Бифуркационные поражения коронарного русла: современные техники эндоваскулярного лечения

Бифуркационные поражения коронарного русла: современные техники эндоваскулярного лечения

Автор: Эралиев Т.К., Хелимский Дмитрий Александрович, Бадоян А.Г., Крестьянинов О.В.

Журнал: Патология кровообращения и кардиохирургия @journal-meshalkin

Рубрика: Обзоры

Статья в выпуске: 2 т.25, 2021 года.

Бесплатный доступ

Бифуркационные поражения - одна из наиболее сложных областей для коронарных интервенций. Бифуркационные поражения составляют 15-20 % атеросклеротических поражений коронарного русла. Трудности лечения данной группы пациентов обусловлены большой вариабельностью анатомических характеристик бифуркаций, множеством подходов к их коррекции, сложностью оценки физиологической значимости изменений в ветвях бифуркации и высоким риском рестеноза в отдаленном периоде. Классификации не позволяют в полной мере прогнозировать исходы у пациентов с бифуркационными поражениями. Provisional-стентирование может применяться в большинстве случаев у пациентов как с ложными, так и истинными бифуркационными поражениями. Цель данной статьи - обзор современных классификаций бифуркационных поражений, рассмотрение методик бифуркационного стентирования, технических этапов их выполнения, а также современной доказательной базы.

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Бифуркация коронарной артерии, стентирование бифуркационных поражений, эндоваскулярное лечение

Короткий адрес: https://sciup.org/142230818

IDR: 142230818   |   DOI: 10.21688/1681-3472-2021-2-38-49

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