Factors affecting the availability of hybrid cerebral and myocardial revascularization
Aim. To analyze factors affecting the availability of hybrid cerebral and myocardial revascularization by synchronous percutaneous coronary intervention (PCI) and carotid endarterectomy (CEA).Material and methods. This retrospective study included 263 patients with coronary and internal carotid arte...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2023-02-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/3312 |
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| author | R. S. Tarasov A. I. Danilovich |
| author_facet | R. S. Tarasov A. I. Danilovich |
| author_sort | R. S. Tarasov |
| collection | DOAJ |
| description | Aim. To analyze factors affecting the availability of hybrid cerebral and myocardial revascularization by synchronous percutaneous coronary intervention (PCI) and carotid endarterectomy (CEA).Material and methods. This retrospective study included 263 patients with coronary and internal carotid artery involvement undergoing PCI and CEA during the period from 2011 to 2017.Results. The study revealed the following factors increasing the availability of revascularization: hybrid cerebral and myocardial revascularization, successful PCI using drug-eluting stents, postPCI TIMI flow grade 3, and radial access for PCI. The following factors reduced the availability: polyvascular disease >50% in three beds, prior PCI, left ventricular ejection fraction <50%, left coronary artery involvement, living without a family, staged revascularization, CEA before PCI, unsuccessful/complicated PCI with post-PCI TIMI flow grades of 0-1, residual SYNTAX score >9, emergency hospitalization and multiple emergency PCI of the coronary arteries in the long-term follow-up period.Conclusion. Comprehensive analysis of clinical, demographic, anatomical, angiographic, and perioperative factors made it possible to identify predictors that affect the availability of hybrid revascularization. |
| format | Article |
| id | doaj-art-3dbf88b5728d43b48b5d027da14e441d |
| institution | Kabale University |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2023-02-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-3dbf88b5728d43b48b5d027da14e441d2025-08-20T03:57:18Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-02-0122110.15829/1728-8800-2023-33122626Factors affecting the availability of hybrid cerebral and myocardial revascularizationR. S. Tarasov0A. I. Danilovich1Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesAim. To analyze factors affecting the availability of hybrid cerebral and myocardial revascularization by synchronous percutaneous coronary intervention (PCI) and carotid endarterectomy (CEA).Material and methods. This retrospective study included 263 patients with coronary and internal carotid artery involvement undergoing PCI and CEA during the period from 2011 to 2017.Results. The study revealed the following factors increasing the availability of revascularization: hybrid cerebral and myocardial revascularization, successful PCI using drug-eluting stents, postPCI TIMI flow grade 3, and radial access for PCI. The following factors reduced the availability: polyvascular disease >50% in three beds, prior PCI, left ventricular ejection fraction <50%, left coronary artery involvement, living without a family, staged revascularization, CEA before PCI, unsuccessful/complicated PCI with post-PCI TIMI flow grades of 0-1, residual SYNTAX score >9, emergency hospitalization and multiple emergency PCI of the coronary arteries in the long-term follow-up period.Conclusion. Comprehensive analysis of clinical, demographic, anatomical, angiographic, and perioperative factors made it possible to identify predictors that affect the availability of hybrid revascularization.https://cardiovascular.elpub.ru/jour/article/view/3312multifocal atherosclerosishybrid revascularizationcarotid endarterectomypercutaneous coronary interventionrevascularization availability factors |
| spellingShingle | R. S. Tarasov A. I. Danilovich Factors affecting the availability of hybrid cerebral and myocardial revascularization Кардиоваскулярная терапия и профилактика multifocal atherosclerosis hybrid revascularization carotid endarterectomy percutaneous coronary intervention revascularization availability factors |
| title | Factors affecting the availability of hybrid cerebral and myocardial revascularization |
| title_full | Factors affecting the availability of hybrid cerebral and myocardial revascularization |
| title_fullStr | Factors affecting the availability of hybrid cerebral and myocardial revascularization |
| title_full_unstemmed | Factors affecting the availability of hybrid cerebral and myocardial revascularization |
| title_short | Factors affecting the availability of hybrid cerebral and myocardial revascularization |
| title_sort | factors affecting the availability of hybrid cerebral and myocardial revascularization |
| topic | multifocal atherosclerosis hybrid revascularization carotid endarterectomy percutaneous coronary intervention revascularization availability factors |
| url | https://cardiovascular.elpub.ru/jour/article/view/3312 |
| work_keys_str_mv | AT rstarasov factorsaffectingtheavailabilityofhybridcerebralandmyocardialrevascularization AT aidanilovich factorsaffectingtheavailabilityofhybridcerebralandmyocardialrevascularization |