دورية أكاديمية
[Hybrid revascularization of the brain and myocardium: risk stratification for in-hospital complications].
| العنوان: | [Hybrid revascularization of the brain and myocardium: risk stratification for in-hospital complications]. |
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| عنوان ترانسليتريتد: | Gibridnaia revaskuliarizatsiia golovnogo mozga i miokarda: stratifikatsiia riska gospital'nykh oslozhneniĭ. |
| المؤلفون: | Kazantsev AN; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia; Kemerovo Regional Clinical Cardiological Dispensary named after Academician L.S. Barbarash, Kemerovo, Russia., Tarasov RS; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Burkov NN; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia; Kemerovo Regional Clinical Cardiological Dispensary named after Academician L.S. Barbarash, Kemerovo, Russia., Ganiukov VI; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia. |
| المصدر: | Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery [Angiol Sosud Khir] 2020; Vol. 26 (2), pp. 118-123. |
| 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: | Endarterectomy, Carotid*, Carotid Stenosis/*surgery , Coronary Artery Disease/*surgery, Brain ; Humans ; Myocardium ; Postoperative Complications/diagnosis ; Retrospective Studies ; Risk Assessment ; Treatment Outcome |
| مستخلص: | Aim: The study was aimed at determining efficacy of a new computer program of stratification of the risk for postoperative adverse cardiovascular events in patients with atherosclerotic lesions of coronary and carotid arteries. Patients and Methods: Based on a mathematical analysis of the outcomes of treatment of patients with atherosclerotic lesions of coronary and carotid arteries over the period from 2011 to 2015, we created a program making it possible to determine a staged or simultaneous policy of revascularization, which was retrospectively and prospectively tested in our medical facility. Results: Within the frameworks of a clinical example we carried out hybrid revascularization of the brain and myocardium in the scope of percutaneous coronary intervention and carotid endarterectomy. During the early postoperative hours, the development of myocardial infarction was registered. According to the program's calculations, in using other strategies of surgical treatment (carotid endarterectomy + coronary artery bypass grafting and carotid endarterectomy - coronary artery bypass grafting), the level of risk for the development of a complication was lowest. Thus, taking into consideration this risk stratification by a multidisciplinary team made it possible to avoid the development of complications. Conclusion: This program of decision-making regarding revascularization for atherosclerotic lesions of coronary and carotid arteries may be an additional tool in the armamentarium of the methods of determining therapeutic strategy for this patient cohort. |
| References: | Tarasov RS, Kazantsev AN, Zinets MG, et al. Pyatiletnie rezul'taty khirurgicheskogo lecheniya patsientov s simul'tannym ateroskleroticheskim porazheniem koronarnykh i brakhiotsefal'nykh arterii (in Russian). Grudnaya i serdechno-sosudistaya khirurgiya. 2017; 5: 6: 386–393. Tarasov RS, Kazantsev AN, Ivanov SV, et al. Khirurgicheskoe lechenie mul'tifokal'nogo ateroskleroza: patologiya koronarnogo i brakhiotsefal'nogo basseinov i prediktory razvitiya rannikh neblagopriyatnykh sobytii (in Russian). Kardiovaskulyarnaya terapiya i profilaktika. 2017; 16: 4: 37–44. Kazantsev AN. Personifitsirovannyi vybor optimal'noi strategii khirurgicheskogo lecheniya patsientov s sochetannym porazheniem koronarnogo rusla i brakhiotsefal'nykh arterii (in Russian). Sibirskii meditsinskii zhurnal. 2017; 32: 1: 74–78. Naylor AR, Cuffe RL, Rothwell PM, Bell PR. A systematic review of outcomes following staged and synchronous carotid endarterectomy and coronary artery bypass. Eur. J. Vasc. Endovasc. Surg. 2003; 25: 5: 380–389. doi: 10.1053/ejvs.2002.1895. Nwakanma L, Poonyagariyagorn HK, Bello R, et al. Early and late results of combined carotid endarterectomy and coronary artery bypass versus isolated coronary artery bypass. Interact. Cardiovasc. Thorac. Surg. 2006; 5: 2: 159–165. doi: 10.1510/icvts.2005.114678. Hempe S, Moza A, Goetzenich A, et al. Synchronous or Staged Carotid Endarterectomy and Coronary Artery Bypass Grafting? Propensity score matched study. Heart Surg. Forum. 2018; 21: 5: 359–364. doi: 10.1532/hsf.2074. Udesh R, Cheng H, Mehta A, Thirumala PD. Perioperative strokes following combined coronary artery bypass grafting and carotid endarterectomy: A nationwide perspective. Neurol. India. 2018; 66: 1: 57–64. doi: 10.4103/0028-3886.222849. Weimar C, Bilbilis K, Rekowski J, et al. CABACS Trial Investigators. Safety of Simultaneous Coronary Artery Bypass Grafting and Carotid Endarterectomy Versus Isolated Coronary Artery Bypass Grafting: A Randomized Clinical Trial. Stroke. 2017; 48: 10: 2769–2775. doi: 10.1161/STROKEAHA.117.017570. Oz K, Aydın Ü, Kyaruzi M, et al. Staged or Combined Approach for Carotid Endarterectomy in Patients Undergoing Coronary Artery Bypass Grafting: A 5-Year-Long Experience. Heart Surg. Forum. 2016; 19: 6: 276–281. doi: 10.1532/hsf.1551. Kazantsev AN, Tarasov RS, Burkov NN, et al. Karotidnaya endarterektomiya: trekhletnie rezul'taty nablyudeniya v ramkakh odnotsentrovogo registra (in Russian). Angiologiya i sosudistaya khirurgiya. 2018; 24: 3: 101–108. Tarasov RS, Anufriev AI, Burkov NN, et al. Simul'tannoe khirurgicheskoe lechenie patsienta so stenozom ekstrakranial'nogo otdela i intrakranial'noi arterial'noi anevrizmoi vnutrennei sonnoi arterii sprava (in Russian). Angiologiya i sosudistaya khirurgiya. 2017; 23: 4: 107–111. Gordeev ML, Bendov DV, Gnevashev AS, et al. Desyatiletnii opyt sochetannykh operatsii na koronarnykh i brakhiotsefal'nykh arteriyakh (in Russian). Grudnaya i serdechno-sosudistaya khirurgiya. 2015; 57: 6: 18–25. Gorokhov AS, Kozlov BN, Kuznetsov MS, Shipulin V.M. Sochetannoe ateroskleroticheskoe porazhenie sonnykh i koronarnykh arterii: vybor khirurgicheskoi taktiki s uchetom otsenki funktsional'nykh rezervov golovnogo mozga (in Russian). Kompleksnye problemy serdechno-sosudistykh zabolevanii. 2013; 3: 50–56. Belov YuV, Charchyan ER, Stepanenko AB, et al. Khirurgicheskoe lechenie patsientov s ishemicheskoi bolezn'yu serdtsa i bilateral'nym porazheniem sonnykh arterii (in Russian). Kardiologiya i serdechno-sosudistaya khirurgiya. 2016; 9: 2: 77–82. Charchyan ER, Stepanenko AB, Gens AP, et al. Blizhaishie i otdalennye rezul'taty khirurgicheskogo lecheniya bol'nykh s sochetannym porazheniem sonnykh i koronarnykh arterii (in Russian). Kardiologiya i serdechno-sosudistaya khirurgiya. 2017; 10: 1: 22–27. Bokeriya LA, Sigaev IYu, Darvish NA, et al. Taktika lecheniya bol'nykh s sochetannym ateroskleroticheskim porazheniem brakhiotsefal'nykh i koronarnykh arterii (in Russian). Zhurnal nevrologii i psikhiatrii im. C.C. Korsakova. 2016; 116: 2: 22–28. |
| فهرسة مساهمة: | Keywords: carotid endarterectomy; computer program; coronary artery bypass grafting; myocardial infarction; percutaneous coronary intervention; risk stratification Local Abstract: [Publisher, Russian] ЦЕЛЬ: Определение эффективности новой компьютерной программы стратификации риска послеоперационных неблагоприятных кардиоваскулярных событий у пациентов с атеросклеротическим поражением коронарных и сонных артерий. МАТЕРИАЛЫ И МЕТОДЫ: На основе математического анализа результатов лечения пациентов с атеросклеротическим поражением сонных и коронарных артерий за период с 2011 по 2015 гг. создана программа, позволяющая определять поэтапную или симультанную тактику реваскуляризации, которая прошла ретроспективное и проспективное тестирование в нашем учреждении. РЕЗУЛЬТАТЫ: В рамках клинического примера была проведена гибридная реваскуляризация головного мозга и миокарда в объеме чрескожного коронарного вмешательства и каротидной эндартерэктомии. В ранние послеоперационные часы зафиксировано развитие инфаркта миокарда. По расчетам программы при использовании других стратегий хирургического лечения (каротидная эндартерэктомия + коронарное шунтирование и каротидная эндартерэктомия–коронарное шунтирование) уровень риска развития осложнения был наиболее низким. Таким образом, при учете данной стратификации риска мультидисциплинарной командой можно было избежать развития осложнения. ЗАКЛЮЧЕНИЕ: Данная программа выбора тактики реваскуляризации при атеросклеротическом поражении коронарных и сонных артерий может быть дополнительным инструментом в арсенале методов определения стратегии лечения данной когорты больных. |
| تواريخ الأحداث: | Date Created: 20200630 Date Completed: 20200924 Latest Revision: 20200924 |
| رمز التحديث: | 20240628 |
| DOI: | 10.33529/ANGIO2020212 |
| PMID: | 32597892 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1027-6661 |
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| DOI: | 10.33529/ANGIO2020212 |