uzspbgmuУчёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. ПавловаThe Scientific Notes of the Pavlov University1607-41812541-8807Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1607-4181-2021-28-2-9-16uzspbgmu-826Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESК вопросу о критическом артериальном стенозеOn the issue of critical arterial stenosishttps://orcid.org/0000-0002-3749-0379СупруновичА. А.SuprunovichA. A.

Супрунович Андрей Александрович – кандидат медицинских наук, ассистент кафедры функциональной диагностики.

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8.

Suprunovich Andrei A. – Cand. of Sci. (Med.), Assistant of the Department of Functional Diagnostics.

6-8, L’va Tolstogo str., Saint Petersburg, 197022.

doctoras@mail.ruhttps://orcid.org/0000-0001-8382-1127БедровА. Я.BedrovA. Ya.

Бедров Александр Ярославович – кандидат медицинских наук, доцент кафедры хирургии госпитальной с клиникой, зав. отделением сосудистой хирургии.

Санкт-Петербург.

Bedrov Aleksandr Ya. – Cand. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery with Clinic, Head of the Department of Vascular Surgery.

Saint Petersburg.

abedrov@gmail.comВрабийА. А.VrabiyA. A.

Врабий Андрей Андреевич – кандидат медицинских наук, сердечно-сосудистый хирург.

Санкт-Петербург.

Vrabiy Andrei A. – Cand. of Sci. (Med.), Cardiovascular Surgeon.

Saint Petersburg.

dock1@yandex.ruhttps://orcid.org/0000-0002-9923-4688МоисеевА. А.MoiseevA. A.

Моисеев Алексей Андреевич – кандидат медицинских наук, ассистент кафедры хирургии госпитальной с клиникой, сердечно-сосудистый хирург.

Санкт-Петербург.

Moiseev Aleksei A. – Cand. of Sci. (Med.), Assistant of the Department of Hospital Surgery with Clinic, Cardiovascular Surgeon.

Saint Petersburg.

moiseev85@mail.ruhttps://orcid.org/0000-0002-0432-1480БайковаА. В.BaykovaA. V.

Байкова Анна Вадимовна – аспирант кафедры хирургии госпитальной с клиникой.

Санкт-Петербург.

Baykova Anna V. – Postgraduate Student of the Department of Hospital Surgery with Clinic.

Saint Petersburg.

baikova93@mail.ruhttps://orcid.org/0000-0002-9522-4933КалмыковаР. В.KalmykovaR. V.

Калмыкова Рузана Владимировна – старший лаборант кафедры хирургии факультетской с курсами лапароскопической и сердечно-сосудистой хирургии с клиникой.

Санкт-Петербург.

Kalmykova Ruzana V. – Senior Laboratory Assistant of the Department of Faculty Surgery with Courses of Laparoscopic and Cardiovascular Surgery with Clinic.

Saint Petersburg.

ruzana.kalmykova@mail.ruhttps://orcid.org/0000-0002-7018-914XДолжиковаА. С.DolzhikovaA. S.

Должикова Александра Степановна – клинический ординатор кафедры хирургии госпитальной № 2 с клиникой.

Санкт-Петербург.

Dolzhikova Aleksandra S. – Resident of the Department of Hospital Surgery № 2 with Clinic.

Saint Petersburg.

d_as04547@mail.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian Federation202104082021282916Copyright © Супрунович А.А., Бедров А.Я., Врабий А.А., Моисеев А.А., Байкова А.В., Калмыкова Р.В., Должикова А.С., 20212021Супрунович А.А., Бедров А.Я., Врабий А.А., Моисеев А.А., Байкова А.В., Калмыкова Р.В., Должикова А.С.Suprunovich A.A., Bedrov A.Y., Vrabiy A.A., Moiseev A.A., Baykova A.V., Kalmykova R.V., Dolzhikova A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sci-notes.ru/jour/article/view/826

Сердечно-сосудистые заболевания (ССЗ) занимают 1-е место среди причин смерти во всем мире. Основной вклад в структуру смертности от ССЗ вносит атеросклероз. Показания к хирургическому лечению пациентов с заболеваниями, вызванными атеросклеротическим сужением артерий, выставляются с учетом степени их стеноза. На протяжении многих лет «золотым стандартом» обследования пациентов с ССЗ считается ангиография. Множественные исследования, проведенные за последние несколько десятков лет, выявили слабую сторону этого метода в оценке значимости пограничных стенозов. Поэтому для анализа таких изменений были введены функциональные тесты, уточняющие показания к хирургическому вмешательству. В настоящее время определены критерии значимости сужения подвздошных, почечных и коронарных артерий. Значимость стенозов артерий, кровоснабжающих головной мозг и кишечник, до сих пор остается предметом дискуссий и требует дальнейшего изучения.

Cardiovascular disease (CVD) is the leading cause of death worldwide. The main contribution to the structure of mortality from CVD is made by atherosclerosis. Indications for surgical treatment of patients with diseases caused by atherosclerotic lesions of the arteries are set taking into account the degree of their stenosis. Angiography has been considered the gold standard for screening patients with CVD for many years. Numerous studies carried out over the past several decades have revealed the weak side of this method in assessing the significance of borderline stenosis. Therefore, to analyze such changes, functional tests were introduced to clarify the indications for surgical intervention. Currently, criteria for the significance of stenosis of the iliac, renal and coronary arteries have been determined. The significance of stenosis of the arteries supplying the brain and intestines is still a matter of debate and requires further study.

критический стенозгемодинамически значимый стенозишемияатеросклерозангиографияфункциональная нагрузкаcritical stenosishemodynamically significant stenosisischemiaatherosclerosisangiographyfunctional testРабота выполнена при финансовой поддержке Российского научного фонда (РНФ), грант № 20-65-47018.The work was carried out with the financial support of the Russian Science Foundation (RGNF), grant № 20-65-47018.ReferencesEuropean Cardiovascular Disease Statistics 2017 // The European Heart Network. URL: http://www.ehnheart.org/cvd-statistics/cvd-statistics-2017.html (дата обращения: 22.02.2021).European Cardiovascular Disease Statistics 2017 // The European Heart Network. Available at: http://www.ehnheart.org/cvd-statistics/cvd-statistics-2017.html (accessed: 22.02.2021).Российский статистический ежегодник // Федеральная служба государственной статистики. URL: https://rosstat.gov.ru/folder/210/document/12994 (дата обращения: 22.02.2021).Rossijskij statisticheskij ezhegodnik // Federal’naya sluzhba gosudarstvennoj statistiki. Available at: https://rosstat.gov.ru/folder/210/document/12994 (accessed: 22.02.2021).The Atlas of Heart Disease and Stroke / J. Mackay, G. A. Mensah, S. Mendis, K. Greenlund // World Health Organization. URL: https://www.who.int/cardiovascular_diseases/resources/atlas/en/ (дата обращения: 22.02.2021).Mackay J., Mensah G. A., Mendis S., Greenlund K. The Atlas of Heart Disease and Stroke // World Health Organization. URL: https://www.who.int/cardiovascular_diseases/resources/atlas/en/ (accessed: 22.02.2021).Effect on blood flow of decreasing lumen of blood vessel / F. C. Mann, J. F. Herrick, H. E. Essex, E. J. Baldes // Surgery. – 1938. – № 4. – P. 249–252.Mann F. C., Herrick J. F., Essex H. E., Baldes E. J. Effect on blood flow of decreasing lumen of blood vessel // Surgery. 1938;(4):249–252.May A. G., DeWeese J. A., Rob C. G. Hemodynamic effects of arterial stenosis // Surgery. – 1963. – Vol. 53, № 4. – P. 513–524.May A. G., DeWeese J. A., Rob C. G. Hemodynamic effects of arterial stenosis // Surgery. 1963;53(4):513–524.Critical arterial stenosis / A. G. May, L. Van de Berg, J. A. DeWeese, C. G. Rob // Surgery. – 1963. – Vol. 54, № 1. – P. 250–259.May A. G., Van de Berg L., DeWeese J. A., Rob C. G. Critical arterial stenosis // Surgery. 1963;54(1):250–259.Killen D. A., Oh S. U. Quantitation of the severity of arterial stenosis by pressure gradient measurement // Amer. Surg. – 1968. – Vol. 34, № 5. – P. 341–349.Killen D. A., Oh S. U. Quantitation of the severity of arterial stenosis by pressure gradient measurement // Amer. Surg. 1968;34(5):341–349.Flanigan D. P., Tullis J. P., Streeter V. L. et al. Multiple subcritical arterial stenoses: effect on poststenotic pressure and flow // Ann Surg. – 1977. – Vol. 186, № 5. – P. 663–668. Doi: 10.1097/00000658-197711000-00020.Flanigan D. P., Tullis J. P., Streeter V. L., Whitehouse W. M. Jr., Fry W. J., Stanley J. C. Multiple subcritical arterial stenoses: effect on poststenotic pressure and flow // Ann Surg. 1977; 186(5):663–668. Doi: 10.1097/00000658-197711000-00020.Moore W. S., Malone J. M. Effect of flow rate and vessel calibre on critical arterial stenosis // J. Surg. Res. – 1979. – Vol. 26, № 1. – P. 1–9. Doi: 10.1016/0022-4804(79)90071-4.Moore W. S., Malone J. M. Effect of flow rate and vessel calibre on critical arterial stenosis // J Surg Res. 1979;26(1):1–9. Doi: 10.1016/0022-4804(79)90071-4.Helal M. A., Watts K. C., Marble A. E. Haemodynamic model of a unilateral iliac stenosis with an aortoiliac bypass // Med. Biol. Eng. Comput. – 1993. – Vol. 31, № 6. – P. 562–568. Doi: 10.1007/bf02441802.Helal M. A., Watts K. C., Marble A. E. Haemodynamic model of a unilateral iliac stenosis with an aortoiliac bypass // Med. Biol. Eng. Comput. 1993;31(6):562–568. Doi: 10.1007/bf02441802.Bier A. Die Entstehung des Collateralkreislaufs // Archiv Für Pathologische Anatomie Und Physiologie Und Für Klinische Medicin. – 1897. – Vol. 147, № 2. – P. 256–293. Doi: 10.1007/bf01882125.Bier A. Die Entstehung des Collateralkreislaufs // Archiv Für Pathologische Anatomie Und Physiologie Und Für Klinische Medicin. 1897;147(2):256–293. Doi: 10.1007/bf01882125.Cohnheim J. F. Untersuchungen ueber die Embolischen Processe. – Berlin: Hirschwald, 1872. – P. 33–40.Cohnheim J. F. Untersuchungen ueber die Embolischen Processe. Berlin: Hirschwald, 1872:33–40.Klabunde R. E. Reactive Hyperemia // Cardiovascular Physiology Concepts. URL: https://www.cvphysiology.com/Blood%20Flow/BF006 (дата обращения: 22.02.2021).Klabunde R. E. Reactive Hyperemia // Cardiovascular Physiology Concepts. Available at: https://www.cvphysiology.com/Blood%20Flow/BF006 (accessed: 22.02.2021).Conti C. R., Pepine C. J., Feldman R. L. Angiographic Definition of Critical Coronary Artery Stenosis // Advances in Cardiology. – 1979. – Vol. 26. – P. 100–109. Doi: 10.1159/000402394.Conti C. R., Pepine C. J., Feldman R. L., Curry R. C., Christie L. G., Nichols W. W. Angiographic Definition of Critical Coronary Artery Stenosis // Advances in Cardiology. 1979;(26):100–109. Doi: 10.1159/000402394.Gould K. L., Lipscomb K., Hamilton G. W. Physiologic basis for assessing critical coronary stenosis. Instantaneous flow response and regional distribution during coronary hyperemia as measures of coronary flow reserve // Am. J. Cardiol. – 1974. – Vol. 33, № 1. – P. 87–94. Doi: 10.1016/0002-9149(74)90743-7.Gould K. L., Lipscomb K., Hamilton G. W. Physiologic basis for assessing critical coronary stenosis. Instantaneous flow response and regional distribution during coronary hyperemia as measures of coronary flow reserve // Am. J. Cardiol. 1974;33(1):87–94. Doi: 10.1016/0002-9149(74)90743-7.Elzinga W. E., Skinner D. B. Hemodynamic characteristics of critical stenosis in canine coronary arteries // J. Thorac. Cardiovasc. Surg. – 1975. – Vol. 69, № 2. – P. 217–222. PMID: 1113539.Elzinga W. E., Skinner D. B. Hemodynamic characteristics of critical stenosis in canine coronary arteries // J. Thorac. Cardiovasc. Surg. 1975;69(2):217–222. PMID: 1113539.Pijls N. H., van Son J. A., Kirkeeide R. L. et al. Experimental basis of determining maximum coronary, myocardial, and collateral blood flow by pressure measurements for assessing functional stenosis severity before and after percutaneous transluminal coronary angioplasty // Circulation. – 1993. – Vol. 87, № 4. – P. 1354–1367. Doi: 10.1161/01.cir.87.4.1354.Pijls N. H., van Son J. A., Kirkeeide R. L., De Bruyne B., Gould K. L. Experimental basis of determining maximum coronary, myocardial, and collateral blood flow by pressure measurements for assessing functional stenosis severity before and after percutaneous transluminal coronary angioplasty // Circulation. 1993;87(4):1354–1367. Doi: 10.1161/01.cir.87.4.1354.De Bruyne B., Baudhuin T., Melin J. A. et al. Coronary flow reserve calculated from pressure measurements in humans. Validation with positron emission tomography // Circulation. – 1994. – Vol. 89, № 3. – P. 1013–1022. Doi: 10.1161/01.cir.89.3.1013.De Bruyne B., Baudhuin T., Melin J. A., Pijls N. H., Sys S. U., Bol A., Paulus W. J., Heyndrickx G. R., Wijns W. Coronary flow reserve calculated from pressure measurements in humans. Validation with positron emission tomography // Circulation. 1994;89(3):1013–1022. Doi: 10.1161/01.cir.89.3.1013.Pijls N. H., Van Gelder B., Van der Voort P. et al. Fractional flow reserve. A useful index to evaluate the influence of an epicardial coronary stenosis on myocardial blood flow // Circulation. – 1995. – Vol. 92, № 11. – P. 3183–3193. Doi: 10.1161/01.cir.92.11.3183.Pijls N. H., Van Gelder B., Van der Voort P., Peels K., Bracke F. A., Bonnier H. J., el Gamal M. I. Fractional flow reserve. A useful index to evaluate the influence of an epicardial coronary stenosis on myocardial blood flow // Circulation. 1995;92(11):3183–3193. Doi: 10.1161/01.cir.92.11.3183.Pijls N. H., De Bruyne B., Peels K. et al. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenosis // N. Engl. J. Med. – 1996. – Vol. 334, № 26. – P. 1703–1708. Doi: 10.1056/NEJM199606273342604.Pijls N. H., De Bruyne B., Peels K., Van Der Voort P. H., Bonnier H. J., Bartunek J Koolen J. J., Koolen J. J. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenosis // N. Engl. J. Med. 1996;334(26):1703–1708. Doi: 10.1056/NEJM199606273342604.Sen S., Escaned J., Malik I. S. et al. Development and validation of a new adenosine-independent index of stenosis severity from coronary wave-intensity analysis: results of the ADVISE (Adenosine Vasodilator Independent Stenosis Evaluation) study // J. Am. Coll. Cardiol. – 2012. – Vol. 59, № 15. – P. 1392–1402. Doi: 10.1016/j.jacc.2011.11.00329.Sen S., Escaned J., Malik I. S., Mikhail G. W., Foale R. A., Mila R., Tarkin J., Petraco R., Broyd C., Jabbour R., Sethi A., Baker C. S., Bellamy M., Al-Bustami M., Hackett D., Khan M., Lefroy D., Parker K. H., Hughes A. D., Francis D. P., Di Mario C., Mayet J., Davies J. E. Development and validation of a new adenosine-independent index of stenosis severity from coronary wave-intensity analysis: results of the ADVISE (Adenosine Vasodilator Independent Stenosis Evaluation) study // J. Am. Coll. Cardiol. 2012;59(15):1392–1402. Doi: 10.1016/j.jacc.2011.11.00329.Knuuti J., Wijns W., Saraste A. et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes // Eur. Heart J. – 2020. – Vol. 41, № 3. – P. 407–477. Doi: 10.1093/eurheartj/ehz425.Knuuti J., Wijns W., Saraste A., Capodanno D., Barbato E., Funck-Brentano C., Prescott E., Storey R. F., Deaton C., Cuisset T., Agewall S., Dickstein K., Edvardsen T., Escaned J., Gersh B. J., Svitil P., Gilard M., Hasdai D., Hatala R., Mahfoud F., Masip J., Muneretto C., Valgimigli M., Achenbach S., Bax J. J. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes // Eur. Heart J. 2020;41(3):407–477. Doi: 10.1093/eurheartj/ehz425.Levine G. N., Bates E. R., Blankenship J. C. et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions // Circulation. – 2011. – Vol. 124, № 23. – P. e574–e651. Doi: 10.1161/CIR.0b013e31823ba622.Levine G. N., Bates E. R., Blankenship J. C. et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions // Circulation 2011;124(23):E574–E651. Doi: 10.1161/CIR.0b013e31823ba622.Imanishi M., Akabane S., Takamiya M. et al. Critical degree of renal arterial stenosis that causes hypertension in dogs // Angiology. – 1992. – Vol. 43, № 10. – P. 833–842. Doi: 10.1177/000331979204301006.Imanishi M., Akabane S., Takamiya M., Kawamura M., Matsushima Y., Kuramochi M., Omae T. Critical degree of renal arterial stenosis that causes hypertension in dogs // Angiology. 1992;43(10):833–842. Doi: 10.1177/000331979204301006.Simon G. What is critical renal artery stenosis? Implications for treatment // Am. J. Hypertens. – 2000. – Vol. 13, № 11. – P. 1189–1193. Doi: 10.1016/s0895-7061(00)01179-1.Simon G. What is critical renal artery stenosis? Implications for treatment // Am. J. Hypertens. 2000;13(11):1189–1193. Doi: 10.1016/s0895-7061(00)01179-1.Rundback J. H., Sacks D., Kent K. C. et al. American Heart Association Councils on Cardiovascular Radiology, High Blood Pressure Research, Kidney in Cardiovasuclar Disease, and Clincial Cardiology; Society of Interventional Radiology FDA Device Forum Committee. Guidelines for the reporting of renal artery revascularization in clinical trials // J. Vasc. Interv. Radiol. – 2002. – Vol. 13, № 10. – P. 959–974. Doi: 10.1016/s1051-0443(07)61860-0.Rundback J. H., Sacks D., Kent K. C., Cooper C., Jones D., Murphy T., Rosenfield K., White C., Bettmann M., Cortell S., Puschett J., Clair D. G., Cole P. American Heart Association Councils on Cardiovascular Radiology, High Blood Pressure Research, Kidney in Cardiovasuclar Disease, and Clincial Cardiology; Society of Interventional Radiology FDA Device Forum Committee. Guidelines for the reporting of renal artery revascularization in clinical trials // J. Vasc. Interv. Radiol. 2002;13(10):959–974. Doi: 10.1016/s1051-0443(07)61860-0.De Bruyne B., Manoharan G., Pijls N. H. et al. Assessment of renal artery stenosis severity by pressure gradient measurements // J. Am. Coll. Cardiol. – 2006. – Vol. 48, № 9. – P. 1851–1855. Doi: 10.1016/j.jacc.2006.05.074.De Bruyne B., Manoharan G., Pijls N. H., Verhamme K., Madaric J., Bartunek J., Vanderheyden M., Heyndrickx G. R. Assessment of renal artery stenosis severity by pressure gradient measurements // J. Am. Coll. Cardiol. 2006;48(9):1851–1855. Doi: 10.1016/j.jacc.2006.05.074.Drieghe B., Madaric J., Sarno G. et al. Assessment of renal artery stenosis: side-by-side comparison of angiography and duplex ultrasound with pressure gradient measurements // Eur. Heart J. – 2008. – Vol. 29, № 4. – P. 517–524. Doi: 10.1093/eurheartj/ehm631.Drieghe B., Madaric J., Sarno G., Manoharan G., Bartunek J., Heyndrickx G. R., Pijls N. H., De Bruyne B. Assessment of renal artery stenosis: side-by-side comparison of angiography and duplex ultrasound with pressure gradient measurements // Eur. Heart J. 2008;29(4):517–524. Doi: 10.1093/eurheartj/ehm631.Mangiacapra F., Trana C., Sarno G. et al. Translesional pressure gradients to predict blood pressure response after renal artery stenting in patients with renovascular hypertension // Circ. Cardiovasc. Interv. – 2010. – Vol. 3, № 6. – P. 537–542. Doi: 10.1161/CIRCINTERVENTIONS.110.957704.Mangiacapra F., Trana C., Sarno G., Davidavicius G., Protasiewicz M., Muller O., Ntalianis A., Misonis N., Van Vlem B., Heyndrickx G. R., De Bruyne B. Translesional pressure gradients to predict blood pressure response after renal artery stenting in patients with renovascular hypertension // Circ. Cardiovasc. Interv. 2010;3(6):537–542. Doi: 10.1161/CIRCINTERVENTIONS.110.957704.Bailey S. R., Beckman J. A., Dao T. D. et al. ACC/AHA/SCAI/SIR/SVM 2018 Appropriate Use Criteria for Peripheral Artery Intervention // J. Am. Coll. Cardiol. – 2019. – Vol. 73, № 2. – P. 214–237. Doi: 10.1016/j.jacc.2018.10.002.Bailey S. R., Beckman J. A., Dao T. D., Misra S., Sobieszczyk P. S., White C. J., Yucel E. K. ACC/AHA/SCAI/SIR/SVM 2018 Appropriate Use Criteria for Peripheral Artery Intervention // J. Am. Coll. Cardiol. 2019;73(2):214–237. Doi: 10.1016/j.jacc.2018.10.002.Aboyans V., Ricco J.-B., Bartelink M.-L.E.L. et al. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) // Eur. Heart J. – 2017. – Vol. 39, № 9. – P. 763–816. Doi: 10.1093/eurheartj/ehx095.Aboyans V., Ricco J. – B., Bartelink M. – L. E. L., Björck M., Brodmann M., Cohnert T., Debus S. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) // Eur. Heart J. 2017;39(9):763–816. Doi: 10.1093/eurheartj/ehx095.Udoff E. J., Barth K. H., Harrington D. P. et al. Hemodynamic Significance of Iliac Artery Stenosis: Pressure Measurements During Angiography // Radiology. – 1979. – Vol. 132, № 2. – P. 289–293. Doi: 10.1148/132.2.289.Udoff E. J., Barth K. H., Harrington D. P., Kaufman S. L., White R. I. Hemodynamic Significance of Iliac Artery Stenosis: Pressure Measurements During Angiography // Radiology. 1979;132(2):289–293. Doi: 10.1148/132.2.289.Gerhard-Herman M. D., Gornik H. L., Barrett C. et al. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines // Circulation. – 2017. – Vol. 135, № 12. – P. e686–e725. Doi: 10.1161/cir.0000000000000470.Gerhard-Herman M. D., Gornik H. L., Barrett C., Barshes N. R., Corriere M. A., Drachman D. E., Walsh M. E. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines // Circulation. 2017;135(12):e686–e725. Doi: 10.1161/cir.0000000000000470.Feldman D. N., Armstrong E. J., Aronow H. D. et al. SCAI guidelines on device selection in Aorto‐Iliac arterial interventions // Catheter. Cardiovasc. Interv. – 2020. – Vol. 96, № 4. – P. 915–929. Doi: 10.1002/ccd.28947.Feldman D. N., Armstrong E. J., Aronow H. D., Banerjee S., Díaz-Sandoval L. J., Jaff M. R., White C. J. SCAI guidelines on device selection in Aorto-Iliac arterial interventions // Catheter. Cardiovasc. Interv. 2020;96(4):915–929. Doi: 10.1002/ccd.28947.Eklöf B., Schwartz S. I. Critical Stenosis of the Carotid Artery in the Dog // Scand. J. Clin. Lab. Invest. – 1970. – Vol. 25, № 4. – P. 349–353. Doi: 10.3109/00365517009046215.Eklöf B., Schwartz S. I. Critical Stenosis of the Carotid Artery in the Dog // Scand. J. Clin. Lab. Invest. 1970: 25(4);349–353. Doi: 10.3109/00365517009046215.Deweese J. A., May A. G., Lipchik E. O. Anatomic and Hemodynamic Correlations in Carotid Artery Stenosis // Stroke. – 1970. – Vol. 1, № 3. – P. 149–157. Doi: 10.1161/01.str.1.3.149.Deweese J. A., May A. G., Lipchik E. O. Anatomic and Hemodynamic Correlations in Carotid Artery Stenosis // Stroke. 1970;1(3):149–157. Doi: 10.1161/01.str.1.3.149.Jonas D. E., Feltner C., Amick H. R. et al. Screening for Asymptomatic Carotid Artery Stenosis: A Systematic Review and Meta-Analysis for the U.S. Preventive Services Task Force // Ann. Intern. Med. – 2014. – Vol. 161, № 5. – P. 336–346. Doi: 10.7326/M14-0530.Jonas D. E., Feltner C., Amick H. R. Sheridan S., Zheng Z.-J., Watford D. J., Carter J. L., Rowe C. J., Harris R. Screening for Asymptomatic Carotid Artery Stenosis: A Systematic Review and Meta-Analysis for the U. S. Preventive Services Task Force // Ann. Intern. Med. 2014; 161(5):336–346. Doi: 10.7326/M14-0530.Abbott A. L., Paraskevas K. I., Kakkos S. K. et al. Systematic Review of Guidelines for the Management of Asymptomatic and Symptomatic Carotid Stenosis // Stroke. – 2015. – Vol. 46, № 11. – P. 3288–3301. Doi: 10.1161/strokeaha.115.003390.Abbott A. L., Paraskevas K. I., Kakkos S. K., Golledge J., Eckstein H.-H., Diaz-Sandoval L. J., Ringleb P. Systematic Review of Guidelines for the Management of Asymptomatic and Symptomatic Carotid Stenosis // Stroke. 2015;46(11):3288–3301. Doi: 10.1161/strokeaha.115.003390.Terlouw L. G., Moelker A., Abrahamsen J. et al. European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Associationfor Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia // United European Gastroenterology Journal. – 2020. – Vol. 8, № 4. – P. 371–395. Doi: 10.1177/2050640620916681.Terlouw L. G., Moelker A., Abrahamsen J., Acosta S., Bakker O. J., Baumgartner I., Bruno M. J. European guidelines on chronic mesenteric ischaemia – joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia // United European Gastroenterology Journal. 2020;8(4):371–395. Doi: 10.1177/2050640620916681.Pillai A. K., Kalva S. P., Hsu S. L. et al. Quality Improvement Guidelines for Mesenteric Angioplasty and Stent Placement for the Treatment of Chronic Mesenteric Ischemia // J. Vasc. Interv. Radiol. – 2018. – Vol. 29, № 5. – P. 642–647. Doi: 10.1016/j.jvir.2017.11.024.Pillai A. K., Kalva S. P., Hsu S. L., Walker T. G., Silberzweig J. E., Annamalai G., Nikolic B. Quality Improvement Guidelines for Mesenteric Angioplasty and Stent Placement for the Treatment of Chronic Mesenteric Ischemia // J. Vasc. Interv. Radiol. 2018;29(5):642–647. Doi: 10.1016/j.jvir.2017.11.024.Aburahma A. F., Campbell J. E., Stone P. A. et al. Perioperative and late clinical outcomes of percutaneous transluminal stentings of the celiac and superior mesenteric arteries over the past decade // J. Vasc. Surg. – 2013. – Vol. 57, № 4. – P. 1052–1061. Doi: 10.1016/j.jvs.2012.10.082.Aburahma A. F., Campbell J. E., Stone P. A., Hass S. M., Mousa A. Y., Srivastava M., Keiffer T. Perioperative and late clinical outcomes of percutaneous transluminal stentings of the celiac and superior mesenteric arteries over the past decade // J. Vasc. Surg. 2013;57(4):1052–1061. Doi: 10.1016/j.jvs.2012.10.082.Pillai A. K., Kalva S. P., Hsu S. L. et al. Percutaneous Management of Chronic Mesenteric Ischemia: Outcomes after Intervention // J. Vasc. Interv. Radiol. – 2005. – Vol. 16, № 10. – P. 1319–1325. Doi: 10.1097/01.rvi.0000171697.09811.0e.Pillai A. K., Kalva S. P., Hsu S. L., Walker T. G., Silberzweig J. E., Annamalai G., Nikolic B. Percutaneous Management of Chronic Mesenteric Ischemia: Outcomes after Intervention // J. Vasc. Interv. Radiol. 2005;16(10):1319–1325. Doi: 10.1097/01.rvi.0000171697.09811.0e.Dias N. V., Acosta S., Resch T. et al. Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia // Br. J. Surg. – 2009. – Vol. 97, № 2. – P. 195–201. Doi: 10.1002/bjs.6819.Dias N. V., Acosta S., Resch T., Sonesson B., Alhadad A., Malina M., Ivancev K. Mid-term outcome of endovascular revascularization for chronic mesenteric ischaemia // Br. J. Surg. 2009;97(2):195–201. Doi: 10.1002/bjs.6819.Van Dijk L. J. D., Terlouw L. G., Van Noord D. et al. Endovascular Pressure Measurements to Assess the Functional Severity of Mesenteric Arterial Stenoses // J. Vasc. Interv. Radiol. – 2020. – Vol. 31, № 3. – P. 430–437. Doi: 10.1016/j.jvir.2019.10.019.Van Dijk L. J. D., Terlouw L. G., Van Noord D., Bijdevaate D. C, Bruno M. J, Moelker A. Endovascular Pressure Measurements to Assess the Functional Severity of Mesenteric Arterial Stenoses // J. Vasc. Interv. Radiol. 2020;31(3):430–437. Doi: 10.1016/j.jvir.2019.10.019.

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