CAROTIDSUBCLAVIAN GRAFTING IN OCCLUSION OF THE FIRST PORTION OF SUBCLAVIAN ARTERY AND MULTIFOCAL ATHEROSCLEROSIS: FIVE YEAR FOLLOWUP DATA
https://doi.org/10.15829/1728-8800-2018-2-29-34
Abstract
Aim. Analysis of the prevalence and structure of hospital and five year postsurgical complications in patients with occlusion of the first portion of subclavian artery and multifocal atherosclerosis.
Material and methods. To the study, 45 patients included, who had underwent carotidsubclavian shunting during 20082015y.
Results. In hospital period of followup there were no significant adverse cardiovascular events. Among the comlications, in several cases there were vocal cords paresis, paresis of the diaphragm dome, limphorrhea. The study shows that significant cardiovascular events occurred only in long term of the disease period and were related to the following stage of revascularization.
Conclusion. The obtained results underscore the significance of risk stratification and selection of the optimal strategy of revascularization in the cohort of patients, that is impossible unless an approach is personified.
About the Authors
R. S. Tarasov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
A. N. Kazantsev
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
N. N. Burkov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
A. I. Anufriev
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
A. R. Shabaev
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
R. Yu. Lider
Kemerovo State Medical University of the Ministry of Health
Russian Federation
Russian Federation
А. V. Mironov
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
L. S. Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
Kemerovo
References
1. Gavrilenko AV, Ivanov VA, Kuklin AV. Immediate results of operation of sonnicosubclavian shunting and endovascular methods of treatment for stenosis of the first segment of the subclavian artery. Annals of Surgery 2014; 2: 248. (In Russ.).
2. Kazantsev AN. Personalized choice of the optimal strategy for surgical treatment of patients with combined lesions of the coronary bed and brachiocephalic arteries. Sib honey Magazine 2017; 1 (32): 1423. (In Russ.).
3. Barbarash LS, Tarasov RS, Kazantsev AN. Factors for the unfavorable prognosis of various surgical strategies for treating patients with concomitant lesions of coronary and brachycephalic arteries in a distant postoperative period Cardiology and cardiovascular surgery 2017; 2: 2232. (In Russ.).
4. National guidelines for managing patients with brachiocephalic artery disease. Angiology and Vascular Surgery 2013; (19) 2: 468. (In Russ.).
5. Sumin AN, Bezdenezhnykh NA, Bezdenezhnykh AV. Peripheral atherosclerosis, diabetes mellitus and longterm coronary artery bypass grafting. Creative Cardiology 2014; 4: 517. (In Russ.)
6. Recommendations of the European Society of Cardiology on diagnosis and treatment of peripheral arterial diseases. Rational Pharmacotherapy in Cardiology 2012; 4: 473. (In Russ.).
7. Gavrilenko AV, Ivanov VA, Kuklin AV. Open surgery or endovascular intervention in the lesions of the first segment of the subclavian artery? Angiology and Vascular Surgery 2015; 1 (21): 726. (In Russ.).
8. Gavrilenko AV, Ivanov VA, Kuklin AV. Comparative evaluation of the results of the operation of sonnicosubclavian shunting and endovascular methods of treatment for lesions of the first segment of the subclavian artery. Clinical and experimental surgery. Journal of Academician B. V. Petrovsky 2014; 4 (6): 3741. (In Russ.).
9. Shonbin AN, Bystrov DO. A modern approach to the stratification of the risk of cardiac surgery on the scales Euroscore and Euroscore II. Human Ecology 2012; 3: 2831. (In Russ.).
10. Bockeria LA, Skopin II, Dmitrieva YS. Ecomment: does euroscore predict postoperative complications? InterActive Cardiovascular and Thoracic Surgery 2009; 4 (9): 617.
11. Dmitrieva YuS. Application of the euroscore system for the assessment of operational risk in cardiac surgery. The Bulletin of the Center. A. N. Bakuleva RAMS Cardiovascular diseases 2011; 1 (12): 1423. (In Russ.) https://cvdru-journal.com/catalog/web/viewer.php.
12. 2014 ESC/EACTS Guidelines on myocardial revascularization. Eur J CardioThoracic Surgery 2014; 46(4): 51792. DOI: https://doi.org/10.1093/ejcts/ezu36601.
13. Mićovića S, Bošković S. Simultaneous hybrid carotid stenting and coronary bypass surgery versus concomitant open carotid and coronary bypass surgery: a pilot, feasibility study. Eur J Cardiothorac Surg 2014; 46 (5): 85762. DOI: 10.1093/ejcts/ezu009.
14. Zatevakhin II, Matyushkin AV, Mustafin AKh. The case of the terminal treatment of a patient with occlusion of the left common carotid artery, the first portion of the left subclavian artery and the critical stenosis of the right internal carotid artery. Kuban Scientific Medical Gazette 2013; 4 (139): 548. (In Russ.).
15. Starodubtsev VB, Karpenko AA, Al’sov SA, et al. Surgical treatment of patients with the syndrome of subclavianvertebral stealing. Pathology of blood circulation and cardiosurgery 2009; 1: 614. (In Russ.).
Review
For citations:
Tarasov R.S., Kazantsev A.N., Burkov N.N., Anufriev A.I., Shabaev A.R., Lider R.Yu., Mironov А.V., Barbarash L.S. CAROTIDSUBCLAVIAN GRAFTING IN OCCLUSION OF THE FIRST PORTION OF SUBCLAVIAN ARTERY AND MULTIFOCAL ATHEROSCLEROSIS: FIVE YEAR FOLLOWUP DATA. Cardiovascular Therapy and Prevention. 2018;17(2):29-34. (In Russ.) https://doi.org/10.15829/1728-8800-2018-2-29-34
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