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Gilyadova AV, Ishchenko AA, Samoilova SV, Shiryaev AA, Novruzaliyeva MF, Efendiev KT, Alekseeva PM, Loschenov VB, Reshetov IV. Comparative study of treatment efficacy in severe intraepithelial squamous cell lesions and preinvasive cervical cancer by conization and chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy. Photodiagnosis Photodyn Ther 2024:104060. [PMID: 38521149 DOI: 10.1016/j.pdpdt.2024.104060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 03/19/2024] [Accepted: 03/20/2024] [Indexed: 03/25/2024]
Abstract
BACKGROUND Cervical cancer (CC) occupies a leading position in incidence among young women of reproductive age. In this connection, it is urgent to search for the most effective approaches to the diagnosis and treatment of this pathology. The purpose of the study was to evaluate the effectiveness of the PDT method using Cе6 with the control of the photobleaching using video and spectral fluorescence diagnostic methods, to develop the method of fluorescence-assisted systemic photodynamic therapy mediated with chlorin e6 for treatment CIN 3 and CIS. MATERIALS AND METHODS A randomized comparative clinical study was conducted involving 94 women aged 18 to 49 years with histologically verified severe intraepithelial squamous cell lesions of the cervix or preinvasive cervical cancer. The patients were included in 2 groups: in the first group conization of the cervix was performed with curettage of the remaining part of the cervical canal; patients in the second group underwent the chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy. RESULTS The absolute majority of patients in the main group after the first course of chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy showed normalization of cytological parameters and colposcopic picture, while women from the comparison group showed signs of cervical lesions statistically significantly more often. These changes corresponded to the dynamics of the proliferation markers expression in the cells of intraepithelial squamous cell lesions. Also, patients of the second group who were planning a pregnancy had better reproductive outcomes after treatment compared to those of the first group. CONCLUSION In general, higher clinical efficacy and safety of the use of the chlorin e6-mediated fluorescence-assisted systemic photodynamic therapy in the treatment of intraepithelial squamous cell lesions and preinvasive cervical cancer have been established compared to the use of standard treatment methods.
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Affiliation(s)
- A V Gilyadova
- Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia;; National Medical Research Center Treatment and Rehabilitation Center, Ministry of Health of the Russian Federation, Ivankovskoe highway 3, Moscow, 125367 Russia.
| | - A A Ishchenko
- National Medical Research Center Treatment and Rehabilitation Center, Ministry of Health of the Russian Federation, Ivankovskoe highway 3, Moscow, 125367 Russia.
| | - S V Samoilova
- Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia;.
| | - A A Shiryaev
- Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia;.
| | - M F Novruzaliyeva
- Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia;.
| | - K T Efendiev
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991 Russia;; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia.
| | - P M Alekseeva
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991 Russia;; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia.
| | - V B Loschenov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991 Russia;; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia.
| | - I V Reshetov
- Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia;.
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Udeneev AM, Kalyagina NA, Efendiev KT, Febenchukova AA, Kulichenko AM, Shiryaev AA, Pisareva TN, Linkov KG, Loshchenov MV. Cost-effective device for locating and circumscribing superficial tumors with contrast enhancement and fluorescence quantification. Photodiagnosis Photodyn Ther 2024; 45:103827. [PMID: 37797909 DOI: 10.1016/j.pdpdt.2023.103827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 09/29/2023] [Accepted: 10/02/2023] [Indexed: 10/07/2023]
Abstract
BACKGROUND Two Bispectral contrast enhancement approaches for the fluorescence diagnosis with chlorine-e6 and a wide field-of-view imaging system with fluorescence excitation at 405 nm and time-resolved background suppression were analyzed and compared. METHODS Two techniques for the contrast enhancement of a fluorescent video system (Red/Green (R/G) ratio and Red-Green (R-G)) with time-resolved background suppression for fluorescent diagnosis (FD) were tested in four patients with basal cell carcinoma (BCC). RESULTS The results of both contrast enhancement methods were compared for the diagnostic efficiency for FD of BCC. Both techniques successfully determined the boundaries of the lesions and the fluorescence intensity. CONCLUSIONS Both contrast enhancement modes have proven effective in identifying tumor borders in cases of low contrast in BCC FD with Ce6. While the Red/Green (R/G) mode provides sharper lesion borders, the Red minus Green (R-G) mode visualizes more fluorescent features and makes it easier to assess the lesion margins.
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Affiliation(s)
- A M Udeneev
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia.
| | - N A Kalyagina
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia; Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991, Russia
| | - K T Efendiev
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia; Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991, Russia
| | - A A Febenchukova
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia
| | - A M Kulichenko
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia; Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991, Russia
| | - A A Shiryaev
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Department of Oncology, Radiotherapy and Reconstructive Surgery, University Clinical Hospital No.1, Bolshaya Pirogovskaya Str., 6, Moscow, 119435, Russia
| | - T N Pisareva
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Department of Oncology, Radiotherapy and Reconstructive Surgery, University Clinical Hospital No.1, Bolshaya Pirogovskaya Str., 6, Moscow, 119435, Russia
| | - K G Linkov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991, Russia
| | - M V Loshchenov
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia
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Saliba MB, Zhivova VA, Vetshev FP, Gabaidze DI, Efendiev KT, Udeneev AM, Pavlova EA, Shiryaev AA. [First experience of applying domestic video fluorescent equipment for visualization and blood flow evaluation of the parathyroid glands]. Khirurgiia (Mosk) 2024:71-78. [PMID: 38258691 DOI: 10.17116/hirurgia202401171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
In recent years, predictive methods for assessing the preservation of the parathyroid glands have been actively implemented. The article describes the first experience of evaluating the blood supply of the parathyroid glands by quantitative determination of the indocyanine green (ICG) accumulation index in real time in 6 patients before and after a thyroidectomy with central neck lymph node dissection for papillary thyroid cancer. Intraoperative fluorescent angiography was performed by using domestic equipment with a fluorescent module, as well as by using a domestic medication of ICG. Intraoperative values of the ICG accumulation index were compared with the levels of ionized calcium and parathyroid hormone perioperatively. No clinical manifestations of hypocalcemia were detected in the postoperative period. The obtained results showed the informativeness of the numerical assessment of the intensity of ICG fluorescence. The evaluation of the distribution (accumulation) of ICG has prospects for practical application in thyroid surgery in the formation of tactics for preserving the parathyroid glands and predicting postoperative hypoparathyreosis.
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Affiliation(s)
- M B Saliba
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
| | - V A Zhivova
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
| | - F P Vetshev
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
| | - D I Gabaidze
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
| | - K T Efendiev
- Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow, Russia
| | - A M Udeneev
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russia
| | - E A Pavlova
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
| | - A A Shiryaev
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
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Gainutdinov RV, Lashkova AK, Zolotov DA, Asadchikov VE, Shiryaev AA, Ivanova AG, Roshchin BS, Shut VN, Kashevich IF, Mozzharov SE, Tolstikhina AL. Determination of Young’s Modulus in Triglycine Sulfate Crystals with Layered Impurity Distribution. CRYSTALLOGR REP+ 2022. [DOI: 10.1134/s1063774522040095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Efendiev KT, Alekseeva PM, Shiryaev AA, Skobeltsin AS, Solonina IL, Fatyanova AS, Reshetov IV, Loschenov VB. Preliminary low-dose photodynamic exposure to the skin cancer with chlorin e6 photosensitizer. Photodiagnosis Photodyn Ther 2022; 38:102894. [PMID: 35490962 DOI: 10.1016/j.pdpdt.2022.102894] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 01/10/2023]
Abstract
BACKGROUND The study was aimed to investigate the chlorin e6 photosensitizer distribution in the tumor and tumor border (5 mm) during low-dose photodynamic treatment and to increase the effectiveness of the therapy for skin neoplasms. METHODS Sensitized boundaries of neoplasms were evaluated by video fluorescence imaging. The study of changes in the chlorin e6 distribution before/after photodynamic therapy and in the process of low-dose photodynamic exposure was carried out by the method of spectral fluorescence diagnostics. RESULTS All 19 patients with basal-cell skin cancer had a contrast of chlorin e6 accumulation compared to normal tissues. 3 hours after intravenous administration of the photosensitizer at a dose of 1 mg/kg, the chlorin e6 concentration was: in normal tissues - 0.18 mg/kg, in the tumor - 1.26 mg/kg, in the tumor border - 0.63 mg/kg. In most cases, the fluorescence indices of chlorin e6 in tumor tissues after low-dose photodynamic therapy increased and exceeded the values before light exposure. CONCLUSION Low-dose photodynamic therapy seems to be the optimal method for treating neoplasms, which does not cause severe pain in patients during the light exposure and allows locally increasing of the photosensitizer concentration in tumor tissues. This method of photodynamic therapy can improve the effectiveness of thе treatment.
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Affiliation(s)
- K T Efendiev
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; National Research Nuclear University "MEPhI", 115409 Moscow, Russia.
| | - P M Alekseeva
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; National Research Nuclear University "MEPhI", 115409 Moscow, Russia
| | - A A Shiryaev
- University Clinical Hospital No. 1, Levshin Institute of Cluster Oncology, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, 119435 Moscow, Russia
| | - A S Skobeltsin
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; National Research Nuclear University "MEPhI", 115409 Moscow, Russia
| | - I L Solonina
- University Clinical Hospital No. 1, Levshin Institute of Cluster Oncology, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, 119435 Moscow, Russia
| | - A S Fatyanova
- University Clinical Hospital No. 1, Levshin Institute of Cluster Oncology, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, 119435 Moscow, Russia
| | - I V Reshetov
- University Clinical Hospital No. 1, Levshin Institute of Cluster Oncology, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, 119435 Moscow, Russia
| | - V B Loschenov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; National Research Nuclear University "MEPhI", 115409 Moscow, Russia
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Aitsev AV, Vasilyev AO, Shiryaev AA, Kim YA, Arefieva OA, Govorov AV, Pushkar DY. [Biofilm control in urological practice]. Urologiia 2022:81-88. [PMID: 35274866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Urinary tract infections (UTIs) have long been among the most common diseases. In the structure of the general infectious morbidity, UTIs rank second after acute respiratory viral infection. Every year, researchers note an increasing number of mutations in the genomes of bacteria that cause infectious diseases, which leads to the formation of more and more aggressive forms of pathogens. Patients with infectious diseases of the urinary system have the highest risk of biofilm formation, the frequency of which is directly proportional to the length of time the urethral catheter is located and accounts for more than half of all nosocomial infections. The presence of resistant strains of pathogenic bacteria and the development of bacterial biofilms are major problems in the treatment of urinary tract infections. The increasing number of nosocomial bacterial strains in the hospital increases the postoperative bed-day, the frequency of readmission and the number of antibacterial drugs used. In light of increasing antibacterial resistance, the use of medical resources is dramatically increasing, which ultimately leads to an increase in the cost of treatment. Along with this, the selection of resistant strains brings to the fore both the rational use of antibacterial drugs and the search for alternative methods of therapy. This review of publications on the problem of bacterial biofilm formation in urological practice demonstrates updated information on the role of enzymes, probiotics, and bacteriophages in preventing biofilm formation on various medical biomaterials, such as urethral catheters.
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Affiliation(s)
- A V Aitsev
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - A O Vasilyev
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - A A Shiryaev
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - Yu A Kim
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - O A Arefieva
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - A V Govorov
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
| | - D Yu Pushkar
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
- City Clinical Hospital n.a. S.I. Spasokukotsky, Moscow, Russian Federation
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russian Federation
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Akchurin RS, Shiryaev AA, Vasiliev VP, Galyautdinov DM, Zaikovsky VY, Mukimov SD. Intraoperative transit time flow measurement in patients with diffuse coronary artery disease in the prevention of aortocoronary bypass graft occlusion. Cardiovasc Ther Prev 2021. [DOI: 10.15829/1728-8800-2022-3030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Aim. To study the parameters of transit time flow measurement (TTFM) for coronary bypass grafts in patients with diffuse lesions with different diameter of target coronary arteries.Material and methods. The study included 150 patients with diffuse coronary artery disease. All patients underwent microscope-assisted coronary artery bypass grafting (CABG), during which the TTFM parameters were evaluated. Depending on the diameter of target coronary arteries, patients were divided into 3 groups: group 1 included grafts to arteries ≤1 mm (n=101), group 2 — 1-1,5 mm (n=138), group 3 — ≥1,5 mm (n=308). Comparative analysis of TTFM parameters was performed.Results. Mostly participants were male (76%); mean age was 62,9±7,6 years. During hospitalization, we recorded 1 death, 2 perioperative myocardial infarctions (1,3%) and 1 cerebrovascular accident (0,7%). TTFM analysis showed the worst hemodynamic parameters and a higher rate of suboptimal function in group 1; blood flow parameters were comparable in groups 2 and 3. The additional analysis in group 1 and combined groups 2 and 3 allows us to make an opinion about the negative impact of coronary artery diameter less than 1 mm on optimal blood flow through the grafts (odds ratio=2,1, 95% confidence interval, 1,2-3,8, p=0,011).Conclusion. Diffuse coronary atherosclerosis with a diameter of target coronary arteries less than 1 mm significantly increase the risk of suboptimal graft function that requires considering more aggressive secondary prevention. TTFM demonstrate high effectiveness of microscope-assisted CABG in target coronary artery diameter of 1-1,5 mm and higher.
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Zaikovskii VY, Shiryaev AA, Vasiliev VP, Galyautdinov DM, Vlasova EE, Akchurin RS, Mykimov SD. Early results of multiple coronary artery bypass grafting on arteries less than 1.5 mm in diameter. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
The widespread using of coronary artery (CA) stenting has led to the fact that nowadays coronary artery bypass grafting (CABG) is the method of choice for patients with multiple occlusions and diffuse lesions, who can be refused in surgery due to “small”, not specified in the guidelines, CA (diameter less than 1.5 mm). The use of microsurgical technique makes it possible to reconstruct small-caliber vessels, however, no detailed comparative data has been published yet.
Aim
To analyze the efficacy of CABG using microsurgical techniques for multiple CA bypass with arteries less than 1.5 mm and compare the results with coronary surgery of larger vessels in the early postoperative period.
Methods
We studied the early results of CABG in two groups of patients. The study group was represented by 100 patients with multiple coronary artery lesions with d<1.5 mm, who underwent control MSCT-shuntography in the postoperative period. We formed a control group of 100 patients who underwent CABG with a target artery d>1.5 mm. In all cases cardiopulmonary bypass and microsurgical technique were used.
Results
All patients underwent complete revascularization of CA, the average number of distal anastomoses was 4,3±0,5 in the study group versus 3.6±0,3 in the comparison group, p<0,001. Intraoperatively in the study group significantly more often performed complex anastomoses to arteries <1,5mm (47 patients vs 18, p<0,001), onlay-flap anastomoses (23 vs 1, p<0,001), single and multiple endarterectomies (19 vs 1, p<0,001). The need for long-term inotropic support (15 cases vs 13, p=0,684), as well as prolonged artificial lung ventilation (2 vs 3, p=0,651), in hospital stage was similar in both groups. Patients from the study group more often underwent reexploration for bleeding in the early postoperative period, which was explained by a large number of complex reconstructions and prolonged on pump time, nevertheless, the difference did not reach statistical significance (4 vs 2, p=0,407). Perioperative myocardial infarction (MI) were registered in 3 (3%) and 1 (1%) cases in the study and control groups, respectively, p=0,621. All patients in the study group underwent MSCT-shuntography in the early postoperative period, according to which 8 patients (8%) had occlusion of the autovenous coronary grafts to the CA<1.5mm and 4 patients (4%) - occlusion of the bypasses to CA>1.5 mm.
Conclusion
CABG in patients with coronary arteries less than 1.5 mm in diameter requires complex reconstructive techniques significantly more often. Nevertheless, in the early postoperative period, it is possible to achieve comparable results in the patient groups with and without CA<1,5mm in the anastomotic sites.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- V Y Zaikovskii
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - A A Shiryaev
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - V P Vasiliev
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - D M Galyautdinov
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - E E Vlasova
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - R S Akchurin
- National Medical Cardiology Research Center, Moscow, Russian Federation
| | - S D Mykimov
- National Medical Cardiology Research Center, Moscow, Russian Federation
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Shiryaev AA, Efendiev KT, Kornev DO, Samoylova SI, Fatyanova AS, Karpova RV, Reshetov IV, Loschenov VB. Photodynamic therapy of classic Kaposi's sarcoma with video-fluorescence control. Photodiagnosis Photodyn Ther 2021; 35:102378. [PMID: 34087467 DOI: 10.1016/j.pdpdt.2021.102378] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 03/19/2021] [Accepted: 05/28/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Kaposi's sarcoma (multiple idiopathic hemorrhagic sarcoma, Kaposi's angiosarcoma) is an angioproliferative neoplasm of endothelial origin associated with human herpes virus 8 (HHV - 8) and human immunodeficiency virus (HIV). The incidence of the classical form of Kaposi's sarcoma (КS) varies significantly in different geographical areas from 0.14/1 million people (both men and women) to 10.5 per 1 million men and 2.7 per 1 million women. The onset of КS is typical at the age of 35-39 in men and 25-39 years in women. CASE REPORT A case of successful treatment of a recurrent non-HIV and non-HHV-8 Kaposi's sarcoma with PDT in a 79-year old man. RESULTS After the recieved photodynamic treatment, complete pathologic response was achieved, i.e., Grade 5 tumor response according to Miller-Payne histological grading system (1999). The overall condition has significantly improved with no clinical tumor signs. CONCLUSION This report describes a good outcome with PDT in the treatment of Kaposi's sarcoma. The results obtained are initial, but encouraging, demonstrating good tolerance, safety and high efficacy of PDT in classical КS. The successful use of PDT in cutaneous manifestations of HIV-associated KS is also described in literature.
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Affiliation(s)
- A A Shiryaev
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation
| | - K T Efendiev
- Department of Laser Micro-, Nano-, and Biotechnology, Institute of Engineering Physics for Biomedicine, National Research Nuclear University "MEPhI", Kashirskoe sh., 31, Moscow 115409, Russian Federation; Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow 119991, Russian Federation.
| | - D O Kornev
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation
| | - S I Samoylova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation
| | - A S Fatyanova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation; Academy of Postgraduate Education FSBI FNCC FMBA of Russia, Volokolamskoye shossee 91, Moscow 125310, Russian Federation
| | - R V Karpova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation
| | - I V Reshetov
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Levshin Institute of Cluster Oncology, University Clinical Hospital No.1 ul. Bolshaya Pirogovskaya 6, Moscow 119435, Russian Federation; Academy of Postgraduate Education FSBI FNCC FMBA of Russia, Volokolamskoye shossee 91, Moscow 125310, Russian Federation
| | - V B Loschenov
- Department of Laser Micro-, Nano-, and Biotechnology, Institute of Engineering Physics for Biomedicine, National Research Nuclear University "MEPhI", Kashirskoe sh., 31, Moscow 115409, Russian Federation; Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow 119991, Russian Federation
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Alekseeva PM, Efendiev KT, Shiryaev AA, Rusakov MA, Simonova MS, Samoylova SI, Fatyanova AS, Reshetov IV, Loschenov VB. Sublingual administration of 5-aminolevulinic acid for laser-induced photodiagnostics and photodynamic therapy of oral cavity and larynx cancers. Photodiagnosis Photodyn Ther 2021; 34:102289. [PMID: 33839329 DOI: 10.1016/j.pdpdt.2021.102289] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/22/2021] [Accepted: 04/05/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND The study aimed to develop a method for sublingual administration of 5-aminolevulinic acid to patients and evaluate its effectiveness in fluorescence diagnostics and photodynamic therapy of neoplasms of the oral cavity and larynx. METHODS The boundaries of the neoplasms were established by the video-fluorescence diagnostics and clarified using spectral-fluorescent diagnosis before and after photodynamic therapy. RESULTS The fluorescence diagnostics demonstrated a high accumulation of protoporphyrin IX, induced by sublingual administration of 5-aminolevulinic acid to patients before the photodynamic therapy and photobleaching of protoporphyrin IX in pathologically altered tissues after the photodynamic therapy. Glucose contained in the sublingual dose supports active transport of 5-ALA into the cells. It increases the PpIX accumulation in the cells, therefore improving the PD and PDT efficacy. CONCLUSION The study and the initially obtained results demonstrated the possibility and effectiveness of laser-induced photodiagnostics and photodynamic therapy with sublingual administration of 5-ALA to patients with premalignant lesions of the oral cavity and larynx. It can eliminate the threat of the transformation of these diseases into malignant tumors and prevent the need for surgical treatment.
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Affiliation(s)
- P M Alekseeva
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991, Russia; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia.
| | - K T Efendiev
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991, Russia; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia.
| | - A A Shiryaev
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - M A Rusakov
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - M S Simonova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - S I Samoylova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - A S Fatyanova
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - I V Reshetov
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, University Clinical Hospital No.1, Levshin Institute of Cluster Oncology, ul. Bolshaya Pirogovskaya 6, Moscow, 119435, Russia.
| | - V B Loschenov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, ul. Vavilova 38, Moscow, 119991, Russia; National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409, Russia.
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11
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Pavlyuk AO, Kotlyarevskii SG, Kan RI, Volkova AG, Zolotov DA, Pakhnevich AV, Zakharova EV, Shiryaev AA. Determination of Parameters of Porous Structure Affecting the Release Mechanisms of Long-Lived Radionuclides from Irradiated Graphite in Contact with Liquid Media. Radiochemistry 2020. [DOI: 10.1134/s1066362220060089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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12
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Vasilyev AO, Sazonova NA, Shiryaev AA, Kim YA, Zaitsev AV, Gabdullin AF, Melnikov VD, Revazova ZV, Pushkar DY. [ORGANIZATION OF MEDICAL CARE FOR ELDERLY PATIENTS UNDER THE CONDITIONS OF THE COVID-19 PANDEMIC]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2020; 28:1081-1086. [PMID: 33219762 DOI: 10.32687/0869-866x-2020-28-s2-1081-1086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 07/29/2020] [Indexed: 11/06/2022]
Abstract
The first report of the new coronavirus infection (COVID-19) appeared at the end of December 2019 and in March,2020 the World Health Organization announced COVID-19 a pandemic. The steady number of newly detected cases increase predetermined the modernization of the global healthcare system, shifting the paradigm of fighting with the COVID-19 pandemic towards maximum resource conservation. The change in the medical care provision for infectious patient's approach led first to a gradual decrease, and then to a complete cessation of planned surgical treatment, outpatient examinations, as well as observation of high-risk patients, which primarily include elderly patients. As a result of this, the key objective of this systematic review was to analyze sources of existing practice of providing urological care to patients of the older age group in the context of the COVID-19 pandemic. In accordance with the search for the keywords, the study reflects world and its own experience of MSMSU Urology Department in the treatment of age-related patients in the current epidemiological situation. The analysis showed that infectious complications from the urinary system take a leading position among the common complications inherent in elderly patients with COVID-19. The development of catheter-associated infection, the occurrence of antibiotic-resistant forms of bacteria, asymptomatic bacteriuria are only a small part of the problems clinicians have to face in newly profiled departments.
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Affiliation(s)
- A O Vasilyev
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation.,State Budgetary Institution "Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department", 115088 Moscow, Russian Federation
| | - N A Sazonova
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation,
| | - A A Shiryaev
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation
| | - Yu A Kim
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation
| | - A V Zaitsev
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation
| | - A F Gabdullin
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation
| | - V D Melnikov
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation
| | - Z V Revazova
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation
| | - D Yu Pushkar
- A. I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473, Moscow, Russian Federation.,SBHI «City Clinical Hospital named after S. I. Spasokukotsky» MHD, 127206, Moscow, Russian Federation
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13
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Shiryaev AA, Govorov AV, Vasilyev AO, Pushkar DY. [Alpha1-adrenergic blockers therapy and sexual function]. Urologiia 2020:82-86. [PMID: 33185353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
An increase in life expectancy and the number of older and elderly men, an improvement in the quality of medical care and socio-economic factors in most countries contributed to an increase in the number of patients with benign prostatic hyperplasia (BPH). Currently, improvement of the quality of life is the mainstay of strategy for managing patients with BPH, as well as prevention of complications and the need for surgery. In this regard, the pharmacotherapy with 1-adrenergic blockers (1-AB) is widely used as an effective method for improving lower urinary tract symptoms and reducing the risk of BPH progression. Given that the quality of life is becoming increasingly important in evaluating the efficiency of BPH treatment, including therapy in elderly patients, it is necessary to take into account its effect on sexual function, when choosing a particular drug. The use of 1-AB can be accompanied by side effects manifested by various sexual disorders. Alfuzosin does not adversely affect sexual function in men with BPH, may improve erectile and ejaculatory function and should be considered as the drug of choice, especially in sexually active men and patients who already suffer from worsening ejaculatory function while using another 1-AB.
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Affiliation(s)
- A A Shiryaev
- Department of Urology of the Moscow State Medical-Dental University named after A.I. Evdokimov, Moscow, Russia
- Municipal clinical hospital named after S.I. Spasokukotskiy of the Moscow Healthcare Department, Moscow, Russia
| | - A V Govorov
- Department of Urology of the Moscow State Medical-Dental University named after A.I. Evdokimov, Moscow, Russia
- Municipal clinical hospital named after S.I. Spasokukotskiy of the Moscow Healthcare Department, Moscow, Russia
| | - A O Vasilyev
- Department of Urology of the Moscow State Medical-Dental University named after A.I. Evdokimov, Moscow, Russia
- Municipal clinical hospital named after S.I. Spasokukotskiy of the Moscow Healthcare Department, Moscow, Russia
- Research Institute for Healthcare Organization and Medical Management, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology of the Moscow State Medical-Dental University named after A.I. Evdokimov, Moscow, Russia
- Municipal clinical hospital named after S.I. Spasokukotskiy of the Moscow Healthcare Department, Moscow, Russia
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14
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Goldshleger NF, Lapshina MA, Baulin VE, Shiryaev AA, Gorbunova YG, Tsivadze AY. Supramolecular assemblies based on crown- and phosphoryl-substituted phthalocyanines and their metal complexes in microheterogeneous media. Russ Chem Bull 2020. [DOI: 10.1007/s11172-020-2893-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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15
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Malkin AI, Aliev AD, Klyuev VA, Savenko VI, Shiryaev AA, Ryazantseva AA. The Influence of Technological Medium Composition on the Structure-Related Morphological Characteristics of Al–2B Composite Powders. Colloid J 2020. [DOI: 10.1134/s1061933x20040079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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16
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Vasil'ev AO, Zaycev AV, Shiryaev AA, Prilepskaya EA, Kim YA, Kalinina NA, Pushkar DY. [Immune response to lower urinary tract infections]. Urologiia 2020:118-121. [PMID: 32351074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Urinary tract infections are one of the most common and widespread infectious diseases. A certain role in etiopathogenesis may play genetic predisposition, as well as a decrease in antiadhesive properties and an increase in urothelium permeability due to incompetence of bladder glycosaminoglycan layer. The prevalence of infectious diseases increases significantly with age, as well as in patients with chronic diseases. The introduction of modern biotechnology has allowed clinicians to greatly expand therapeutic armamentarium, while having a number of advantages, including minimal frequency of complications and adverse events, the possibility for long-term use, accessibility, and etc. Priority research areas include the study of toll-like receptors, which are transmembrane proteins that provide pathogen recognition and activate the immune response. The role of these receptors in the development of the immune response to urinary tract infections was evaluated in our study, which allows to predict the course of the disease and to increase treatment efficiency.
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Affiliation(s)
- A O Vasil'ev
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - A V Zaycev
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - A A Shiryaev
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - E A Prilepskaya
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - Yu A Kim
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - N A Kalinina
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology of A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia, Moscow, Russia
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17
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Knyazeva MK, Solovtsova OV, Tsivadze AY, Fomkin AA, Shkolin AV, Men’shchikov IE, Pulin AL, Shiryaev AA, Vysotskii VV, Kiselev MR. Methane Adsorption on Cu-BTC110 Metal-Organic Framework. RUSS J INORG CHEM+ 2020. [DOI: 10.1134/s0036023619120064] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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18
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Gazizova VP, Vlasova EE, Dzybinskaya EV, Gramovich VV, Stukalova OV, Shiryaev AA, Akchurin RS. [The possibilities of using levosimendan in medical preparation to Coronary Artery Bypass Grafting in coronary artery disease patients with low left ventricular ejection fraction]. TERAPEVT ARKH 2020; 92:43-48. [PMID: 32598662 DOI: 10.26442/00403660.2020.01.000492] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Indexed: 11/22/2022]
Abstract
AIM to work out an approach of preoperative drug preparation for CAD patients with low LVEF and varying degrees of compensation for CHF, to study the possibility of using levosimendan (L) in this preparation. MATERIALS AND METHODS We studied 82 patients with severe angina pectoris, multivascular coronary disease, extensive postinfarction zone, LVEF ≤35%, chronic heart failure and proven viable myocardium, which performed CABG. All patients received long - term standard CHF therapy before surgery: loop diuretic, ACE/ARA, beta - blocker, aldosterone antagonist. In the first, retrospective part of the study (39 pts), it was determined which factors could be associated with perioperative AHF. In the second, prospective part (43 pts), the course of the operation and the early postoperative period in patients with compensated and uncompensated heart failure were compared; uncompensated pts received L 2 days before surgery in addition to standard therapy. The third, retro - prospective part of the study (37 pts) was the assessment of operation outcome in patients only with uncompensated pre - operative CHF, but with different preoperative drug preparation. RESULTS Statistically significant direct influence on the perioperative AHF development was provided by the combined clinical sign - venous pulmonary congestion+orthopnea (p.
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Affiliation(s)
- V P Gazizova
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - E E Vlasova
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - E V Dzybinskaya
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - V V Gramovich
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - O V Stukalova
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - A A Shiryaev
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
| | - R S Akchurin
- A.L. Myasnikov Institute of Cardiology of National Medical Research Center of Cardiology
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19
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Shiryaev AA, Vasilyev AO, Zaitsev AV, Prilepskaya EA, Sazonova NA, Grigoryan IE, Kim YA, Pushkar DY. [Prospects of using bacteriophages in urological practice]. Urologiia 2019:131-136. [PMID: 32003183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
In modern clinical practice, antimicrobial resistance creates a significant problem for the effective metaphylaxis of various infectious and inflammatory diseases of the urinary system. Annually, researchers note an increasing number of mutations in the genomes of bacteria that cause infectious diseases, which leads to the appearance of more aggressive strains. The inefficiency of antibiotic therapy requires to a search for alternative methods for treatment and prevention of infectious diseases. use of viruses that infect bacteria (bacteriophages) represent one of such methods. A literature review of recent publications indicates that phage therapy has been gained significant increase. The general aspects of phage therapy, mechanism of action, as well as the existing possibilities and limitations of phage therapy in treatment and prevention of infectious diseases of the urinary system are highlighted in this article.
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Affiliation(s)
- A A Shiryaev
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - A O Vasilyev
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - A V Zaitsev
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - E A Prilepskaya
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - N A Sazonova
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - I E Grigoryan
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - Yu A Kim
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology, Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
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20
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Chuchelkin IV, Gavrilov VK, Zimarev VS, Firsin ID, Maksimova MG, Shiryaev AA, Zheglov SV, Gavrilov KN. Novel chiral diamidophosphites for asymmetric metal-catalyzed reactions. PHOSPHORUS SULFUR 2019. [DOI: 10.1080/10426507.2018.1539845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- I. V. Chuchelkin
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - V. K. Gavrilov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - V. S. Zimarev
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - I. D. Firsin
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - M. G. Maksimova
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - A. A. Shiryaev
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - S. V. Zheglov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - K. N. Gavrilov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
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21
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Alsov SA, Osipov DE, Akchurin RS, Shiryaev AA, Sirota DA, Khvan DS, Chernyavskiy AM, Tsirikhov VR. [Microsurgery of coronary arteries using an operating microscope]. Khirurgiia (Mosk) 2019:60-64. [PMID: 30789610 DOI: 10.17116/hirurgia201901160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The world experience of coronary artery bypass surgery using an operating microscope is reviewed in the article. Important role of operating microscope and microsurgical techniques for coronary anastomoses formation is shown. High optical magnification provided by operating microscope directly affects the quality of surgical technique and accuracy of coronary anastomoses suturing that affects postoperative graft patency. Thus, the use of operating microscope can affect the results of coronary artery bypass surgery, as shown in several reports.
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Affiliation(s)
- S A Alsov
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia
| | - D E Osipov
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia
| | - R S Akchurin
- National Medical Research Center of Cardiology of Healthcare Ministry of the Russian Federation, Moscow, Russia
| | - A A Shiryaev
- National Medical Research Center of Cardiology of Healthcare Ministry of the Russian Federation, Moscow, Russia
| | - D A Sirota
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia
| | - D S Khvan
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia
| | - A M Chernyavskiy
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia
| | - V R Tsirikhov
- Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia, National Medical Research Center of Cardiology of Healthcare Ministry of the Russian Federation, Moscow, Russia
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22
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Maiorova NA, Grinberg VA, Pasynskii AA, Modestov AD, Shiryaev AA, Vysotskii VV. Nanostructured Catalysts of Methanol Electrooxidation Based on Platinum–Ruthenium–Palladium and Platinum–Ruthenium–Iridium Alloys Derived from Coordination Compounds. RUSS J COORD CHEM+ 2019. [DOI: 10.1134/s1070328418100081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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23
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Chuchelkin IV, Gavrilov VK, Firsin ID, Zimarev VS, Novikov IM, Maksimova MG, Shiryaev AA, Zheglov SV, Tafeenko VA, Chernyshev VV, Gavrilov KN. Novel 1,3,2-diazaphospholidines with pseudodipeptide substituents. PHOSPHORUS SULFUR 2018. [DOI: 10.1080/10426507.2018.1540484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- I. V. Chuchelkin
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - V. K. Gavrilov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - I. D. Firsin
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - V. S. Zimarev
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - I. M. Novikov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - M. G. Maksimova
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - A. A. Shiryaev
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - S. V. Zheglov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
| | - V. A. Tafeenko
- Department of Chemistry, Lomonosov Moscow State University, Leninskie Gory, GSP-1, Moscow, 119991, Russian Federation
| | - V. V. Chernyshev
- Department of Chemistry, Lomonosov Moscow State University, Leninskie Gory, GSP-1, Moscow, 119991, Russian Federation
| | - K. N. Gavrilov
- Chemistry Department, Ryazan State University, Ryazan, Russian Federation
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Volkova AG, Zakharova EV, Rodygina NI, Pavlyuk AO, Shiryaev AA. Radionuclides in Irradiated Graphite of Uranium–Graphite Reactors: Decontamination by Thermochemical Methods. Radiochemistry 2018. [DOI: 10.1134/s1066362218060152] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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25
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Shiryaev AA, Volkova AG, Zakharova EV, Nikolsky MS, Averin AA, Dolgopolova EA, Yapaskurt VO. Radionuclides in Irradiated Graphite of Industrial Uranium–Graphite Reactors: Effect of Irradiation and Thermochemical Treatment on the Graphite Structure. Radiochemistry 2018. [DOI: 10.1134/s1066362218060164] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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26
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Vasilyev AO, Govorov AV, Shiryaev AA, Bykov PI, Kim Yu A, Kalinina NA, Schneiderman MG, Pushkar DY. [Evaluation bacteriological analysis of urine in patients with long-term bladder drainage]. Urologiia 2018:26-31. [PMID: 30742374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION The experience of comparative evaluation of the effectiveness of various types of urethral catheters in prevention of catheter-associated infection is described in this article. MATERIALS AND METHODS The study included 69 patients treated at the CCH n.a. S.I. Spasokukotsky in the period from December 2017 to March 2018. The average age of patients was 67.5 years. In all patients, the bladder was drained by a two-way Foley catheter No. 16-18 Ch (100% silicone). In the 1st group (n=18), the bladder was drained with a standard urethral uncoated catheter, in the 2nd (n=16) - with a silver impregnated urethral catheter, in the 3rd (n=15) - with an urethral catheter coated with nitrofuran, in the 4th (n=20) urethral catheter with the possibility of controlled irrigation of the bladder and urethra with antiseptic solutions and (a new model of the urethral catheter developed during cooperative work of the Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov Urology Department and National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov). RESULTS The bladder was drained by Foley urethral catheter for more or equal 15 days. A microbiological study of urine (on the example of clinical isolates of conditionally pathogenic microorganisms) with preparation of an inoculum, inoculation of nutrient media, counting cultures of pathogenic bacteria and determining the sensitivity of pathogenic bacteria to antibiotics was carried out. The study showed the effectiveness of the new urethral catheter model in patients with long-term bladder drainage. CONCLUSIONS Conducting multicenter studies evaluating the effectiveness of the proposed urethral catheter model with the inclusion of a larger number of patients will reduce the economic costs, associated with treating patients with prolonged bladder drainage in the long term by reducing the number of nosocomial infection cases and reducing postoperative day.
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Affiliation(s)
- A O Vasilyev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - A V Govorov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - A A Shiryaev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - P I Bykov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - A Kim Yu
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - N A Kalinina
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - M G Schneiderman
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry n.a. A.I. Evdokimov, Moscow, Russia
- S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia
- National Medical Research Center of Obstetrics, Gynecology and Perinatology n.a. V.I. Kulakov, Moscow, Russia
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Volkova AG, Zakharova EV, Pavlyuk AO, Shiryaev AA. Radionuclides in Irradiated Graphite of Uranium–Graphite Reactors: Decontamination of Sleeves Using Liquid Reagents. Radiochemistry 2018. [DOI: 10.1134/s1066362218050144] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Grinberg VA, Mayorova NA, Pasynskii AA, Modestov AD, Shiryaev AA, Vysotskii VV, Nogai AS. Nanostructured Platinum-Free Catalysts of Oxygen Reduction based on Metal Chalcogenide Cobalt Clusters. RUSS J COORD CHEM+ 2018. [DOI: 10.1134/s1070328418100056] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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29
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Shiryaev AA, Fedoseev AM, Grigor’ev MS, Averin AA. Synthesis, Structure, and Spectral Properties of Mixed Uranyl Hydroxonitrate Complexes [(CH3)4N]2[(UO2)2(NO3)4(OH)2] and (HMeIm)2[(UO2)2(NO3)4(OH)2] (MeIm = 1-Methylimidazole). Radiochemistry 2018. [DOI: 10.1134/s1066362218050053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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30
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Gavrilov KN, Chuchelkin IV, Zheglov SV, Gavrilov VK, Zimarev VS, Maksimova MG, Shiryaev AA. Diastereomeric bisamidophosphites based on oxalamide 1,3-diol in asymmetric metal complex catalysis. Russ Chem Bull 2018. [DOI: 10.1007/s11172-018-2227-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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31
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Gavrilov KN, Chuchelkin IV, Zheglov SV, Gavrilov VK, Novikov IM, Firsin ID, Shiryaev AA. Palladium and rhodium-catalyzed enantioselective reactions mediated by pseudodipeptide-based phosphite-type ligand. Russ Chem Bull 2018. [DOI: 10.1007/s11172-018-2157-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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32
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Shiryaeva SO, Grigor’ev AI, Shiryaev AA. On the Shape of a Charged Drop in the Electrostatic Field of an Extended Spheroid Supported at a Constant Electric Potential. Surf Engin Appl Electrochem 2018. [DOI: 10.3103/s1068375518020126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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33
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Ilyina LN, Vlasova EE, Kukharchuk VV, Shiryaev AA, Merkulov EV, Galyautdinov DM, Vasiliev VP, Malyshev PP, Dzybinskaya EV, Chumachenko PV, Aphanasyev MA, Akchurin RS. [Giant Aneurysms in Coronary Arteries of a Young Woman]. Kardiologiia 2018:84-89. [PMID: 29466175 DOI: 10.18087/cardio.2018.1.10085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Coronary arteries aneurysms with their thrombotic occlusion are known to be detected in young patients who have suffered Kawasaki disease in childhood. The other vascular beds are usually not involved. In the literature one can find not enough information regarding diagnostics of this pathology, as well as no specific treatment algorithm. We present here a clinical case of re-emergence of giant aneurysms of coronary arteries in the young female patient with subsequent immuno-histological confirmation of previous Kawasaki disease.
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Affiliation(s)
- L N Ilyina
- National Medical Research Center for Cardiology
| | - E E Vlasova
- National Medical Research Center for Cardiology
| | | | - A A Shiryaev
- Institute of Cardiology of Russian Cardiology Scientific and Production Complex
| | | | | | | | | | | | | | | | - R S Akchurin
- Institute of Cardiology of Russian Cardiology Scientific and Production Complex
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34
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Vasiliyev AO, Shiryaev AA, Govorov AV, Kolontarev KB, Rasner PI, Dyakov VV, Semenyakin IV, Pushkar DY. [Intestinal obstruction in early postoperative period after robot-assisted prostatectomy]. Khirurgiia (Mosk) 2018:90-93. [PMID: 29697691 DOI: 10.17116/hirurgia2018490-93] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- A O Vasiliyev
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - A A Shiryaev
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - A V Govorov
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - K B Kolontarev
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - P I Rasner
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - V V Dyakov
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - I V Semenyakin
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia
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35
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Stefanovsky SV, Shiryaev AA, Teterin YA, Kalmykov SN, Glazkova YS. Oxidation state and coordination surrounding of iron and uranium in sodium aluminum iron phosphate glasses. Radiochemistry 2017. [DOI: 10.1134/s1066362217060030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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36
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Vasilyev AO, Govorov AV, Shiryaev AA, Pushkar DY. [The role of the uretral catheter in the development of catheter- related urinary tract infection]. Urologiia 2017:107-111. [PMID: 29376606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The most common source of nosocomial infection is the urinary tract, especially if they it is drained with a urethral catheter. Catheter-associated urinary tract infections account for at least 80% of all complicated urinary tract infections and are the most common type of hospital-acquired infection. Intestinal microflora plays the leading role in the pathogenesis of catheter-associated urinary tract infections, whereas the most important risk factor for their development is the long duration of urinary catheter drainage. In the case of short-term and intermittent catheterization, routine antibiotic prophylaxis is not required, but if a patient develops clinically significant infection, antibiotic therapy is required followed by definitive therapy based on culture. Urethral catheters coated with antimicrobial substances and anti-inflammatory agents can significantly reduce the adhesion and migration of bacteria, thereby reducing the incidence of urinary tract infections. Despite this, the incidence of catheter-associated infection remains high. We have reviewed recent literature related to catheter-associated urinary tract infections and the best means of preventing this condition.
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Affiliation(s)
- A O Vasilyev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Moscow, Russia
| | - A V Govorov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Moscow, Russia
| | - A A Shiryaev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Moscow, Russia
| | - D Yu Pushkar
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Moscow, Russia
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Govorov AV, Vasilyev AO, Shiryaev AA, Sukhikh SO, Sidorenkov AV, Pushkarev AV, Tsiganov DI, Pushkar DY. [Current methods of early diagnosis of prostate cancer]. Urologiia 2017:101-106. [PMID: 29376605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Prostate cancer is the most common cancer among men, except for lung cancer. Therefore, it is imperative to identify diagnostic methods for early detection of prostate cancer to determine patients from healthy populations, which helps guide a timely treatment at an initial stage of the disease. The article provides an in-depth review of the most current diagnostic biomarkers of prostate cancer, their role in clinical practice as a means of the early detection and screening for prostate cancer.
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Affiliation(s)
- A V Govorov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - A O Vasilyev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - A A Shiryaev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - S O Sukhikh
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - A V Sidorenkov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - A V Pushkarev
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - D I Tsiganov
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
| | - D Yu Pushkar
- Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia
- S.I. Spasokukotsky Municipal Clinical Hospital, Moscow, Russia
- Energomashinostroenie Research Institute, N.E. Bauman Moscow State Technical University, Moscow, Russia
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Abstract
<p>Based on their 30-year experience, the authors discuss the most important problems in coronary surgery. The modern view on the indications for surgery, as well as on patients selection is presented in the light of the most recent and complete studies. The authors also present the modern approach to surgical technique, choice of graft and describe opportunities offered by microsurgical technique.</p><p>Received 30 June 2017. Accepted 10 July 2017.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interests.</p>
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Konevnik YV, Zakharova EV, Martynov KV, Shiryaev AA. Influence of temperature on the speciation of radionuclides sorbed onto rocks from the Nizhnekansky massif. Radiochemistry 2017. [DOI: 10.1134/s1066362217020171] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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40
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Shiryaev AA, Voloshchuk AM, Volkov VV, Averin AA, Artamonova SD. Nanoporous active carbons at ambient conditions: a comparative study using X-ray scattering and diffraction, Raman spectroscopy and N2 adsorption. ACTA ACUST UNITED AC 2017. [DOI: 10.1088/1742-6596/848/1/012009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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41
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Solodkova LN, Vashchenko SV, Lyakhov BV, Bardyshev II, Tsivadze AY, Chernyshev VV, Shiryaev AA. Silver deposition from its nitrate solutions by hydrogenated palladium. Theor Found Chem Eng 2017. [DOI: 10.1134/s0040579517030137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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42
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Grinberg VA, Maiorova NA, Pasynskii AA, Emets VV, Shiryaev AA, Vysotskii VV, Gerasimov VK, Matveev VV, Nizhnikovskii EA, Andreev VN. Nanostructured catalysts for direct electrooxidation of dimethyl ether based on Bi- and trimetallic Pt–Ru and Pt–Ru–Pd alloys prepared from coordination compounds. RUSS J COORD CHEM+ 2017. [DOI: 10.1134/s1070328417040017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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43
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German KE, Obruchnikova YA, Safonov AV, Tregubova VE, Afanas’ev AV, Kopytin AV, Kryzhovets OS, Poineau F, Abkhalimov EV, Shiryaev AA. Kinetics of the formation of precipitates and the physicochemical properties of technetium-99 and rhenium sulfides according to small-angle X-ray scattering and ultramicrocentrifugation data. RUSS J INORG CHEM+ 2016. [DOI: 10.1134/s0036023616110061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Fridman AY, Tsivadze AY, Morozova EM, Sokolova NP, Shiryaev AA, Petukhova GA, Voloshchuk AM, Bardyshev II, Gorbunov AM, Polyakova IY, Novikov AK, Titova VN, Yavich AA, Petrova NV. Materials based on cellulose fabric and PVC with porous structures formed by jointed aza- and oxa-aza-crown macromolecules. Russ J Phys Chem 2016. [DOI: 10.1134/s0036024416120104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Stefanovsky SV, Stefanovskaya OI, Murzin VY, Shiryaev AA, Myasoedov BF. Oxidation state and coordination environment of uranium in sodium iron aluminophosphate glasses. Dokl Phys Chem 2016. [DOI: 10.1134/s0012501616050043] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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46
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Mayorova NA, Grinberg VA, Emets VV, Pasynskii AA, Shiryaev AA, Vysotskii VV, Gerasimov VK, Matveev VV, Nizhnikovskii EA, Andreev VN. Nanoscale catalysts based on platinum-ruthenium and platinum-ruthenium-tin alloys: Synthesis from appropriate metal complexes and the use in direct methanol electrooxidation. RUSS J COORD CHEM+ 2015. [DOI: 10.1134/s1070328415120052] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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47
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Grinberg VA, Emets VV, Mayorova NA, Pasynskii AA, Shiryaev AA, Vysotskii VV, Gerasimov VK, Matveev VV, Nizhnikovskiy EA, Andreev VN. Coordination compounds as the precursors for preparation of nanosized platinum or platinum-containing mixed-metal catalysts of oxygen reduction reaction. RUSS J COORD CHEM+ 2015. [DOI: 10.1134/s1070328415110020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Shiryaev AA. Information management systems in Science. Sci Tech Inf Proc 2015. [DOI: 10.3103/s0147688215040048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kolotov VP, Grozdov DS, Dogadkin NN, Shiryaev AA, Korobkov VI. Quantitative digital 2D densitometry in the processing of series of autoradiographic images. J Anal Chem 2015. [DOI: 10.1134/s1061934815030107] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Sapelnikov OV, Latypov RS, Partigulova AS, Shiryaev AA, Akchurin RS. [Atrial Fibrillation in Cardiosurgical Patients]. Kardiologiia 2015; 55:5-11. [PMID: 27125098 DOI: 10.18565/cardio.2015.11.5-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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