К вопросу о критическом артериальном стенозе

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.

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