КАЛЬЦИНОЗ КОРОНАРНЫХ АРТЕРИЙ: РОЛЬ ВИЗУАЛИЗИРУЮЩИХ МЕТОДОВ ДИАГНОСТИКИ, СОВРЕМЕННЫЕ МЕТОДЫ ЛЕЧЕНИЯ

Основные положения

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

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.

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