RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS
Chronic total occlusion of coronary arteries is a condition that is technically difficult to solve by the x-ray surgical methods of treatment, and that is one of the decisive factors in favor of coronary artery bypass grafting. The article presents the results about 27 retrograde recanalization of c...
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| Format: | Article |
| Language: | English |
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Bashkir State Medical University
2017-04-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/205 |
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| author | A. A. Larionov D. P. Gaponov M. G. Gorbunov D. A. Korzh T. N. Kudba S. A. Kuznetsov |
| author_facet | A. A. Larionov D. P. Gaponov M. G. Gorbunov D. A. Korzh T. N. Kudba S. A. Kuznetsov |
| author_sort | A. A. Larionov |
| collection | DOAJ |
| description | Chronic total occlusion of coronary arteries is a condition that is technically difficult to solve by the x-ray surgical methods of treatment, and that is one of the decisive factors in favor of coronary artery bypass grafting. The article presents the results about 27 retrograde recanalization of chronic coronary occlusions and the analysis of reasons of unsuccessful attempts, the frequency and severity of re-operative complications. Retrograde recanalization of chronic total coronary occlusions turned out to be effective in the condition of minimally invasive tactics of myocardial revascularization in single long occlusion. Good distal direction and class CC1 and CC2 collarile appeared to be the main criteria of successful retrograde recanalization. Retrograde recanalization complications are typical for x-ray surgical methods of diagnostics and treatment, they are easily predicted, and the prevention methods are well known and effective. Thus, retrograde recanalization of chronic total coronary occlusions is an efficient way of treatment in case of careful patients’ selection and it should be added to frequently used antegrade recanalization method. The key factors for development and widespread implementation of this method are integration of x-ray surgical methods of diagnostics and treatment together with visualization methods and fluoroscopy with IVUS. |
| format | Article |
| id | doaj-art-9ab742953dcb424daecbd3054ee107f2 |
| institution | Kabale University |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2017-04-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-9ab742953dcb424daecbd3054ee107f22025-08-20T03:57:27ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012017-04-0171101510.24060/2076-3093-2017-7-1-10-15205RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONSA. A. Larionov0D. P. Gaponov1M. G. Gorbunov2D. A. Korzh3T. N. Kudba4S. A. Kuznetsov5Federal State Budgetary Institution “Federal Centre for Cardiovascular Surgery”Federal State Budgetary Institution “Federal Centre for Cardiovascular Surgery”; Federal State Budgetary Educational Institution of Higher Education “Astrakhan State Medical University”Federal State Budgetary Institution “Federal Centre for Cardiovascular Surgery”Federal State Budgetary Institution “Federal Centre for Cardiovascular Surgery”Federal State Budgetary Educational Institution of Higher Education “Astrakhan State Medical University”, Health Ministry of the Russian FederationFederal State Budgetary Educational Institution of Higher Education “Astrakhan State Medical University”, Health Ministry of the Russian FederationChronic total occlusion of coronary arteries is a condition that is technically difficult to solve by the x-ray surgical methods of treatment, and that is one of the decisive factors in favor of coronary artery bypass grafting. The article presents the results about 27 retrograde recanalization of chronic coronary occlusions and the analysis of reasons of unsuccessful attempts, the frequency and severity of re-operative complications. Retrograde recanalization of chronic total coronary occlusions turned out to be effective in the condition of minimally invasive tactics of myocardial revascularization in single long occlusion. Good distal direction and class CC1 and CC2 collarile appeared to be the main criteria of successful retrograde recanalization. Retrograde recanalization complications are typical for x-ray surgical methods of diagnostics and treatment, they are easily predicted, and the prevention methods are well known and effective. Thus, retrograde recanalization of chronic total coronary occlusions is an efficient way of treatment in case of careful patients’ selection and it should be added to frequently used antegrade recanalization method. The key factors for development and widespread implementation of this method are integration of x-ray surgical methods of diagnostics and treatment together with visualization methods and fluoroscopy with IVUS.https://www.surgonco.ru/jour/article/view/205retrograde recanalisationcoronary chronic occlusionretrograde dissectionaorta dissection |
| spellingShingle | A. A. Larionov D. P. Gaponov M. G. Gorbunov D. A. Korzh T. N. Kudba S. A. Kuznetsov RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS Креативная хирургия и онкология retrograde recanalisation coronary chronic occlusion retrograde dissection aorta dissection |
| title | RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS |
| title_full | RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS |
| title_fullStr | RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS |
| title_full_unstemmed | RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS |
| title_short | RETROGRADE RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSIONS |
| title_sort | retrograde recanalisation of coronary chronic total occlusions |
| topic | retrograde recanalisation coronary chronic occlusion retrograde dissection aorta dissection |
| url | https://www.surgonco.ru/jour/article/view/205 |
| work_keys_str_mv | AT aalarionov retrograderecanalisationofcoronarychronictotalocclusions AT dpgaponov retrograderecanalisationofcoronarychronictotalocclusions AT mggorbunov retrograderecanalisationofcoronarychronictotalocclusions AT dakorzh retrograderecanalisationofcoronarychronictotalocclusions AT tnkudba retrograderecanalisationofcoronarychronictotalocclusions AT sakuznetsov retrograderecanalisationofcoronarychronictotalocclusions |