (p=0.048).Conclusion. The use of qualitative assessment of biological age allows to more accurate predict the mortality in cardiac elderly patients

P. A. Kupriyanov and his work at The First Medical Institute of Leningrad: «With deep insight into the nuances of the chosen specialty»

Since 1926, Peter Andreevich Kupriyanov served at Z.P. Solovyov Central Red Army Military Hospital of Leningrad and simultaneously began to work part-time at Pavlov First Medical Institute of Leningrad. This article talks about the work of P.A. Kupriyanov at The First Medical Institute of Leningrad from 1926 to 1948