cardioКардиологияKardiologiia0022-90402412-5660Kardiomagcardio-356Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИКлиническое наблюдение успешного результата баллонной ангиопластики правой коронарной артерии сердца спустя четырнадцать лет после процедуры у пациентки с хронической формой ишемической болезни сердцаClinical observation of the successful outcome of balloon angioplasty of the right coronary artery of the heart fourteen years after the procedure in a patient with chronic ischemic heart diseasehttps://orcid.org/0000-0003-4885-0293ИоселианиД. Г.IosselianiD. G.

Заведующий кафедрой интервенционной кардиоангиологии ФПО МГМУ им. И.М. Сеченова (Сеченовский университет)

 

Head of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)

davidgi@mail.ruhttps://orcid.org/0000-0001-8635-0893АсадовДж. А.AsadovD. A.

Доцент кафедры интервенционной кардиоангиологии ФПО МГМУ им. И.М. Сеченова (Сеченовский Университет)

 

 

Assistant professor of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)

asadov_djamil@mail.ruhttps://orcid.org/0000-0002-0010-3961КурочкинаИ. М.KurochkinaI. M.

Студент 5 курса лечебного факультета

 

5th year student of the medical faculty of  First Moscow State Medical Univesity (Sechenov University)

ira491996@mail.ruНПЦ интервенционной кардиоангиологии ФГАОУ ВО «Первый МГМУ им.И.М. Сеченова» Минздрава РФ (Сеченовский Университет)РоссияCenter for cardioangiology of I.M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation201906082019599S5162Copyright © Kardiomag, 20192019KardiomagKardiomaghttps://cardio.elpub.ru/jour/about/submissions#copyrightNoticehttps://cardio.elpub.ru/jour/article/view/356

Как известно, метод изолированной ангиопластики давно перестал быть ведущим интервенционным методом лечения ише‑ мической болезни сердца. В данном клиническом наблюдении описывается пример хорошего 14‑летнего результата баллоной ангиопластики у пациента со стабильной формой стенокардии. На конкретном примере демонстрируется прекрасный супе‑ ротдаленный результат такой процедуры на правой коронарной артерии с применением дополнительного метода внутрисо‑ судистой визаулизации – оптико-когерентной томографии. С помощью метода детально описывается состояние сосудистой стенки в  зоне вмешательства, а  также репаративных процессов в  слоях артерии. Особое внимание отдельно акцентируется на прогрессировании атеросклероза в других, ранее скомпрометированных коронарных артериях. Представленное клиниче‑ ское наблюдение позволяет по‑новому взглянуть на уже исторический метод малоинвазивного восстановления проходимости сосудов сердца.

The method of isolated angioplasty has long ceased to be the leading interventional method of treating ischemic heart disease. This clinical case study describes an example of a good fourteen-year result of balloon angioplasty in a patient with stable angina pectoris. A specific example demonstrates the excellent super-long-distance result of such a procedure on the right coronary artery using an additional method of intravascular vizualization – optical coherent tomography. Using the method, the state of the vascular wall in the intervention zone is described in detail, as well as reparative processes in the layers of the artery. Special attention is focused on the progression of atherosclerosis in other previously compromised coronary arteries. The pre‑ sented clinical observation allows for a new look at the already historical method of minimally invasive restoration of vascular patency of the heart.

баллонная ангиопластикаоптическая когерентная томографиякоронарографияballoon angioplastyOCTcoronary angiographyПотенциальных конфликтов интересов нет.ReferencesWorld Health Organization. World health statistics 2018: monitoring health for the SDGs. 2018. ISBN 978-92-4-156558-5World Health Organization. World health statistics 2018: monitoring health for the SDGs. 2018. ISBN 978-92-4-156558-5Суринов А.Е. Россия в цифрах. Краткий статистический сборник. – М.: Росстат, 2018. – 522с. ISBN 978-5-89476-450-4Surinov A.E. Russia in numbers. Statistical compendium. – M.: Rosstat;2018. – 522 p. ISBN 978-5-89476-450-4Schumacher HC, Meyers PM, Higashida RT, Derdeyn CP, Lavine SD, Nesbit GM et al. Reporting Standards for Angioplasty and Stent-assisted Angioplasty for Intracranial Atherosclerosis. Journal of Vascular and Interventional Radiology. 2009;20(7 Suppl):S451–73. DOI: 10.1016/j.jvir.2009.03.005Schumacher HC, Meyers PM, Higashida RT, Derdeyn CP, Lavine SD, Nesbit GM et al. Reporting Standards for Angioplasty and Stent-assisted Angioplasty for Intracranial Atherosclerosis. Journal of Vascular and Interventional Radiology. 2009;20(7 Suppl):S451–73. DOI: 10.1016/j.jvir.2009.03.005El-Mourad M, Merveille P, Preumont N. Myocardial ischemia in general medicine and the revolution of coronary stents. Revue Medicale De Bruxelles. 2014;35(4):306–11. PMID: 25675635El-Mourad M, Merveille P, Preumont N. Myocardial ischemia in general medicine and the revolution of coronary stents. Revue Medicale De Bruxelles. 2014;35(4):306–11. PMID: 25675635Serruys P. ARTS I-the rapamycin eluting stent; ARTS II-the rosy prophecy. European Heart Journal. 2002;23(10):757–9. DOI: 10.1053/euhj.2001.3020Serruys P. ARTS I-the rapamycin eluting stent; ARTS II-the rosy prophecy. European Heart Journal. 2002;23(10):757–9. DOI: 10.1053/euhj.2001.3020Mintz GS, Popma JJ, Pichard AD, Kent KM, Satler LF, Chiu Wong S et al. Arterial Remodeling After Coronary Angioplasty: A Serial Intravascular Ultrasound Study. Circulation. 1996;94(1):35–43. DOI: 10.1161/01.CIR.94.1.35Mintz GS, Popma JJ, Pichard AD, Kent KM, Satler LF, Chiu Wong S et al. Arterial Remodeling After Coronary Angioplasty: A Serial Intravascular Ultrasound Study. Circulation. 1996;94(1):35–43. DOI: 10.1161/01.CIR.94.1.35Wang G, Zhao Q, Chen Q, Zhang X, Tian L, Zhang X. Comparison of drug-eluting balloon with repeat drug-eluting stent for recurrent drug-eluting stent in-stent restenosis: Coronary Artery Disease. 2019;Aug 27. [Epub ahead of print]. DOI: 10.1097/ MCA.0000000000000784Wang G, Zhao Q, Chen Q, Zhang X, Tian L, Zhang X. Comparison of drug-eluting balloon with repeat drug-eluting stent for recur rent drug-eluting stent in-stent restenosis: Coronary Artery Disease. 2019;Aug 27. [Epub ahead of print]. DOI: 10.1097/ MCA.0000000000000784Gaspard Ph. The History of Coronary Angioplasty. [Internet] Available at: https://www.yumpu.com/en/document/read/27878013/thehistory-of-coronary-angioplastyGaspard Ph. The History of Coronary Angioplasty. [Internet] Available at: https://www.yumpu.com/en/document/read/27878013/thehistory-of-coronary-angioplastyNeumann F-J, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. EuroIntervention. 2019;14(14):1435–534. DOI: 10.4244/EIJY19M01_01Neumann F-J, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. EuroIntervention. 2019;14(14):1435–534. DOI: 10.4244/EIJY19M01_01Slodownik D, Danenberg C, Merkin D, Swaid F, Moshe S, Ingber A et al. Coronary stent restenosis and the association with allergy to metal content of 316L stainless steel. Cardiovascular Journal of Africa. 2018;29(1):43–5. DOI: 10.5830/CVJA-2017-036Slodownik D, Danenberg C, Merkin D, Swaid F, Moshe S, Ingber A et al. Coronary stent restenosis and the association with allergy to metal content of 316L stainless steel. Cardiovascular Journal of Africa. 2018;29(1):43–5. DOI: 10.5830/CVJA-2017-036Thyssen JP, Menné T. Metal Allergy—A Review on Exposures, Penetration, Genetics, Prevalence, and Clinical Implications. Chemical Research in Toxicology. 2010;23(2):309–18. DOI: 10.1021/tx9002726Thyssen JP, Menné T. Metal Allergy—A Review on Exposures, Penetration, Genetics, Prevalence, and Clinical Implications. Chemical Research in Toxicology. 2010;23(2):309–18. DOI: 10.1021/tx9002726Jeger RV, Farah A, Ohlow M-A, Mangner N, Möbius-Winkler S, Leibundgut G et al. Drug-coated balloons for small coronary artery disease (BASKET-SMALL 2): an open-label randomised non-inferiority trial. The Lancet. 2018;392(10150):849–56. DOI: 10.1016/ S0140-6736(18)31719-7Jeger RV, Farah A, Ohlow M-A, Mangner N, Möbius-Winkler S, Leibundgut G et al. Drug-coated balloons for small coronary artery disease (BASKET-SMALL 2): an open-label randomised non-inferiority trial. The Lancet. 2018;392(10150):849–56. DOI: 10.1016/ S0140-6736(18)31719-7

The authors declare that there are no conflicts of interest present.