The performed surgery was ligatura AV fistulae; reconstructio a

The performed surgery was ligatura AV fistulae; reconstructio a. popliteae cum T-T anastomosis; fasciotomia cruris dex. Post-operatively, in the patient developed a multiple

AV fistula of the femoral and popliteal artery and neighboring veins. The patient was two more times operated on for closing the fistula but with no success. Three years later the patient was referred to the Clinic for Vascular Surgery, Military Medical Academy, Belgrade, Serbia. A physical examination on admission showed the right upper leg edema, pronounced varicosities and high thrill, signs of the skin induration and initial ischemia with ulceration in the right lower BEZ235 leg, as well as numerous scars in the inner side of the leg from the previously performed operations. Due to the right heart load there were also present easy getting tired, tachypnoea and tachycardia. CT and contrast angiography verified the presence of multiple traumatic AV fistulas in the surface femoral and popliteal artery and neighboring veins of the highest diameter being 1 cm.

Also, numerous metallic balls grains of shotgun were present. After the preoperative preparation under local infiltrative anesthesia, transfemoral endovascular reconstruction was done of the surface femoral and popliteal artery by the use of stent grafts Viabahn 6 x 50 mm and excluder PXL 161 007. Within the immediate postoperative course a significant reduction of the Nepicastat solubility dmso leg edema and disappearance of thrill occurred, and, latter, healing

of ulceration, and disappearance of signs of the foot ischemia. Also, patient’s both cardiac and breathing functions became normal. Conclusion. In patients with chronic traumatic AV fistulas in the femoropopliteal region, especially with multiple fistulas, the gold standard eFT-508 is their endovascular reconstruction which, although being minimally traumatic and invasive, offers a complete reconstruction besides keeping integrity of both distal anti proximal circulation in the leg.”
“In view of global change caused by green house gases, bean plants (Phaseolus vulgaris L.) were exposed to brick kiln smoke in close chambers under laboratory conditions. Brick kiln smoke was produced by firing bituminous coal and furnace oil. The duration of smoke exposure was 4, 8 and 12 hours on daily basis which lasted until crop maturity. Additional control plants were grown in ambient air for evaluating the ‘brick kiln smoke effect on plants. A significant reduction in mean length of shoot and roots of plants exposed to smoke for 8 and 12 hours compared with the control were observed. The pollution effects were directly proportional to the intensity of the exposure. The average pore areas of stomata from plants treated for 8 and 12 hours were significantly smaller compared with control plants.

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