1. [[Impact of plestazol preparation on hyperplasia of inter vascular layer in the patients, suffering obliterating atherosclerosis of the lower extremities arteries after reconstructive operations].]
- Author
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Nikuhinikov PI, Bytsay AN, Lysak LI, Yatsenko AI, and Abramenko AV
- Subjects
- Aged, Aged, 80 and over, Arteriosclerosis Obliterans diagnostic imaging, Arteriosclerosis Obliterans pathology, Arteriosclerosis Obliterans surgery, Biomarkers blood, Case-Control Studies, Cilostazol, Clopidogrel, Endothelium, Vascular diagnostic imaging, Endothelium, Vascular drug effects, Endothelium, Vascular pathology, Endothelium, Vascular surgery, Female, Femoral Artery diagnostic imaging, Femoral Artery drug effects, Femoral Artery pathology, Femoral Artery surgery, Fibroblast Growth Factor 2 blood, Humans, Hyperplasia diagnostic imaging, Hyperplasia pathology, Hyperplasia surgery, Intercellular Adhesion Molecule-1 blood, Lower Extremity blood supply, Lower Extremity diagnostic imaging, Lower Extremity surgery, Male, Middle Aged, Popliteal Artery diagnostic imaging, Popliteal Artery drug effects, Popliteal Artery pathology, Popliteal Artery surgery, Ticlopidine analogs & derivatives, Ticlopidine therapeutic use, Ultrasonography, Doppler, Duplex, Arteriosclerosis Obliterans drug therapy, Hyperplasia drug therapy, Plastic Surgery Procedures rehabilitation, Tetrazoles therapeutic use, Vasodilator Agents therapeutic use
- Abstract
In the clinic 60 patients were examined, in whom reconstructive operations on the main arteries were performed for obliterating atherosclerosis (OA) of the lower extremities vessels. Efficacy of impact of Plestazol (in a 200 mg/day dose) on neointima hyperpla- sia was studied. Clopidogrel (75 mg/day) was administered to patients of comparative group. Effective criteria for estimation of the migration-proliferation disorders state in endothelial dysfunction are concentration of the intercellular adhesion molecules (ICAM) and the basic factor of the fibroblasts growth (FGFb); morphological disorders in hyperplastic reactions of neointima - determination of thickness of "intima-media" complex in accordance to the ultrasound duplex scanning data. There was established, that Plestazol constitutes an effective disaggregate preparation, positively impacting decelerating reaction of neointima hyperplasia, including, deceleration of the smooth- muscle cells migration into subendotelial layer in the formation zone of the femoro- popliteal shunt distal anastomosis.
- Published
- 2016