Всего найдено: 2

Simultaneous transluminal coronary interventions (TCI) (stenting) of the right coronary artery and major branches of the left coronary artery in patients with ischemic heart disease

DOI: https://doi.org/10.25512/DIR.2007.01.3.05

For quoting:
Goloschapov-Aksenov R.S., Skrubert V.S., Vokuev I.A., Pavlov A.B., Gubanova T.L., Istomina I.A. "Simultaneous transluminal coronary interventions (TCI) (stenting) of the right coronary artery and major branches of the left coronary artery in patients with ischemic heart disease". Journal Diagnostic & interventional radiology. 2007; 1(3); 29-38.

authors:

Goloschapov-Aksenov R.S.

Skrubert V.S.

Vokuev I.A.

Pavlov A.B.

Gubanova T.L.

Istomina I.A.

keywords:

coronary artery disease

complete myocardial revascularization

stenting

Abstract:

Authors present results of simultaneous transluminal coronary interventions (TCI) (stenting) in coronary patients with triple vessel disease. Stenting of right coronary artery (RCA) and major branches of left coronary artery (LCA) was performed in 44 patients with coronary artery disease, having angina of III—IV functional classes. In total 1 83 coronary stents were implanted (1 66 «Cypher» and 17 «BxVelocity»). Stents «Bx Velocity» were used only coronary arteries with diameter > 3,5 mm. 3 stents were implanted in 22 cases, 4 — in 9, 5 — in 4, 6 — in 4 and 7 — in 7. TCI were successful in all patients, with restoration of coronary blood flow up to TIMI III through stented segments. Clinical effectiveneness of TCI during long-term follow-up (up to 32 months) was 100%, patient's survival — 90,9%. In 3 patients (6,8%) restenosis developed inside drug-coated stents (4,8%). Repeated stenting was performed with satisfactory clinical and angiographic results. Complete transluminal coronary revascularization is an effective method for treatment of patients with multiple coronary lesions. It provides return to high level of life quality.

Reference

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Endovascular methods in complex treatment strategy for myocardial infarction in patients in coronary multivessel disease

DOI: https://doi.org/10.25512/DIR.2010.04.2.04

For quoting:
Goloschapov-Aksenov R.S., Zhamgyrchev Sh.T., Ternovykh M.V., Lebedev A.V., Obidin A.V. "Endovascular methods in complex treatment strategy for myocardial infarction in patients in coronary multivessel disease". Journal Diagnostic & interventional radiology. 2010; 4(2); 21-28.

authors:

Goloschapov-Aksenov R.S.

Zhamgyrchev Sh.T.

Ternovykh M.V.

Lebedev A.V.

Obidin A.V.

keywords:

myocardial infarction

endovascular interventions

complete anatomical coronary revascularization

PTCA

coronary stenting

Abstract:

Purpose. To assess safety and efficiency of simultaneous RCA and major branches of LCA stenting in patients with myocardial infarction (MI).

Material and methods. Authors analyzed data of 237 patients. Coronary angiography (CAG) revealed triple vessel stenotic and/or occlusive disease. Pre-procedure systemic thrombolysis (streptokinase) used in 54 patients. Endovascular interventions (PTCA and stenting of the infarct related artery) performed in all the cases; in 24 patients, simultaneous complete anatomical coronary revascularization (CACR) attempted. In 30 cases, after PTCA of the infarct related artery (PTCA IRA) patients were transferred to other hospitals for bypass surgery as a second stage.

Results. Systemic thrombolysis efficiency was 40 %(22 patients) according to echocardiography and 26% (14 patients) by CAG. TIMI III flow restored in 100%, immediate clinical success rate was 97,5%. There were no procedural complications. Six patients died early after the PTCA for cerebral hemorrhage, acute LV failure, and LV rupture. Absence of myocardial ischemia in CACR subgroup was confirmed clinically and in treadmill test. Patients of PTCA IRA subgroup presented with angina of various functional class.

Conclusions. Endovascular interventions are highly efficient as a component of complex IM treatment. Primary CACR is proved to decrease symptoms of myocardial ischemia.

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