transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2018-5-4-5-11transmed-425Research ArticleСЕРДЕЧНО-СОСУДИСТЫЕ ЗАБОЛЕВАНИЯCARDIOVASCULAR MEDICINEЭндоваскулярные методы лечения при острой тромбоэмболии легочной артерииEndovascular treatment of acute pulmonary embolismЧернявскийМ. А.ChernyavskiyM. A.

Чернявский Михаил Александрович - доктор медицинских наук руководитель научно-исследовательского отдела сосудистой и интервенционной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Mikhail A. Chernyavskiy - MD, PhD, head of researchdepartment of vascular and intervention surgery.

Akkuratova str. 2, Saint Petersburg, 197341

machern@mail.ruКудаевЮ. А.KudaevY. A.

Кудаев Юрий Анатольевич - врач-кардиолог отделения сосудистой и гибридной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Yuri A. Kudaev - MD, cardiologist of department of vascular and hybrid surgery.

Akkuratova str. 2, Saint Petersburg, 197341

ЧерновА. В.ChernovA. V.

Чернов Артемий Владимирович - заведующий отделением сосудистой и гибридной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Artemiy V. Chernov - MD, head of department of vascular and hybrid surgery.

Akkuratova str. 2, Saint Petersburg, 197341

ЖердевН. Н.ZherdevN. N.

Жердев Николай Николаевич - научный сотрудник научно-исследовательского отдела сосудистой и интервенционной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Nikolai N. Zherdev - MD, research assistant of researchdepartment of vascular and intervention surgery.

Akkuratova str. 2, Saint Petersburg, 197341

ЧерноваД. В.ChernovaD. V.

Чернова Дарья Викторовна - научный сотрудник научно-исследовательского отдела сосудистой и интервенционной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Chernova Darya Victorovna - research assistant of research-department of vascular and intervention surgery and intervention surgery, MD jvascular and intervention surgery.

Akkuratova str. 2, Saint Petersburg, 197341

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава РоссииРоссияAlmazov National Medical Research CentreRussian Federation20183009201854511Copyright © Чернявский М.А., Кудаев Ю.А., Чернов А.В., Жердев Н.Н., Чернова Д.В., 20182018Чернявский М.А., Кудаев Ю.А., Чернов А.В., Жердев Н.Н., Чернова Д.В.Chernyavskiy M.A., Kudaev Y.A., Chernov A.V., Zherdev N.N., Chernova D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/425

Тромбоэмболия легочной артерии является жизнеугрожающим состоянием вследствие развития острой правожелудочковой недостаточности и кардиогенного шока. Основным методом реперфузии при массивной легочной эмболии остается системный тромболизис, проведение которого сопряжено с риском фатальных геморрагических осложнений. В течение последних двух десятилетий наблюдается все больший интерес к использованию эндоваскулярных технологий, позволяющих восстановить кровоток по окклюзированным легочным артериям в сроки до трех недель от верифицированного эпизода эмболии и снизить риск больших кровотечений. Проводимые в настоящее время исследования подтверждают высокую эффективность и безопасность интервенционных методов лечения, внедрение которых в клиническую практику позволит улучшить прогноз больных с массивной тромбоэмболией легочной артерии.

Thromboembolism of pulmonary artery is life-threatening condition due to acute right ventricle failure and cardiogenic shock. System thrombolysis is the main way of reperfusion in massive pulmonary embolism with a very high risk of fatal hemorrhage complications. There is a popular revascularization method in two last decades such as endovascular treatment. It allows to recover the blood flow into occluded pulmonary arteries up to three weeks after confirmed embolism episode and to decrease major bleeding risks. Now trials corroborate the high efficacy and safety of interventional treatment the usage of which would allow to improve prognosis in massive pulmonary embolism.

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The authors declare that there are no conflicts of interest present.