Website is intended for physicians



The research covered the results of the endovascular surgical operations in 81 patients with CHD aged 36-76 with bifurcational stenoses of coronary arteries. The peculiarity of the method was the primary delivery of the guides for balloon catheters behind the stenosis area in the "main" and side branches of the left coronary artery. This was prophylaxis of the side artery occlusion after implantation of the "Cypher select" stent into the "main" branch. During the post-operational period (after 6-8 months) 69 patients have passed the examination including coronaroventriculography. The results of the endovascular surgical treatment were successful, no deaths or myocardial infarctions were registered. According to coronarography data, hemodynamically significant stenosis in the stent lumen was observed in 1,2 % cases.



1.      Puel J., Joffre E, Rousseau H. et al. Endoprostheses coronariennes autoexpansives dans le prevention das restenoses apres angioplastie transluminele. Arch. Mai. Coeur, 1987; 8: 1311 - 1312.

2.      Serruys P.W, De Jaegere P.P.T., Kiemeneij E et al. Comparison of Balloon-expandabie stent implantation with balloon angioplasty in patients with coronary artery disease. N. Engl. J. Med., 1994; 331, 489 - 495.

3.      Kastrati A., Dirschinger J., Boekstegers P. et al. Influens of stent design on 1 year outcome after coronary stent placement: A randomized comparisone of five stent types in 1147 unselected patients. Caih. Cardiovasc. Interv., 2000; July, 50(03): 290 - 297.

4.      Reimers В., Colombo A., Tobis J. Bifurcation lesions. In: Colombo A, Tobis J, eds. Techniques in Coronary Artery Stenting. London, Martin Dunitz Ltd, 2000; 171 -204.

5.      Schofer J., Schluter M., Gershlick A.H. et al. Sirolimus-eluting stents for treatment of patients with long atherosclerotic lesions in small coronary arteries: double-blind, randomized controlled trial (E-SIRIUS). Lancet, 2003; 362: 1093 - 1099.

6.      Colombo A., Moses J.W, Morice M.C. et al. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation, 2004; 109: 1244- 1249.

7.      Ge L., Tsagalou E., Iakovou I. et al. In-Hospital and Nine- Month Outcome of Treatment of Coronary Bifurcational Lesions With Sirolimus-Eluting Stent. Am. ]. CardwL, 2005; 95: 757 - 760. (АНГИОЛОГИЯ.ру) - портал о диагностике и лечении заболеваний сосудистой системы