The use of endovascular hemostasis in the treatment of coronary artery perforation as a complication during recanalization of chronic occlusion
- Authors: Borisov I.A.1, Shilin D.A.1, Grigoryan R.F.1, Zyubin E.A.1
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Affiliations:
- The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Issue: Vol 344, No 12 (2023)
- Pages: 64-66
- Section: Brief articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/630697
- DOI: https://doi.org/10.52424/00269050_2023_344_12_64
- ID: 630697
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Abstract
Recanalization of chronic occlusions of the coronary arteries is a complex and difficult procedure, associated with a high incidence of intraoperative complications. One of the most serious complications is the perforation of the artery wall with a metal conductor. The article presents the experience of using endovascular balloon hemostasis to treat perforations, on the basis of which it is concluded that achieving endovascular hemostasis through long-term inflation of a balloon in perforation of the coronary artery, which arose in the process of recanalization of chronic occlusion of the coronary bed, is a relatively safe and effective method of stopping bleeding and treatment of this complication. It is important to note that this method requires a highly skilled operator and must be accompanied by continuous monitoring of vital signs.
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About the authors
I. A. Borisov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: borisov@sokolniki-cardio.ru
Russian Federation, Moscow
D. A. Shilin
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: borisov@sokolniki-cardio.ru
Russian Federation, Moscow
R. F. Grigoryan
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: borisov@sokolniki-cardio.ru
Russian Federation, Moscow
E. A. Zyubin
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: borisov@sokolniki-cardio.ru
Russian Federation, Moscow
References
- Бадоян А.Г., Хелимский Д.А., Шермук А.А. и др. Хронические окклюзии коронарных артерий: когда польза превышает риск? // Рос. кардиол. журн. – 2019. – № 8. – С. 116–123.
- Есипов А.В., Лищук А.Н., Колтунов А.Н., Есион Г.А., Карпенко И.Г. Диагностика и лечение хронической сердечной недостаточности в условиях специализированного стационара // Воен.-мед. журн. – 2017. – Т. 338, № 1. – С. 28–33.
- Есипов А.В., Шкловский Б.Л., Иванов В.А. и др. Результаты эндоваскулярного лечения больных с острым коронарным синдромом // Междунар. журн. интервенц. кардиоангиол. – 2017. – № 48–49. – С. 42.
- Brilakis E.S., Banerjee S., Karmpaliotis D. et al. Procedural outcomes of chronic total occlusion percutaneous coronary intervention: a report from the NCDR (National Cardiovascular Data Registry) // JACC Cardiovasc. Interv. – 2015. – N 8. – P. 245–253. doi: 10.1016/j.jcin.2014.08.014
- Maeremans J., Walsh S., Knaapen P. et al. The hybrid algorithm for treating chronic total occlusions in Europe: the RECHARGE Registry // J. Am. Coll. Cardiol. – 2016. – Vol. 68. – P. 1958–1970. doi: 10.1016/j.jacc. 2016.08.034
- Sapontis J., Salisbury A.C., Yeh R.W. et al. Early procedural and health status outcomes after chronic total occlusion angioplasty: a report from the OPENЃ]CTO Registry (Outcomes, Patient Health Status, and Efficiency in Chronic Total Occlusion Hybrid Procedures) // JACC Cardiovasc. Interv. – 2017. – N 10. – P. 1523–1534. doi: 10.1016/j.jcin.2017.05.065
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).