On the issue of critical arterial stenosis
A. A. Suprunovich,
A. Ya. Bedrov,
A. A. Vrabiy,
A. A. Moiseev,
A. V. Baykova,
R. V. Kalmykova,
A. S. Dolzhikova https://doi.org/10.24884/1607-4181-2021-28-2-9-16
Abstract
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.
Keywords
critical stenosis,
hemodynamically significant stenosis,
ischemia,
atherosclerosis,
angiography,
functional test
Supporting agencies: The work was carried out with the financial support of the Russian Science Foundation (RGNF), grant № 20-65-47018.
About the Authors
A. A. Suprunovich
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Suprunovich Andrei A. – Cand. of Sci. (Med.), Assistant of the Department of Functional Diagnostics.
6-8, L’va Tolstogo str., Saint Petersburg, 197022.
Competing Interests:
Authors declare no conflict of interest.
A. Ya. Bedrov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
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.
Competing Interests:
Authors declare no conflict of interest.
A. A. Vrabiy
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Vrabiy Andrei A. – Cand. of Sci. (Med.), Cardiovascular Surgeon.
Saint Petersburg.
Competing Interests:
Authors declare no conflict of interest.
A. A. Moiseev
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Moiseev Aleksei A. – Cand. of Sci. (Med.), Assistant of the Department of Hospital Surgery with Clinic, Cardiovascular Surgeon.
Saint Petersburg.
Competing Interests:
Authors declare no conflict of interest.
A. V. Baykova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Baykova Anna V. – Postgraduate Student of the Department of Hospital Surgery with Clinic.
Saint Petersburg.
Competing Interests:
Authors declare no conflict of interest.
R. V. Kalmykova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Kalmykova Ruzana V. – Senior Laboratory Assistant of the Department of Faculty Surgery with Courses of Laparoscopic and Cardiovascular Surgery with Clinic.
Saint Petersburg.
Competing Interests:
Authors declare no conflict of interest.
A. S. Dolzhikova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Dolzhikova Aleksandra S. – Resident of the Department of Hospital Surgery № 2 with Clinic.
Saint Petersburg.
Competing Interests:
Authors declare no conflict of interest.
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Suprunovich A.A., Bedrov A.Ya., Vrabiy A.A., Moiseev A.A., Baykova A.V., Kalmykova R.V., Dolzhikova A.S. On the issue of critical arterial stenosis. The Scientific Notes of the Pavlov University. 2021;28(2):9-16. (In Russ.) https://doi.org/10.24884/1607-4181-2021-28-2-9-16
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