Clinical 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 disease
Abstract
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.
About the Authors
D. G. Iosseliani
Center for cardioangiology of I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Head of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)
Russian Federation
Head of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)
D. A. Asadov
Center for cardioangiology of I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Assistant professor of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)
Russian Federation
Assistant professor of the Department of Interventional Cardioangiology Faculty of Postgraduate Education First Moscow State Medical Univesity (Sechenov University)
I. M. Kurochkina
Center for cardioangiology of I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
5th year student of the medical faculty of First Moscow State Medical Univesity (Sechenov University)
Russian Federation
5th year student of the medical faculty of First Moscow State Medical Univesity (Sechenov University)
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Review
For citations:
Iosseliani D.G., Asadov D.A., Kurochkina I.M. Clinical 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 disease. Kardiologiia. 2019;59(9S):51-62. (In Russ.)
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