Using Intravascular Ultrasound as Experience in a Comorbid Patient of High Surgical Risk
https://doi.org/10.52560/2713-0118-2023-1-53-62
Abstract
Intravascular ultrasound examination (ICSI) allows to assess the nature of atherosclerotic plaque, the degree of significance and extent of stenosis, as well as to monitor the position of the stent in the lumen of the coronary artery. Insufficient opening of the stent, unrecognized during angiographic control, can lead to thrombosis or restenosis in the early or long term. The clinical case presented in the publication demonstrates the difference between the results of fluoroscopycontrolled stenting and ICSI-controlled stenting during percutaneous coronary intervention (PCI) in a high-risk surgical patient with significant concomitant pathology.
About the Authors
E. B. ShakhovRussian Federation
Evgeniy B. Shakhov, M. D. Med., associate professor of the endovascular diagnostic and treatment department on faculty of additional professional education
10/1, pl. Minina i Pozharskogo, Nizhny Novgorod, 603005
+7 (831) 433-75-78
E. B. Petrova
Russian Federation
Ekaterina B. Petrova, D. Med., Associate Professor, Department of Radiodiagnosis, Faculty of Doctors Advanced Training
10/1, pl. Minina i Pozharskogo, Nizhny Novgorod, 603005
+7 (910) 796-37-13
A. D. Lyamaev
Russian Federation
Aleksandr D. Lyamaev, physician of the interventional diagnostic and treatment, Department of interventional diagnostic and treatment
209, ul. Vaneeva, Nizhny Novgorod, 603136
+7 (831) 262-13-21
E. V. Chebotar’
Russian Federation
Evgeniy V. Chebotar’, M. D. Med., head of the interventional diagnostic and treatment department
209, ul. Vaneeva, Nizhny Novgorod, 603136
+7 (831) 262-13-21
A. A. Shul’ts
Russian Federation
Anton A. Shul’ts, Ph. D. Med., head of the cardiovascular surgery and phlebology department in University Clinic
10/1, pl. Minina i Pozharskogo, Nizhny Novgorod, 603005
+7 (831) 422-13-30
S. P. Sharlanov
Russian Federation
Sergey Petrovich Sharlanov, clinical resident
10/1, pl. Minina i Pozharskogo, Nizhny Novgorod, 603005
+ 7 (988) 204-29-61
References
1. Volkov S. V., Mytsyk S. A., Naumov S. M., Korobkov A. O., Gontarenko V. N. Intravascular ultrasound-guided internal caro tid artery stenting. Angiology and Vascular Surgery. 2019. V. 25. No. 4. P. 41–46 (in Russian).
2. Brener S. J., Cunn G. J., Desai P. H., Faroqui M. et al. A Novel Risk Score to Predict One-Year Mortality in Patients Undergoing Complex High-Risk Indicated Percutaneous Coronary Inter vention (CHIP-PCI). J. Invasive Cardiol. 2021 Apr; 33(4): E253–E258. Epub 2021 Feb. PMID: 33542159.
3. El Hajj S. C., Toya T., Warisawa T., Nan J. et al. Correlation of Intravascular Ultrasound and Instantaneous Wave-Free Ratio in Patients with Intermediate Left Main Coronary Artery Disease. Circulation: Cardiovasc. Interv., 2021 Jun; 14(6): e009830. https://doi.org/10.1161/CIRCINTERVENTIONS.120.009830. Epub 2021 Jun 7. PMID: 34092096; PMCID: PMC8206001.
4. Kinnaird T., Gallagher S., Spratt J. C., Ludman P. et al. Complex high-risk and indicated percutaneous coronary intervention for stable angina: Does ope rator volume influence patient outcome? Am. Heart J., 2020 Apr; 222:15–25. https:// doi.org/10.1016/j.ahj.2019.12.019. Epub 2020 Jan 7. PMID: 32004796.
5. Kovach C. P., Hebbe A., Barón A. E., Strobel A. et al. Clinical Characteristics and Out comes Among Patients Undergoing High-Risk Percutaneous Coronary Interventions by Single or Multiple Operators: Insights from the Veterans Affairs Clinical Assessment, Reporting, and Tracking Prog ram. J. Am. Heart Assoc., 2021 Dec 7; 10(23): e022131. https://doi.org/10.1161/JAHA.121.022131. Epub 2021 Nov 15. PMID: 34775783; PMCID: PMC9075385.
6. Shamkhani W., Kinnaird T., Ludman P., Rashid M., Mamas M. A. Sex differences in high-risk but indicated coronary inter ventions (CHiP): National report from British Cardiovascular Intervention So ciety Registry. Catheter Cardiovasc. Interv., 2022 Feb; 99(2): 447–456. https://doi.org/10.1002/ccd.30081. Epub 2022 Jan 18. PMID: 35043563.
7. Patel B., Assaf O., Nabi A., Wiper A. et al. Ultra-low contrast, complex left main coro nary intervention case series using novel intravascular ultrasound techn ology. Eur. Heart J. Case Rep., 2021 Nov 4; 5(11): ytab398. https://doi.org/10.1093/ehjcr/ytab398. PMID: 34870084; PMCID: PMC8637793.
Supplementary files
Review
For citations:
Shakhov E.B., Petrova E.B., Lyamaev A.D., Chebotar’ E.V., Shul’ts A.A., Sharlanov S.P. Using Intravascular Ultrasound as Experience in a Comorbid Patient of High Surgical Risk. Radiology - Practice. 2023;(1):53-62. (In Russ.) https://doi.org/10.52560/2713-0118-2023-1-53-62