Related Experiment Videos
[Present-day vascular surgery--unsolved problems]
Insights
Consolidating cardiovascular and vascular surgery efforts in the USSR is crucial for advancing patient care. Increasing angiosurgeon training and annual operations can significantly improve reconstructive surgery outcomes.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Angiology
Background:
- Establishment of specialized societies in the USSR highlighted the need for unified efforts in vascular disease management.
- Significant numbers of reconstructive operations on the aorta and great arteries were performed annually.
Observation:
- Analysis of vascular surgery trends in the USA and USSR revealed areas needing more focus, such as aortic arch branch surgery and abdominal aortic aneurysms.
- Current training and operational capacity of angiosurgeons were identified as insufficient.
Findings:
- A two-fold increase in reconstructive operations is achievable through organizational measures, as demonstrated by the Bakulev Institute.
- Key areas in angiosurgery include multifocal atherosclerosis, aortic arch branches, aortic aneurysms, pulmonary artery thromboembolism, and arterial trauma/thrombosis.
Implications:
- Intensified training and increased surgeon caseloads are necessary to meet the demand for vascular reconstructive procedures.
- Developing radiologically-guided techniques and thromboresistant prostheses are vital for future advancements in angiosurgery.
Abstract:
With the establishment in the USSR of the ALL-Union Society of Cardiovascular Surgeons, a section of angiology at the All-Union Society of Cardiologists, and sections of heart and vascular surgery at the All-Union Society of Surgeons, the necessity of consolidating the efforts of all these organizations to advance and intensify the scientific and practical work in rendering adequate and effective aid to patients with vascular diseases must be recognized. Twenty-two thousand reconstructive operations were performed on the aorta and great arteries in the USSR in 1987. The main trends in vascular surgery in the USA and USSR were analysed; insufficient attention to such problems as surgery of the branches of the arch of the aorta and aneurysms of the abdominal aorta was pointed out, the need to intensify training of new angiosurgeons in the country and increase two- to threefold the number of operations performed by each one of them (to 100 reconstructive operations carried out by each surgeon annually) was substantiated. The experience of the Bakulev Institute of Cardiovascular Surgery is shown in illustration of the main organizational measures which allow the number of reconstructive operations in the cardinal branches of angiosurgery to be increased twofold. The following should be considered the main branches of angiosurgery: surgery of multifocal atherosclerosis, branches of the arch of the aorta, aneurysms of the aorta, and surgery in thromboembolism of the pulmonary arteries, reconstructive operations in injury and acute thrombosis of the great arteries, radiologically-guided surgery for recanalization of arteries and creation of new thromboresistant vascular prostheses.