A clinical case of staged endovascular treatment of a patient with coronary heart disease and multiple lesions of peripheral arteries
https://doi.org/10.18705/2311-4495-2021-8-1-5-11
Abstract
A clinical case of successful treatment of a patient with atherosclerotic peripheral artery disease and clinically significant lesion of the coronary and carotid arteries. Patients underwent multi-stage surgical treatment. The first stage performed endovascular treatment the left internal carotid artery, the second — myocardial revascularization, the third — endovascular treatment of the left iliac arteries, the fourth — rotational atherectomy with stenting of the right superficial femoral artery. There were no complications in the perioperative period. The technique of operations is described, explanations are given for the chosen treatment strategy. The conclusion is drawn about the advantage of endovascular techniques in the treatment of patients with multifocal atherosclerosis.
About the Authors
M. A. Chernyavsky
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Chernyavsky Mikhail A. - MD, Dr. Sci., the Head of Vascular and Endovascular Surgery Department, Almazov National Medical Research Centre.
Akkuratova str. 2, Saint Petersburg, 197341.
Competing Interests:
The authors declare no conflict of interest.
Yu. A. Kudaev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Kudaev Yuriy A. - Cardiologist of Vascular Surgery Department, Almazov National Research Centre.
Akkuratova str. 2, Saint Petersburg, 197341.
Competing Interests:
The authors declare no conflict of interest.
N. N. Zherdev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Zherdev Nikolay N. - Junior Researcher of Vascular and Endovascular Surgery Department, Almazov National Research Centre.
Akkuratova str. 2, Saint Petersburg, 197341.
Competing Interests:
The authors declare no conflict of interest.
R. S. Shumakher
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Shumakher Roman S. - Junior Researcher of Vascular and Endovascular Surgery Department, Almazov National Research Centre.
Akkuratova str. 2, Saint Petersburg, 197341.
Competing Interests:
The authors declare no conflict of interest.
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Review
For citations:
Chernyavsky M.A., Kudaev Yu.A., Zherdev N.N., Shumakher R.S. A clinical case of staged endovascular treatment of a patient with coronary heart disease and multiple lesions of peripheral arteries. Translational Medicine. 2021;8(1):5-11. (In Russ.) https://doi.org/10.18705/2311-4495-2021-8-1-5-11
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