دورية أكاديمية
[Transcutaneous coronary intervention with the use of extracorporeal membrane oxygenation in patients with acute coronary syndrome].
| العنوان: | [Transcutaneous coronary intervention with the use of extracorporeal membrane oxygenation in patients with acute coronary syndrome]. |
|---|---|
| عنوان ترانسليتريتد: | Chreskozhnoe koronarnoe vmeshatel'stvo s primeneniem ékstrakorporal'noĭ membrannoĭ oksigenatsii u bol'nykh s ostrym koronarnym sindromom. |
| المؤلفون: | Vereshchagin IE; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Ganyukov VI; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Tarasov RS; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Kochergin NA; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Shukevich DL; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Barbarash OL; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia. |
| المصدر: | Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery [Angiol Sosud Khir] 2018; Vol. 24 (4), pp. 151-156. |
| نوع المنشور: | Journal Article |
| اللغة: | Russian |
| بيانات الدورية: | Publisher: Izd-vo Info-Media Country of Publication: Russia (Federation) NLM ID: 9604504 Publication Model: Print Cited Medium: Print ISSN: 1027-6661 (Print) Linking ISSN: 10276661 NLM ISO Abbreviation: Angiol Sosud Khir Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Moskva] : Izd-vo Info-Media, c1995- |
| مواضيع طبية MeSH: | Acute Coronary Syndrome*/diagnosis , Acute Coronary Syndrome*/etiology , Acute Coronary Syndrome*/surgery , Angioplasty, Balloon, Coronary*/adverse effects , Angioplasty, Balloon, Coronary*/methods , Angioplasty, Balloon, Coronary*/mortality , Postoperative Complications*/diagnosis , Postoperative Complications*/mortality, Coronary Artery Disease/*surgery , Extracorporeal Membrane Oxygenation/*methods, Aged ; Coronary Artery Disease/complications ; Coronary Artery Disease/diagnosis ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Female ; Humans ; Male ; Middle Aged ; Severity of Illness Index ; Siberia ; Treatment Outcome |
| مستخلص: | Analysed herein are the in-hospital and remote (12 months) results of transcutaneous coronary interventions (TCI) carried out in patients with non-ST elevation acute coronary syndrome (nSTE-ACS) and multivessel coronary artery disease with the use of extracorporeal membrane oxygenation (ECMO). From 2013 to 2015, the study included a total of 18 patients with nSTE-ACS and multivessel coronary artery disease who had been denied "open" surgical myocardial revascularization. The mean values (scores) of the scales in the group were as follows: GRACE - 119.7±67.6, SYNTAX Score - 33.5±8.1, Euroscore II - 5.2±21.9. The ejection fraction was averagely moderately low - 49.3±19.4%. During the in-hospital stay of the patients and 12 months after TCI we assessed the major adverse cardiovascular events (MACE): death, myocardial infarction, acute cerebral circulation impairment/transitory ischaemic attack, repeat revascularization of the target vessel - both as separate parameters and in a composite form. Additionally, we analysed perioperative and in-hospital complications, their structure, the volume of replacement therapy with blood components and the length of hospital stay. During the in-hospital period and at 12 months of follow up, the composite number of cases of adverse cardiovascular events amounted to 1 (5.5%) and 3 (16.5%), respectively. One patient died during in-hospital treatment and one more lethal outcome was registered by 12 months of follow up; hence, the mortality rate amounted to 1 (5.5%) and 2 (11%) cases, respectively. Stroke was observed in 1 (5.5%) patient only during the in-hospital period. No repeat revascularisation of the target vessel was performed. By the end of the hospital stay, BARC type 3-5 haemorrhagic complications were observed in 50% of patients. The in-hospital and remote (12 months) results of high-risk TCI with ECMO support in patients with nSTE-ACS and multivessel coronary artery disease, who had been denied surgical revascularization demonstrated an acceptable level of unfavourable outcomes. This approach may be regarded as a method alternative to revascularization and used in an utterly severe cohort of patients. |
| تواريخ الأحداث: | Date Created: 20181212 Date Completed: 20190228 Latest Revision: 20190228 |
| رمز التحديث: | 20231215 |
| PMID: | 30531783 |
| قاعدة البيانات: | MEDLINE |
كن أول من يترك تعليقا!