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Бурян Киров
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Кръщене на Дуда
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един бисер от едното време......търсих я 40 години...


http://www.dailymotion.com/video/xrqnpm_gladys-knight-help-me-make-it-through-the-night-w-lyrics-1971_music

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ANNOTATION
Of
Vascular surgery complications on the vascular access after
coronary endovascular procedures
defended dissertation on 26 june, 2014
Buryan Alexandrov Kirov, MD, vascular surgeon
UMBAL SV. Georgi, Plovdiv, Medical University - Plovdiv
Based on a comprehensive review of the literature, we expose the latest information on the most
common vascular complications of vascular access in coronary interventions – a hematoma, false
aneurysm, arteriovenous fistula, infections, foreign objects, etc.
In the first large-scale retrospective study at home for a period of 5 years, covering 23 298 patient
with coronary interventional procedures in a leading center, we have found 55 patients with
complications of vascular access after coronary endovascular procedure. These complications occur
in 0,371% of procedures in females and 0.16 percent in men, and in the total for the population, they
are 0,236% (P < 0.0016). Analyzed are some factors, such as gender, age, size of catheters, role of
radial access, type of procedure, other factors, etc., as affecting the frequency of complications in our
days.
We determine increased risk for patients after stenting by 80%, and for radial access over a femoral,
we calculated reduction of risk of 14,605. The average time for presenting for treatment of vascular
surgeon is 18 days. Some data about treatment: good result 57 (96,6%), average time in hospital - 8
days, maximum stay - days 37, a total days in hospital for the group 445, operational activity 93%,
local anesthesia 33%, 2 and more operations 18%, blood transfusion, a total of 36 coats 20%,
Purulent complications 14%, Sepsis, fatal 2%.
The survey shows that despite the tendency of decrease of vascular complications in recent years,
they are part of a clinical reality and should be well known. Characterized with a heavy flow,
extended hospital stay, frequent wound complications, high costs, they are challenge for every
vascular surgeon.
The reported good results achieved in 96, 6% of the patients, are among the best of those published
in world literature. The number of patients with the coronary procedure is far above the average for a study, presenting their own material, and this allows it to be demonstrated in practice all vascular
access complications.
In Bulgaria in recent years, there are approximately 28 000 – 30 000 coronary procedure, under the
cover of National Healt Ensurance Company. The data from this study suggest with high degree of
confidence that on yearly base, some 50 to 70 complications of vascular access of different type
happen in tahat country, whose reality and fate ware unknown. The results of this study could serve
to establish qualitative and quantitative criteria at the national level on the work of the centers in
invasive cardiology.

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30 октомври 2011 (3 снимки)
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Снимки в лексикона (3 photos)
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