15 -1 (51) 2023 — Kakharov I.I. — FEATURES OF LESIONS OF THE LEFT CORANARY ARTERY IN PATIENTS WITH CORONARY HEART DISEASE

FEATURES OF LESIONS OF THE LEFT CORANARY ARTERY IN PATIENTS WITH CORONARY HEART DISEASE

Kakharov I.I. Republican Center for Scientific and Practical Medicine of Cardiology, Tashkent, Uzbekistan

Resume

Analysis of the degree of damage to the trunk of the left coronary artery (LCA) in patients with coronary heart disease showed that the degree of stenosis was 75.3±5.2%. Acute occlusion of the LCA trunk occurred in 10 (6.7%) patients. An isolated lesion of the LCA was determined in 5 (3.4%) patients, a lesion of the body of the trunk in 29 (19.5%) and a lesion of the trunk of the LCA in 59 (39.6%) patients. Bifurcation lesion of the LCA trunk with transition to large branches of the system was observed in 55 (36.9%) patients.

Key words: coronary heart disease, coronary arteries, stem lesion

First page

86

Last page

89

For citation: Kakharov I.I. – FEATURES OF LESIONS OF THE LEFT CORANARY ARTERY IN PATIENTS WITH CORONARY HEART DISEASE //New Day in Medicine 1(51)2023 86-89 https://clck.ru/33L9Yr

LIST OF REFERENCES:

  1. Бадоян А.Г., Хелимский Д.А., Шермук А.А., Крестьянинов О.В. и др. Хронические окклюзии коронарных артерий: когда польза превышает риск? //Российский кардиологический журнал. 2019;(8):116-123.
  2. Батыралиев Т.А., Фетцер Д.В., Карбен 3.А., Сидоренко Б.А. Стентирование «незащищенного» ствола левой коронарной артерии: осложнения при 3-летнем наблюдении. //Кардиология. – 2019. Т. 47. №2. C. 22–26.
  3. Рекомендации ESC/EACTS по реваскуляризации миокарда 2018. //Российский кардиологический журнал. 2019;(8):151-226.
  4. Ali W.E., Vaidya S.R., Ejeh S.U., Okoroafor K.U. Meta-analysis study comparing percutaneous coronary intervention/drug eluting stent versus coronary artery bypass surgery of unprotected left main coronary artery disease: Clinical outcomes during short-term versus long-term (>1 year) follow-up. //Medicine (Baltimore). 2018 Feb;97(7): e9909.
  5. Ben-Dor I., Waksman R. Treatment of Left Main Disease: Let the Patient Choose. //J Am Heart Assoc. 2021 Jul 20;10(14):e021990.
  6. Campanile A., Castellani C., Santucci A. et al. Predictors of in-hospital and long-term mortality in unselected patients admitted to a modern coronary care unit. //J. Cardiovasc. Med. (Hagerstown). 2019; 20 (5): 327–34.
  7. Garg A., Rout A., Raheja H., Hakeem H., Sharma S. Long-term follow-up of percutaneous coronary intervention versus coronary artery bypass grafting in left main coronary artery disease: A systematic review and meta-analysis. //Catheter Cardiovasc Interv. 2021 Sep;98(3):427-433.
  8. Knuuti J. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC). //Russian Journal of Cardiology. 2020;25(2):3757.
  9. Liu H., Tao H., Han X., Lu Y. et al. Improved Outcomes of Combined Main Branch Stenting and Side Branch Drug-Coated Balloon versus Two-Stent Strategy in Patients with Left Main Bifurcation Lesions. //J Interv Cardiol. 2022 Jan 11;2022:8250057.
  10. Tödt T., Götberg M., Isma N., Yndigegn T. et al. Trends in Clinical Practice and Outcomes After Percutaneous Coronary Intervention of Unprotected Left Main Coronary Artery. //J Am Heart Assoc. 2022 Apr 5;11(7):e024040.
  11. Yoon Y.H., Ahn J.M., Lee J.B. Et al. Therapeutic Options for Left Main, Left Main Equivalent, and Three-Vessel Disease. //Int J Angiol. 2021 Mar;30(1):76-82.
  12. Zhang Q., Wang B., Han Y., Sun S., Lv R., Wei S. Short- and Long-Term Prognosis of Intravascular Ultrasound-Versus Angiography-Guided Percutaneous Coronary Intervention: A Meta-Analysis Involving 24,783 Patients. //J Interv Cardiol. 2021 Oct 15;2021:6082581.

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