СОВРЕМЕННЫЕ ПОДХОДЫ К ПРОФИЛАКТИКЕ, ОЦЕНКЕ И ЛЕЧЕНИЮ ОСЛОЖНЕНИЙ ЭНДОВАСКУЛЯРНЫХ ВМЕШАТЕЛЬСТВ НА КОРОНАРНЫХ АРТЕРИЯХ. ЧАСТЬ II. ДИССЕКЦИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ, ПРАВОЙ КОРОНАРНОЙ АРТЕРИИ С ПЕРЕХОДОМ ДИССЕКЦИИ НА АОРТУ

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Аннотация

ЦЕЛЬ ИССЛЕДОВАНИЯ. Анализ частоты и причин диссекции ствола левой коронарной артерии, правой коронарной артерии с переходом диссекции на аорту при диагностических и эндоваскулярных вмешательствах; современные подходы к лечению таких осложнений.

МАТЕРИАЛ И МЕТОДЫ. Проанализированы результаты эндоваскулярных вмешательств у 2317 больных. Диссекция ствола левой коронарной артерии возникла у 3 больных (0,13%), в одном случае с распространением на аорту.

РЕЗУЛЬТАТЫ. Cтентирование ствола левой коронарной артерии с закрытием расслоения оказалось эффективным в 2 случаях, в одном наблюдении диссекция сразу не была выявлена.

ВЫВОДЫ. Стентирование для закрытия начала диссекции («входных ворот») является основным методом для ликвидации осложнения; при относительно ограниченных по протяженности диссекциях без тенденции к распространению возможно консервативное ведение больных. 


Об авторе

С. А. Прозоров
НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы, Москва
Россия
д.м.н., ведущий научный сотрудник отделения рентгенохирургических методов диагностики и лечения


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Дополнительные файлы

Для цитирования: Прозоров С.А. СОВРЕМЕННЫЕ ПОДХОДЫ К ПРОФИЛАКТИКЕ, ОЦЕНКЕ И ЛЕЧЕНИЮ ОСЛОЖНЕНИЙ ЭНДОВАСКУЛЯРНЫХ ВМЕШАТЕЛЬСТВ НА КОРОНАРНЫХ АРТЕРИЯХ. ЧАСТЬ II. ДИССЕКЦИЯ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ, ПРАВОЙ КОРОНАРНОЙ АРТЕРИИ С ПЕРЕХОДОМ ДИССЕКЦИИ НА АОРТУ. Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь». 2014;(3):16-21.

For citation: Prozorov S.A. CURRENT APPROACHES TO THE PREVENTION, EVALUATION AND TREATMENT OF COMPLICATIONS DURING ENDOVASCULAR CORONARY ARTERY INTERVENTIONS. PART II. DISSECTION OF THE LEFT MAIN CORONARY ARTERY AND THE RIGHT CORONARY ARTERY, INVOLVING THE AORTA. Russian Sklifosovsky Journal "Emergency Medical Care". 2014;(3):16-21. (In Russ.)

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