Abstract:

Purpose. To assess the effectiveness of palliative endovascular interventions in patients with CTO anatomy infavorable for recanalisation.

Material and methods. The authors analyzed the results of interventions in 60 patients (50 male (83,3%), 10 female (16,7%)) aged 38 – 75 years (mean age 53,9±3,2), with occlusive coronary disease. Palliative revascularizations were performed in 30 patients, and CTO recanalization was done in 30 cases. The LV function was assessed echocardiographically in both groups before and after the intervention.

Results. 12 month follow-up showed significant improvement or normalization of LV function in both groups. Results of palliative interventions were shown to be as effective as recanalization of CTO.

Conclusions. Endovascular palliation is effective in treatment of patients with coronary CTO. It results in myocardial function improvement comparable to that in patients with complete coronary revascularization.   

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Abstract:

Aim. Was to investigate features of interposition of coronary bifurcations with different localizations in the aspect of their endovascular corrections, on the base of angiographycal imaging

Materials and methods. For research 238 patients were selected (193 men, 36 women) with 255 bifurcations - all the patients before stenting were underwent coronar arteries angiography (KAG). Registration and imaging processing were made on Axiom Artis dFC («Siemens») and CS-60 («Omega»). Omnipaque 350 mgl/ml («Nycomed/GE Healthcare») was used as contrast agent on KAG Results. Dimensional structure of coronary bifurcations is very variable. Main branch (MB) rarely has rectilinear course. Most spread bifurcation angle was between proximal and distal MB segments, less spread - between distal segment of MB and lateral brunch (LB).

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