COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS
Objective: To perform a comparative analysis of the intraoperative outcomes of endovascular treatment methods for coronary artery calcification (CAC). Methods: A total of 209 patients with coronary artery disease (CAD) were examined and underwent surgery between 2017 and 2022. These patients were...
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Avicenna Tajik State Medical University
2025-07-01
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| Online Access: | https://doi.org/10.25005/2074-0581-2025-27-2-350-361 |
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| author | A.S. FEDOROV, A.N. SHISHKEVICH, V.N. KRAVCHUK, SH.M. ASADULAEV, O.YA. POREMBSKAYA, E.I. UMANTSEV, U.M. MURATBEKOVA |
| author_facet | A.S. FEDOROV, A.N. SHISHKEVICH, V.N. KRAVCHUK, SH.M. ASADULAEV, O.YA. POREMBSKAYA, E.I. UMANTSEV, U.M. MURATBEKOVA |
| author_sort | A.S. FEDOROV, A.N. SHISHKEVICH, V.N. KRAVCHUK, SH.M. ASADULAEV, O.YA. POREMBSKAYA, E.I. UMANTSEV, U.M. MURATBEKOVA |
| collection | DOAJ |
| description | Objective: To perform a comparative analysis of the intraoperative outcomes of endovascular treatment methods for coronary artery calcification (CAC).
Methods: A total of 209 patients with coronary artery disease (CAD) were examined and underwent surgery between 2017 and 2022. These patients were divided into two comparable groups: the main group, which consisted of 71 patients operated on using a combination of rotational atherectomy (RA) followed by angioplasty and stenting of the coronary artery, and the control group, which included 138 patients who were treated using the standard technique of balloon angioplasty with stenting. This control group also included 14 patients whose surgeries required RA to be completed. In the main group, a rotating abrasive burr was utilized for the RA procedure, and a guide extension catheter was used when necessary. All patients in both groups received the sirolimus-eluting coronary stent.
Results: The following parameters were used to evaluate the intraoperative outcomes: operation time, radiography examination time, surgical success rate (%), radiation exposure to the patient measured by absorbed dose expressed in milligrays (mGy), and equipment consumption (angioplasty balloons, guidewires). The duration of surgery, RG examination time, and absorbed radiation dose in the main group were statistically significantly lower than those in the control group, with p-values of 0.0293, 0.0448, and 0.0355, respectively. The surgical success rate in the main group was 100%, compared to 89.9% in the control group, which was statistically significant (p<0.05). The total number of guidewires and balloons used was as follows: in the main group, 107 guidewires and 179 angioplasty balloons were consumed for 71 patients (averaging 1.5 guidewires and 2.5 balloons per patient), while in the control group, 302 guidewires and 659 balloons were used for 138 patients (averaging 2.2 guidewires and 4.8 balloons per patient). These calculations indicate that the main group utilized almost 1.5 times fewer guidewires and nearly twice as few angioplasty balloons as the control group (p<0.05).
Conclusion: Comparative evaluation of intraoperative results substantiates the effectiveness of endovascular treatment of CAC using rotational atherectomy |
| format | Article |
| id | doaj-art-16ff2b9e178743ba80142ec9f45997d2 |
| institution | DOAJ |
| issn | 2074-0581 2959-6327 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj-art-16ff2b9e178743ba80142ec9f45997d22025-08-20T02:43:25ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272025-07-0127235036110.25005/2074-0581-2025-27-2-350-361COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTSA.S. FEDOROV, A.N. SHISHKEVICH, V.N. KRAVCHUK, SH.M. ASADULAEV, O.YA. POREMBSKAYA, E.I. UMANTSEV, U.M. MURATBEKOVA0North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russian FederationObjective: To perform a comparative analysis of the intraoperative outcomes of endovascular treatment methods for coronary artery calcification (CAC). Methods: A total of 209 patients with coronary artery disease (CAD) were examined and underwent surgery between 2017 and 2022. These patients were divided into two comparable groups: the main group, which consisted of 71 patients operated on using a combination of rotational atherectomy (RA) followed by angioplasty and stenting of the coronary artery, and the control group, which included 138 patients who were treated using the standard technique of balloon angioplasty with stenting. This control group also included 14 patients whose surgeries required RA to be completed. In the main group, a rotating abrasive burr was utilized for the RA procedure, and a guide extension catheter was used when necessary. All patients in both groups received the sirolimus-eluting coronary stent. Results: The following parameters were used to evaluate the intraoperative outcomes: operation time, radiography examination time, surgical success rate (%), radiation exposure to the patient measured by absorbed dose expressed in milligrays (mGy), and equipment consumption (angioplasty balloons, guidewires). The duration of surgery, RG examination time, and absorbed radiation dose in the main group were statistically significantly lower than those in the control group, with p-values of 0.0293, 0.0448, and 0.0355, respectively. The surgical success rate in the main group was 100%, compared to 89.9% in the control group, which was statistically significant (p<0.05). The total number of guidewires and balloons used was as follows: in the main group, 107 guidewires and 179 angioplasty balloons were consumed for 71 patients (averaging 1.5 guidewires and 2.5 balloons per patient), while in the control group, 302 guidewires and 659 balloons were used for 138 patients (averaging 2.2 guidewires and 4.8 balloons per patient). These calculations indicate that the main group utilized almost 1.5 times fewer guidewires and nearly twice as few angioplasty balloons as the control group (p<0.05). Conclusion: Comparative evaluation of intraoperative results substantiates the effectiveness of endovascular treatment of CAC using rotational atherectomyhttps://doi.org/10.25005/2074-0581-2025-27-2-350-361coronary artery calcificationendovascular treatmentmyocardial revascularizationballoon angioplastyrotational atherectomystenting. |
| spellingShingle | A.S. FEDOROV, A.N. SHISHKEVICH, V.N. KRAVCHUK, SH.M. ASADULAEV, O.YA. POREMBSKAYA, E.I. UMANTSEV, U.M. MURATBEKOVA COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS Паёми Сино coronary artery calcification endovascular treatment myocardial revascularization balloon angioplasty rotational atherectomy stenting. |
| title | COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS |
| title_full | COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS |
| title_fullStr | COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS |
| title_full_unstemmed | COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS |
| title_short | COMPARATIVE ANALYSIS OF ENDOVASCULAR TREATMENT METHODS FOR CORONARY ARTERY CALCIFICATION DURING STENTING: INTRAOPERATIVE STUDY RESULTS |
| title_sort | comparative analysis of endovascular treatment methods for coronary artery calcification during stenting intraoperative study results |
| topic | coronary artery calcification endovascular treatment myocardial revascularization balloon angioplasty rotational atherectomy stenting. |
| url | https://doi.org/10.25005/2074-0581-2025-27-2-350-361 |
| work_keys_str_mv | AT asfedorovanshishkevichvnkravchukshmasadulaevoyaporembskayaeiumantsevummuratbekova comparativeanalysisofendovasculartreatmentmethodsforcoronaryarterycalcificationduringstentingintraoperativestudyresults |