The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series

This article provides data from the current Russian (National guidelines for the management of patients with diseases of the brachiocephalic arteries of 2013; Recommendations “Blockage and stenosis of the carotid artery” of the Ministry of Health of the Russian Federation, 2016) and foreign (Europea...

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Main Authors: A. N. Kazantsev, R. A. Vinogradov, A. A. Erofeev, V. N. Kravchuk, A. S. Zharova, А. A. Sorokin, D. V. Shmatov, G. Sh. Bagdavadze, A. V. Korotkikh
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2022-04-01
Series:Неотложная медицинская помощь
Subjects:
Online Access:https://www.jnmp.ru/jour/article/view/1349
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author A. N. Kazantsev
R. A. Vinogradov
A. A. Erofeev
V. N. Kravchuk
A. S. Zharova
А. A. Sorokin
D. V. Shmatov
G. Sh. Bagdavadze
A. V. Korotkikh
author_facet A. N. Kazantsev
R. A. Vinogradov
A. A. Erofeev
V. N. Kravchuk
A. S. Zharova
А. A. Sorokin
D. V. Shmatov
G. Sh. Bagdavadze
A. V. Korotkikh
author_sort A. N. Kazantsev
collection DOAJ
description This article provides data from the current Russian (National guidelines for the management of patients with diseases of the brachiocephalic arteries of 2013; Recommendations “Blockage and stenosis of the carotid artery” of the Ministry of Health of the Russian Federation, 2016) and foreign (European Society of Cardiology / European Society of Vascular Surgeons for Diagnosis and Treatment Peripheral Artery Diseases 2017; Recommendations for myocardial revascularization of the European Society of Cardiology and the European Association of Cardio-Thoracic Surgeons 2018) recommendations regarding the choice of a revascularization strategy for combined coronary and carotid artery disease. Conclusions are drawn about the unresolved issue. A literature review of the largest series of Russian articles by one institution devoted to this topic was carried out. Hospital and long-term outcomes have been demonstrated, as well as predictors of complications for various revascularization strategies. The stages of creation and the results of approbation of a new computer program for risk stratifi cation, which makes it possible to determine the mathematical probability of the development of unfavorable cardiovascular events during the implementation of various surgical tactics, taking into account the individual characteristics of the patient. A conclusion was made about the effectiveness of this development.
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spelling doaj.art-b5ff141328a14b0ba4fc11cf476a921c2023-09-03T06:32:52ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172022-04-0111114715710.23934/2223-9022-2022-11-1-147-157761The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article SeriesA. N. Kazantsev0R. A. Vinogradov1A. A. Erofeev2V. N. Kravchuk3A. S. Zharova4А. A. Sorokin5D. V. Shmatov6G. Sh. Bagdavadze7A. V. Korotkikh8St. Petersburg City Alexander HospitalResearch Institute – Regional Clinical Hospital No. 1 n.a. prof. S.V. Ochapovsky; Kuban State Medical UniversityCity Multidisciplinary Hospital No. 2A.I. CM. Kirov Military Medical AcademyI.I. Mechnikov North-Western State Medical UniversitySt. Petersburg State UniversitySt. Petersburg State UniversityI.I. Mechnikov North-Western State Medical UniversityAmur State Medical Academy, Clinic of Cardiac SurgeryThis article provides data from the current Russian (National guidelines for the management of patients with diseases of the brachiocephalic arteries of 2013; Recommendations “Blockage and stenosis of the carotid artery” of the Ministry of Health of the Russian Federation, 2016) and foreign (European Society of Cardiology / European Society of Vascular Surgeons for Diagnosis and Treatment Peripheral Artery Diseases 2017; Recommendations for myocardial revascularization of the European Society of Cardiology and the European Association of Cardio-Thoracic Surgeons 2018) recommendations regarding the choice of a revascularization strategy for combined coronary and carotid artery disease. Conclusions are drawn about the unresolved issue. A literature review of the largest series of Russian articles by one institution devoted to this topic was carried out. Hospital and long-term outcomes have been demonstrated, as well as predictors of complications for various revascularization strategies. The stages of creation and the results of approbation of a new computer program for risk stratifi cation, which makes it possible to determine the mathematical probability of the development of unfavorable cardiovascular events during the implementation of various surgical tactics, taking into account the individual characteristics of the patient. A conclusion was made about the effectiveness of this development.https://www.jnmp.ru/jour/article/view/1349coronary bypass graftingcarotid endarterectomypercutaneous coronary interventionrisk stratifi cationrevascularization recommendationscomorbidityconcomitantrestenosispredictors of complications
spellingShingle A. N. Kazantsev
R. A. Vinogradov
A. A. Erofeev
V. N. Kravchuk
A. S. Zharova
А. A. Sorokin
D. V. Shmatov
G. Sh. Bagdavadze
A. V. Korotkikh
The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
Неотложная медицинская помощь
coronary bypass grafting
carotid endarterectomy
percutaneous coronary intervention
risk stratifi cation
revascularization recommendations
comorbidity
concomitant
restenosis
predictors of complications
title The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
title_full The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
title_fullStr The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
title_full_unstemmed The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
title_short The Problem of the Choice of Revascularization in Combined Lesion of the Coronary and Carotid Arteries. Review of Current Recommendations and Article Series
title_sort problem of the choice of revascularization in combined lesion of the coronary and carotid arteries review of current recommendations and article series
topic coronary bypass grafting
carotid endarterectomy
percutaneous coronary intervention
risk stratifi cation
revascularization recommendations
comorbidity
concomitant
restenosis
predictors of complications
url https://www.jnmp.ru/jour/article/view/1349
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