kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2023-12-2-96-106kpccz-1128Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryАНАТОМИЧЕСКИЕ ОСОБЕННОСТИ ВЕНОЗНОЙ СИСТЕМЫ СЕРДЦА, ЗНАЧИМЫЕ ПРИ ИМПЛАНТАЦИИ ЛЕВОЖЕЛУДОЧКОВОГО ЭЛЕКТРОДА: ЛИТЕРАТУРНЫЙ ОБЗОР И СОБСТВЕННЫЙ ОПЫТANATOMICAL FEATURES OF THE CARDIAC VENOUS SYSTEM, SIGNIFICANT FOR THE LEFT VENTRICULAR LEAD PLACEMENT: LITERATURE REVIEW AND EXPERIENCEhttps://orcid.org/0000-0001-9601-4674ДубровинОлег ЛеонидовичDubrovinOleg L.

кандидат медицинских наук врач – сердечно-сосудистый хирург кардиохирургического отделения № 3 федерального государственного бюджетного учреждения «Федеральный центр сердечно-сосудистой хирургии» Министерства здравоохранения Российской Федерации (г. Челябинск), Челябинск, Российская Федерация

PhD, Cardiovascular Surgeon at the Cardiac Surgery Department No. 3, Federal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation

DOLDubrovin@gmail.comhttps://orcid.org/0000-0002-8277-5584МамчурСергей ЕвгеньевичMamchurSergey E.

доктор медицинских наук заведующий лабораторией нарушений ритма сердца и электрокардиостимуляции отдела хирургии сердца и сосудов федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация

PhD, Head of the Laboratory of Cardiac Arrhythmias and Cardiac Stimulation, Department of Cardiovascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation

mamchse@kemcardio.ruhttps://orcid.org/0000-0002-5055-6838ШугаевПавел ЛеонидовичShugaevPavel L.

кандидат медицинских наук заведующий кардиохирургическим отделением № 3 федерального государственного бюджетного учреждения «Федеральный центр сердечно-сосудистой хирургии» Министерства здравоохранения Российской Федерации (г. Челябинск), Челябинск, Российская Федерация

PhD, Head of Cardiac Surgery Department No. 3, Federal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation

doc.shugaev@gmail.comФедеральное государственное бюджетное учреждение «Федеральный центр сердечно-сосудистой хирургии» Министерства здравоохранения Российской Федерации (г. Челябинск)РоссияFederal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian FederationRussian FederationФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияFederal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”Russian Federation20232506202312296106Copyright © Дубровин О.Л., Мамчур С.Е., Шугаев П.Л., 20232023Дубровин О.Л., Мамчур С.Е., Шугаев П.Л.Dubrovin O.L., Mamchur S.E., Shugaev P.L.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1128Основные положения

Основные положения

В статье описаны и систематизированы встречающиеся в литературе анатомические варианты и аномалии венозной системы сердца. Предложена клинико-анатомо-рентгенологическая классификация аномалий венозной системы сердца, имеющая практическое значение при имплантации левожелудочкового электрода и охватывающая многообразие клинически значимых аномалий вен сердца.

 

 

Аннотация

Аннотация

По мере развития ресинхронизирующей терапии, в рамках которой активно используют вены сердца для проведения и позиционирования левожелудочкового электрода, многократно возрастает значение изучения анатомии венозной системы сердца. Анатомия венозной системы сердца отличается гораздо большей вариабельностью, чем артериальная, что делает ее более сложной. В статье проанализированы современные подходы к описанию и номенклатуре нормальной анатомии вен сердца, а также систематизированы описанные в литературе и встретившиеся в собственной клинической практике анатомические особенности вен сердца, имеющие клиническое значение при имплантации левожелудочкового электрода. Также описаны применяемые в мировой практике технические приемы и инструменты для преодоления каждого из вариантов анатомических трудностей при имплантации левожелудочкового электрода. Как результат, предложена клинико-анатомическая рентгеноскопическая классификация патологических вариантов венозной системы сердца.

Highlights

Highlights

The article is a comprehensive literature review on anatomical variations and anomalies of cardiac veins. A classification of coronary venous anatomy and anomalies detailing clinical, anatomical and radiological features is proposed. Developing such classification is important for the field of left ventricular lead placement, as it would cover a variety of clinically significant anomalies of cardiac veins.

 

 

Abstract

Abstract

With the advancements in the cardiac resynchronization therapy, the role of cardiac vein anatomy has become vital due to the complications associated with poor left ventricle lead placement. The cardiac vein anatomy varies much more than the anatomy of the coronary arteries, thus making cardiac veins much harder to study. In this article we have analyzed different approaches to description and naming of cardiac veins, and have summarized venous anomalies and features described in literature or encountered in real clinical practice. All anatomical features described in the article have a clinical significance in the left ventricle lead placement. Moreover, we have analyzed the wide variety of suggestions to overcoming anatomical obstacles. As a result of the analysis, we have proposed a clinical classification of the coronary venous anomalies and features that can be used during the implantation of cardiac resynchronization therapy devices.

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