MODERN APPROACHES TO DIAGNOSTICS AND SURGICAL CORRECTION OF BRACHIOCEPHALIC ARTERIES DISORDERS IN PATIENTS WITH ISCHEMIC HEART DISEASE

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Abstract

The main causes of morbidity in Russia are ischemic heart and cerebrovascular disease. The mortality rate of these conditions accounts for almost 50% of all the lethality causes of the Russian population. The frequency of associated coronary and brachiocephalic arteries disorders varies from 18 to 54%. The complex evaluation of the anatomical and functional features of the disorder, as well as of the perfusion and functional heart and brain reserves allows to choose the appropriate methods of surgical treatment of patients with associated coronary and carotid disorders and to decrease the risk of intra- and postoperative cerebral and cardiac complications. The modern approaches of myocardium and cerebral revascularization enable to safely and effectively eliminate the myocardial and cerebral ischemia, to significantly decrease the risk of myocardial infarction and stroke development and to ensure the long ability to work among this group of patients. Over 500 patients with ischemic heart disease and associated brachiocephalic arteries disorders have been operated at the A.N. Bakoulev Scientific Centre for Cardiovascular Surgery for the last 5 years. The results of these operations are comparable to the ones of the leading European clinics.


About the authors

L. A. Bokeriya

A.N. Bakoulev Scientific Centre for Cardiovascular Surgery, RAMS, Moscow

Author for correspondence.
Email: leoan@heart-house.ru
доктор медицинских наук, академик РАН и РАМН, директор ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 121552, Москва, Рублевское ш., д. 135 Тел.: (495) 414-75-71 Russian Federation

Z. K. Pirtshalaishvili

A.N. Bakoulev Scientific Centre for Cardiovascular Surgery, RAMS, Moscow

Email: Badsean@mail.ru
доктор медицинских наук, профессор, руководитель отделения хирурги- ческого лечения нарушений мозгового кровообращения ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский пр-т, д. 8 Тел.: (916) 160-50-69 Russian Federation

I. Yu. Sigaev

A.N. Bakoulev Scientific Centre for Cardiovascular Surgery, RAMS, Moscow

Email: sigaeviu@mail.ru
доктор медицинских наук, профессор, руководитель отделения хирургии сочетанных поражений коронарных и магистральных артерий ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский пр-т, д. 8 Тел.: (499) 236-82-65 Russian Federation

N. A. Darvish

A.N. Bakoulev Scientific Centre for Cardiovascular Surgery, RAMS, Moscow

Email: Badsean@mail.ru
кандидат медицинских наук, старший научный сотрудник отделения хирургиче- ского лечения нарушений мозгового кровообращения ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский пр-т, д. 8 Тел.: (499) 236-98-65 Russian Federation

T. N. Serguladze

A.N. Bakoulev Scientific Centre for Cardiovascular Surgery, RAMS, Moscow

Email: serguladze74@mail.ru
кандидат медицинских наук, врач функциональной диагностики рентгенодиагно- стического отделения ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» РАМН Адрес: 119049, Москва, Ленинский пр-т, д. 8 Тел.: (499) 236-98-65 Russian Federation

References

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  4. Chan A.W. Current perspectives on carotid revascularization among patients who need cardiac surgery. J. Invasive Cardiol. 2010; 22 (8): 386–390.
  5. Kyomars Abbasi, Fadaei Araghi, Zafarghandi M., Abbasali Karimi, Hossein Ahmadi, Mehrab Marzban, Movahedi N., Seyed Hesameddin Abbasi, Moshtaghi N. Concomitant carotid endarterectomy and coronary artery bypass grafting versus staged carotid stenting followed by coronary artery bypass grafting. J. Cardiovasc. Surg. (Torino). 2008; 49: 285–288.
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