kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2017-1-58-64kpccz-263Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESЭНДОВАСКУЛЯРНЫЕ ВМЕШАТЕЛЬСТВА ПРИ ХРОНИЧЕСКОЙ ОККЛЮЗИИ КОРОНАРНЫХ АРТЕРИЙCHRONIC TOTAL CORONARY OCCLUSION PERCUTANEOUS INTERVENTIONХЕЛИМСКИЙД. А.KHELIMSKIID. A.

Новосибирск, Россия

Novosibirsk, Russia

ШЕРМУКА. А.SHERMUKA. A.

Адрес: 630055, г. Новосибирск, ул. Речкуновская, д. 15 Тел. +79139222436

Address: 15, Rechkunovskaya st., Novosibirsk, 630055, Russian Federation Tel. +79139222436

shermyk92@gmail.comКРЕСТЬЯНИНОВО. В.KRESTYANINOVO. V.

Новосибирск, Россия

Novosibirsk, Russia

ПОКУШАЛОВЕ. А.POKUSHALOVE. A.

Новосибирск, Россия

Novosibirsk, Russia

КАРАСЬКОВА. М.KARASKOVA. M.

Новосибирск, Россия

Novosibirsk, Russia

Федеральное государственное бюджетное учреждение «Новосибирский научно-исследовательский институт патологии кровообращения имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииРоссияAcademician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Ministry of Health Care of Russian FederationRussian Federation201707062017015864Copyright © ХЕЛИМСКИЙ Д.А., ШЕРМУК А.А., КРЕСТЬЯНИНОВ О.В., ПОКУШАЛОВ Е.А., КАРАСЬКОВ А.М., 20172017ХЕЛИМСКИЙ Д.А., ШЕРМУК А.А., КРЕСТЬЯНИНОВ О.В., ПОКУШАЛОВ Е.А., КАРАСЬКОВ А.М.KHELIMSKII D.A., SHERMUK A.A., KRESTYANINOV O.V., POKUSHALOV E.A., KARASKOV A.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/263

Чрезкожное коронарное вмешательство (ЧКВ) при хронических окклюзиях коронарных артерий (ХОКА) представляется как «последний рубеж» в интервенционной кардиологии. В последние годы новые устройства, усовершенствованные методы визуализации и инновационные технологии значительно повысили уровень успеха и безопасность ЧКВ для лечения ХОКА. Благоприятные отдаленные результаты вмешательств и отличные характеристики стентов с лекарственным покрытием демонстрируют предпочтение ЧКВ для реканализации ХОКА. Подробные знания гистопатологической характеристики ХОКА имеют решающее значение, чтобы понять основные принципы передовых интервенционных методов. Понимание принципа антеградного и ретроградного подходов завершают арсенал необходимых навыков для интервенционных кардиологов, занимающихся этой сложной проблемой. Что касается стратегий, методы прохождения сложных поражений постоянно развиваются. Нашей целью было представить систематический обзор текущих методик реваскуляризации ХОКА в контексте опубликованных результатов применения данных подходов различными центрами, а также решить вопрос о выборе метода реваскуляризации в конкретных клинических условиях.

Percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) has been referred to as the “last frontier” in interventional cardiology. In recent years, new devices, improved imaging techniques and innovative technologies significantly increased the success rate and safety of PCI for treatment of CTO remarkably. Favorable long-term data on the outcomes of interventions, and excellent performance drug-eluting stents show a preference for CTO recanalisation. Detailed knowledge about the histopathological characteristics of CTO is crucial to understand the basic principles of advanced interventional techniques. Understanding the principle of antegrade and retrograde approaches are completing the armamentarium essential for interventional cardiologists dealing with this challenging lesion subset. As strategies fortreating complex lesions are continuously volving. Our goal was to present a systematic review of the current methods for CTO revascularization in the context of the published results of the application of these approaches are different centers, as well as solve the problem of choosing a revascularization method in specific clinical conditions.

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Chronic total occlusion: current methods of revascularisation. Cardiovascular Medicine 2014;17(12):347–356Patrick T. Siegrist, Satoru Sumitsuji. Chronic total occlusion: current methods of revascularisation. Cardiovascular Medicine 2014;17(12):347–356

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