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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. Shakhov
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Healthcare of Russia; Specialized Cardiac Surgical Clinical Hospital named after academician B. A. Korolev
Russian 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
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Healthcare of Russia
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
Specialized Cardiac Surgical Clinical Hospital named after academician B. A. Korolev
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’
Specialized Cardiac Surgical Clinical Hospital named after academician B. A. Korolev
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
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Healthcare of Russia
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
Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Healthcare of Russia
Russian Federation

Sergey Petrovich Sharlanov, clinical resident

10/1, pl. Minina i Pozharskogo, Nizhny Novgorod, 603005

+ 7 (988) 204-29-61



References

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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.


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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

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ISSN 2713-0118 (Online)