kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2018-7-4S-108-117kpccz-514Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWТотальная артериальная реваскуляризация миокардаTotal arterial myocardial revascularizationФроловА. В.FrolovA. V.

Фролов Алексей Витальевич - кандидат медицинских наук, старший научный сотрудник лаборатории реконструктивной хирургии мультифокального атеросклероза, врач сердечно-сосудистый хирург, старший преподаватель научно-образовательного отдела.

Сосновый бульвар, 6, Кемерово, Кемеровская область, 650002, тел. +7 (3842) 64-05-69

Frolov Alexey V. - MD, PhD, senior researcher at the Laboratory of Reconstructive Surgery of Multivessel and Polyvascular Diseases, cardiovascular surgeon, senior lecturer at the Department of Research and Education.

6, Sosnovy Blvd., Kemerovo, 650002, tel. +7 (3842) 64-05-69

kjerne@yandex.ruФедеральное государственное бюджетное научное учреждение Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular DiseasesRussian Federation20180202201974S108117Copyright © Фролов А.В., 20202020Фролов А.В.Frolov A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/514

В обзорной статье изложено современное представление о тотальной артериальной реваскуляризации миокарда, приведены основные исследования в этой области и современные рекомендации, а также описаны наиболее часто используемые технические варианты, которые позволяют судить о высокой эффективности данной процедуры. Вместе с тем, в медицинском сообществе сохраняется определённая доля недоверия в отношении проведения коронарного шунтирования с использованием только артериальных кондуитов, и даже в обоснованных случаях, когда выбор очевиден, процент проведения указанных операций невелик. Это связано как с технически более трудоёмкими манипуляциями, так и с определёнными факторами риска, способствующими более сдержанному подходу в широком использовании тотальной артериальной реваскуляризации миокарда.

The review presents the current concept oftotal arterial myocardial revascularization, main studies focusing on it, recent guidelines and commonly used techniques, which let speak about high efficacy this kind procedure. However, in medical society there is a certain part of disbelief with respect to performance of coronary artery bypass grafting using only arterial conduits, and even in justifiable cases when the choice is obvious, the percentage of mentioned operations is still low. It can be explained by both technically much more difficult manipulations and particular risk factors, which contribute discreet approach in the wide use of total arterial myocardial revascularization.

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