ЧРЕСКОЖНЫЕ КОРОНАРНЫЕ ВМЕШАТЕЛЬСТВА: ВНУТРИСОСУДИСТЫЕ МЕТОДЫ ВИЗУАЛИЗАЦИИ И ИЗМЕРЕНИЕ ВНУТРИКОРОНАРНОЙ ГЕМОДИНАМИКИ

  • А. А. Черняк Гродненский областной клинический кардиологический центр, Гродно, Беларусь; УО "Гродненский государственный медицинский университет", Гродно, Беларусь http://orcid.org/0000-0001-5017-9019
  • М. С. Дешко УО "Гродненский государственный медицинский университет", Гродно, Беларусь http://orcid.org/0000-0002-8446-5651
  • В. А. Снежицкий УО "Гродненский государственный медицинский университет", Гродно, Беларусь http://orcid.org/0000-0002-1706-1243
  • А. В. Янушко Гродненский областной клинический кардиологический центр, Гродно, Беларусь; Гродненский государственный медицинский университет, Гродно, Беларусь
  • А. В. Максимчик Гродненский областной клинический кардиологический центр, Гродно, Беларусь
Ключевые слова: внутрисосудистое ультразвуковое исследование, оптическая когерентная томография, чрескожное коронарное вмешательство, острый коронарный синдром, атеросклеротическая бляшка, фракционный резерв кровотока, моментальный резерв кровотока

Аннотация

Традиционные методы ангиографии коронарных артерий не позволяют получить исчерпывающую информацию о структуре атеросклеротических поражений и выраженности сосудистого стеноза. Внедренные в последние годы методы оптической когерентной томографии и внутрисосудистого ультразвукового исследования демонстрируют высокий диагностический потенциал и клиническую эффективность, подтверждаемую снижением осложнений и смертности пациентов от ишемической болезни сердца. Появление методов измерения фракционного резерва кровотока и моментального резерва кровотока дало надежные критерии для оценки гемодинамически значимых стенозов и позволило более обоснованно подходить к реваскуляризации. В статье рассмотрены основные аспекты клинического использования указанных методов.

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2021-04-05
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Черняк АА, Дешко МС, Снежицкий ВА, Янушко АВ, Максимчик АВ. ЧРЕСКОЖНЫЕ КОРОНАРНЫЕ ВМЕШАТЕЛЬСТВА: ВНУТРИСОСУДИСТЫЕ МЕТОДЫ ВИЗУАЛИЗАЦИИ И ИЗМЕРЕНИЕ ВНУТРИКОРОНАРНОЙ ГЕМОДИНАМИКИ. Журнал ГрГМУ (Journal GrSMU) [Интернет]. 5 апрель 2021 г. [цитируется по 11 апрель 2021 г.];18(5):513-22. доступно на: http://journal-grsmu.by/index.php/ojs/article/view/2459