UA95706C2 - METHOD FOR LASER revascularizing osteotrepanation (LAROT) IN THE TREATMENT OF LOWER EXTREMINTYTISSUE ISCHEMIA - Google Patents
METHOD FOR LASER revascularizing osteotrepanation (LAROT) IN THE TREATMENT OF LOWER EXTREMINTYTISSUE ISCHEMIAInfo
- Publication number
- UA95706C2 UA95706C2 UAA201000956A UAA201000956A UA95706C2 UA 95706 C2 UA95706 C2 UA 95706C2 UA A201000956 A UAA201000956 A UA A201000956A UA A201000956 A UAA201000956 A UA A201000956A UA 95706 C2 UA95706 C2 UA 95706C2
- Authority
- UA
- Ukraine
- Prior art keywords
- osteotrepanation
- wavelength
- day
- laser
- larot
- Prior art date
Links
- 208000028867 ischemia Diseases 0.000 title abstract 2
- 238000000034 method Methods 0.000 title abstract 2
- 210000000988 bone and bone Anatomy 0.000 abstract 3
- 210000001519 tissue Anatomy 0.000 abstract 3
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 abstract 2
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 abstract 2
- 238000001802 infusion Methods 0.000 abstract 2
- 241000320529 Allobates femoralis Species 0.000 abstract 1
- KWTQSFXGGICVPE-WCCKRBBISA-N Arginine hydrochloride Chemical compound Cl.OC(=O)[C@@H](N)CCCN=C(N)N KWTQSFXGGICVPE-WCCKRBBISA-N 0.000 abstract 1
- 206010069729 Collateral circulation Diseases 0.000 abstract 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 abstract 1
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 abstract 1
- 208000006735 Periostitis Diseases 0.000 abstract 1
- 230000000844 anti-bacterial effect Effects 0.000 abstract 1
- 229940127218 antiplatelet drug Drugs 0.000 abstract 1
- 230000015572 biosynthetic process Effects 0.000 abstract 1
- 239000008280 blood Substances 0.000 abstract 1
- 210000004369 blood Anatomy 0.000 abstract 1
- 230000006378 damage Effects 0.000 abstract 1
- 229960002768 dipyridamole Drugs 0.000 abstract 1
- 239000000835 fiber Substances 0.000 abstract 1
- 229960002897 heparin Drugs 0.000 abstract 1
- 229920000669 heparin Polymers 0.000 abstract 1
- 229960004194 lidocaine Drugs 0.000 abstract 1
- 210000003141 lower extremity Anatomy 0.000 abstract 1
- 229910052943 magnesium sulfate Inorganic materials 0.000 abstract 1
- 235000019341 magnesium sulphate Nutrition 0.000 abstract 1
- 238000013160 medical therapy Methods 0.000 abstract 1
- 229960003512 nicotinic acid Drugs 0.000 abstract 1
- 235000001968 nicotinic acid Nutrition 0.000 abstract 1
- 239000011664 nicotinic acid Substances 0.000 abstract 1
- 239000002840 nitric oxide donor Substances 0.000 abstract 1
- 210000003460 periosteum Anatomy 0.000 abstract 1
- 239000000106 platelet aggregation inhibitor Substances 0.000 abstract 1
- 229920000642 polymer Polymers 0.000 abstract 1
- 230000002980 postoperative effect Effects 0.000 abstract 1
- 238000002360 preparation method Methods 0.000 abstract 1
- 230000002265 prevention Effects 0.000 abstract 1
- 210000004872 soft tissue Anatomy 0.000 abstract 1
- 238000002693 spinal anesthesia Methods 0.000 abstract 1
- 230000001225 therapeutic effect Effects 0.000 abstract 1
- 210000002303 tibia Anatomy 0.000 abstract 1
- 238000002211 ultraviolet spectrum Methods 0.000 abstract 1
- 230000002792 vascular Effects 0.000 abstract 1
Landscapes
- Materials For Medical Uses (AREA)
Abstract
A method for laser revascularizing osteotrepanation (LAROT) in the treatment of tissue ischemia of the lower extremities comprises the access to a. epigastrica inferior, its catheterization and day and night administration of vascular and antibacterial preparations through the catheter. In parallel, within 20-25 days regional medical therapy is carried out, which comprises the infusion of nitric oxide donor (tivortin - 100 ml/day), angioprotectors - Actovegin (160 mg), antiplatelet agents - dipyridamol 0.5% (2 ml), nicotinic acid 1% (5 ml), lidocaine 2% (4 ml), magnesium sulfate 25% (10 ml), heparin (5000 IU), alprostan 100 µg directly through a catheter a.epigastrica inferior and further a. iliaca ext. into a. femoralis using infusion pumps day and night at the rate of 10-15 ml/hour. The irradiation course of arterial blood through catheterized a.epigastrica inferior with low-energy lasers of red (wavelength 632.8 nm, power 5 mW, the exposure 20-25 min.), infrared (wavelength 850 nm, 5 mW, the exposure 20-25 min.) and UV spectrum with the wavelength 360 nm, power 8.5 mW, the exposure 20-25 min.) using quartz-polymer monofilaments with fiber diameter of 0.4- and length of 30-. Also on 3-4 day of said therapeutic manipulations the tibial percutaneous laser revascularizing osteotrepanation (LAROT) is carried out for what the skin puncture is performed under spinal anesthesia as well as puncture of deep tissues up to the periosteum along the lateral surfaces of the tibia from 4-5 positions on each side at a distance of 2-, the monofilament LED is introduced into puncture needle having diameter and destruction of bone tissue is carried out as a tunnel with high-intensity diode laser with wavelength of 940 nm, in the modulated mode, 50:10, power of 28-32 Wt. The level of osteotrepanation openings on both sides is alternated for prevention of fractures in the postoperative period, and after removal of the monofilament LED the same punction needle in introduced in formed tunnel, which is introduced into the bone with the helical coil to 1.0-, mechanically removing carbonized tissue and expanding osteotrepanation opening, which stimulates the formation of collateral circulation of the soft tissues at the expense of the bone vessels.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| UAA201000956A UA95706C2 (en) | 2010-02-01 | 2010-02-01 | METHOD FOR LASER revascularizing osteotrepanation (LAROT) IN THE TREATMENT OF LOWER EXTREMINTYTISSUE ISCHEMIA |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| UAA201000956A UA95706C2 (en) | 2010-02-01 | 2010-02-01 | METHOD FOR LASER revascularizing osteotrepanation (LAROT) IN THE TREATMENT OF LOWER EXTREMINTYTISSUE ISCHEMIA |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| UA95706C2 true UA95706C2 (en) | 2011-08-25 |
Family
ID=50836686
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| UAA201000956A UA95706C2 (en) | 2010-02-01 | 2010-02-01 | METHOD FOR LASER revascularizing osteotrepanation (LAROT) IN THE TREATMENT OF LOWER EXTREMINTYTISSUE ISCHEMIA |
Country Status (1)
| Country | Link |
|---|---|
| UA (1) | UA95706C2 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2681511C1 (en) * | 2018-03-26 | 2019-03-06 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Курский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Method for stimulating neovasculogenesis in patients with subcritical limb ischemia against the background of chronic obliterating diseases of the lower limb arteries with distal flow occlusion |
| US11202674B2 (en) | 2018-04-03 | 2021-12-21 | Convergent Dental, Inc. | Laser system for surgical applications |
-
2010
- 2010-02-01 UA UAA201000956A patent/UA95706C2/en unknown
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2681511C1 (en) * | 2018-03-26 | 2019-03-06 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Курский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Method for stimulating neovasculogenesis in patients with subcritical limb ischemia against the background of chronic obliterating diseases of the lower limb arteries with distal flow occlusion |
| US11202674B2 (en) | 2018-04-03 | 2021-12-21 | Convergent Dental, Inc. | Laser system for surgical applications |
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