kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2024-13-2-101-115kpccz-1084Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryКАЛЬЦИНОЗ КОРОНАРНЫХ АРТЕРИЙ: РОЛЬ ВИЗУАЛИЗИРУЮЩИХ МЕТОДОВ ДИАГНОСТИКИ, СОВРЕМЕННЫЕ МЕТОДЫ ЛЕЧЕНИЯCORONARY ARTERY CALCIFICATION: INTRACORONARY IMAGING, CONTEMPORARY TECHNOLOGIES OF TREATMENThttps://orcid.org/0000-0003-4010-7518ЦыденоваАрюна ЮрьевнаTsydenovaAryuna Yu.

врач по рентгенэндоваскулярным диагностике и лечению федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Doctor of X-Ray Endovascular Diagnostics and Treatment at the Endovascular Surgery Center, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

chgmaryuna@mail.ruhttps://orcid.org/0000-0002-2320-2233БарановАлексей АлексеевичBaranovAleksey A.

ординатор федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Resident at the Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

chgmaryuna@mail.ruhttps://orcid.org/0000-0002-1384-7185НайденовРоман АлександровичNaydenovRoman A.

кандидат медицинских наук заведующий отделением рентгенохирургических методов диагностики и лечения федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Head of the Department of X-ray Surgical Diagnostics and treatment, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

chgmaryuna@mail.ruhttps://orcid.org/0000-0002-3866-123XИбрагимовРуслан УвэйсовичIbragimovRuslan U.

кандидат медицинских наук врач по рентгенэндоваскулярным диагностике и лечению федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD., Doctor of X-Ray Endovascular Diagnostics and Treatment at the Endovascular Surgery Center, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

chgmaryuna@mail.ruhttps://orcid.org/0000-0002-0083-8888ГранкинДенис СергеевичGrankinDenis S.

кандидат медицинских наук врач по рентгенэндоваскулярным диагностике и лечению федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD., Doctor of X-Ray Endovascular Diagnostics and Treatment at the Endovascular Surgery Center, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

chgmaryuna@mail.ruhttps://orcid.org/0000-0001-5214-8996КрестьяниновОлег ВикторовичKrestyaninovOleg V.

доктор медицинских наук руководитель центра эндоваскулярной хирургии, врач по рентгенэндоваскулярным диагностике и лечению федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Head of the Department of Endovascular Surgery, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

o_krestyaninov@meshalkin.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian FederationRussian Federation202430062024132101115Copyright © Цыденова А.Ю., Баранов А.А., Найденов Р.А., Ибрагимов Р.У., Гранкин Д.С., Крестьянинов О.В., 20242024Цыденова А.Ю., Баранов А.А., Найденов Р.А., Ибрагимов Р.У., Гранкин Д.С., Крестьянинов О.В.Tsydenova A.Y., Baranov A.A., Naydenov R.A., Ibragimov R.U., Grankin D.S., Krestyaninov O.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1084Основные положения

Основные положения

В обзоре описано современное состояние диагностики и лечения кальциноза коронарных артерий.

 

 

Резюме

Резюме

Кальциноз коронарных артерий встречается примерно в одной трети всех поражений коронарных артерий у пациентов с ишемической болезнью сердца и остается сложной проблемой в интервенционной кардиологии по причине технических трудностей проведения любого вида реваскуляризации. Так, чрескожное коронарное вмешательство при кальцинозе коронарных артерий при сравнении с результатами лечения пациентов без кальциноза артерий ассоциировано с высоким риском периоперационных осложнений, неблагоприятными сердечно-сосудистыми событиями в раннем и отдаленном периодах наблюдения. Одним из наиболее важных предикторов благоприятного исхода после имплантации стента с лекарственным покрытием является оптимальная площадь поперечного сечения стента. Внутрисосудистая визуализация, которая играет существенную роль в определении характера поражения, выборе инструмента и оптимизации имплантации стента, современные методы модификации кальциноза, а также их сочетание, возможно, приведут к лучшим процедурному успеху и отдаленным результатам.

Highlights

Highlights

This review presents current state-of-the-art of diagnosis and treatment of coronary artery calcification.

 

 

Abstract

Abstract

Coronary artery calcification occurs in about one third of all coronary artery lesions in patients with coronary artery diseases and is a problem in interventional cardiology due to technical difficulties. Percutaneous coronary intervention for coronary artery calcification is associated with a high risk of perioperative complications, adverse cardiovascular events in early and long-term follow-up compared with the results of treatment of patients without arterial calcification. One of the most important predictors of a favorable outcome after implantation of a drug-eluting stent is the optimal cross-sectional area of coronary stent. Intravascular imaging plays an important role in lesion assessment, selection of instruments and optimization of stent implantation, contemporary technologies modification of severe coronary artery calcification, as well as their combination, will probably lead to better procedural success and long-term results.

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