kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2025-14-6-142-150kpccz-1852Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryВОЗМОЖНОСТИ ПРИМЕНЕНИЯ МЕТОДОВ ВНУТРИСОСУДИСТОЙ ВИЗУАЛИЗАЦИИ У ПАЦИЕНТОВ С ПОРАЖЕНИЯМИ «НЕЗАЩИЩЕННОГО» СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИPOTENTIAL APPLICATIONS OF INTRAVASCULAR IMAGING IN PATIENTS WITH UNPROTECTED LEFT MAIN CORONARY ARTERY LESIONShttps://orcid.org/0000-0001-6509-566XАлекянБаграт ГегамовичAlekyanBagrat G.

академик РАН, доктор медицинских наук, профессор заместитель директора по науке, руководитель отдела рентгенэндоваскулярной хирургии федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации, Москва, Российская Федерация

PhD, Professor, Academician of Russian Academy of Sciences, Deputy Director for Science, Head of Endovascular Surgery Department, Federal State Budgetary Institution “National Medical Research Center of Surgery named after A. Vishnevsky” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

https://orcid.org/0000-0002-4204-1092МелешенкоНиколай НиколаевичMeleshenkoNikolay N.

кандидат медицинских наук научный сотрудник, врач по рентгенэндоваскулярной диагностике и лечению отдела рентгенэндоваскулярной хирургии федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации, Москва, Российская Федерация

PhD, Endovascular Surgeon, Federal State Budgetary Institution “National Medical Research Center of Surgery named after A. Vishnevsky” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

dr.meleshenko_nn@mail.ruhttps://orcid.org/0000-0003-2442-7415НовакАлександр ЯрославовичNovakAleksandr Ya.

врач по рентгенэндоваскулярной диагностике и лечению отдела рентгенэндоваскулярной хирургии федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации, Москва, Российская Федерация

Endovascular Surgeon, Federal State Budgetary Institution “National Medical Research Center of Surgery named after A. Vishnevsky” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

https://orcid.org/0009-0003-6319-8835СаргсянАртем АшотовичSargsyanArtem A.

аспирант отдела рентгенэндоваскулярной хирургии федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации, Москва, Российская Федерация

Postgraduate student, Department of X-ray endovascular surgery, Federal State Budgetary Institution “National Medical Research Center of Surgery named after A. Vishnevsky” of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution “National Medical Research Center of Surgery named after A. Vishnevsky” of the Ministry of Health of the Russian FederationRussian Federation202530122025146142150Copyright © Алекян Б.Г., Мелешенко Н.Н., Новак А.Я., Саргсян А.А., 20252025Алекян Б.Г., Мелешенко Н.Н., Новак А.Я., Саргсян А.А.Alekyan B.G., Meleshenko N.N., Novak A.Y., Sargsyan A.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1852Основные положения

Основные положения

Представлен анализ современных литературных данных, посвященных доказательной базе применения методов внутрисосудистой визуализации у пациентов с поражениями «незащищенного» ствола левой коронарной артерии.

 

 

Резюме

Резюме

Чрескожное коронарное вмешательство представляет собой альтернативу коронарному шунтированию при лечении поражений ствола левой коронарной артерии у пациентов с ишемической болезнью сердца. Стентирование ствола левой коронарной артерии под контролем внутрисосудистой ультразвуковой визуализации и оптической когерентной томографии улучшает госпитальные и отдаленные результаты вмешательства. Однако до сих пор остается открытым вопрос о выборе метода визуализации в данной группе больных.

Highlights

Highlights

An analysis of current literature data is presented, focusing in the evidence base for the use of intravascular imaging methods in patients with unprotected left main coronary artery disease.

 

 

Abstract

Abstract

Coronary artery disease (CAD) is the leading cause of disability and mortality globally. In the Russian Federation, the ongoing aging of the population and the accumulation of numerous comorbid diseases necessitate physicians to increasingly manage severe forms of CAD. Percutaneous coronary intervention (PCI) presents an alternative to coronary artery bypass grafting (CABG) for the treatment of left main coronary artery (LMCA) lesions in specific patients with coronary artery disease. Stenting of the LMCA under the guidance of intravascular ultrasound imaging (IVUS) and optical coherence tomography (OCT) enhances in-hospital and long-term stenting outcomes. Nevertheless, the optimal imaging method for PCI of the LMCA remains a subject of ongoing research. This article provides a comprehensive summary of the historical background and contemporary advancements in these imaging modalities.

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