A CASE OF SUCCESSFUL USE OF PERCUTANEOUS TEMPORARY OCCLUSION OF THE HEART VENOUS SINUS IN PATIENT WITH ACUTE CORONARY SYNDROME WITH ST SEGMENT ELEVATION IN THE ABSENCE OF HEMODYNAMICALLY SIGNIFICANT ATHEROSCLEROTIC LESIONS OF THE CORONARY ARTERIES
https://doi.org/10.24060/2076-3093-2017-7-1-48-53
Abstract
The search for new methods of adequate antegrade blood flow restoration in the coronary arteries of patients with acute coronary syndrome with ST-segment elevation (ACSesST) without hemodynamically significant atherosclerotic lesions of the coronary arteries is a poorly studied item. The author gives the clinical example of a patient with ACSesST without hemodynamically significant atherosclerotic lesions of the coronary arteries and deceleration of antegrade blood flow in the area of the anterior descending artery (ADA). Percutaneous temporary occlusion of the coronary sinus was done to the patient during 10 minutes in the balloon catheter «inflation-deflation». The procedure resulted in a positive impact on coronary hemodynamics such as distal coronary spasm cupping, myocardial perfusion improvement and restoration of adequate antegrade blood flow in the pool ADA.
About the Authors
B. E. Shakhov
Federal State Budgetary Educational Institution of Higher Education “Nizhniy Novgorod State Medical Academy”
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Honored Scientist of the Russian Federation, Russian Scientific Society of International Cardioangiology Board Member, the Chancellor of Nizhniy Novgorod State Medical Academy,
Nizhniy Novgorod
E. B. Shakhov
City Clinical Hospital №5
Russian Federation
Russian Federation
Candidate of Medical Sciences, X-ray Surgeon Physician,
Nizhniy Novgorod
E. B. Petrova
Federal State Budgetary Educational Institution of Higher Education “Nizhniy Novgorod State Medical Academy”
Russian Federation
Russian Federation
Candidate of Medical Sciences, Associate Professor at the Radiological Diagnosis Department of the Advanced Doctors Training Faculty,
Nizhniy Novgorod
E. G. Sharabrin
Federal State Budgetary Educational Institution of Higher Education “Nizhniy Novgorod State Medical Academy”
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor at the Radiological Diagnosis Department of the Advanced Doctors Training Faculty,
Nizhniy Novgorod
E. V. Chebotar
Specialized Cardio-Surgical Clinical Hospital
Russian Federation
Russian Federation
Doctor of Medical Sciences, the Chief of X-ray Surgical Methods of Diagnostics and Treatment Department,
Nizhniy Novgorod
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Review
For citations:
Shakhov B.E., Shakhov E.B., Petrova E.B., Sharabrin E.G., Chebotar E.V. A CASE OF SUCCESSFUL USE OF PERCUTANEOUS TEMPORARY OCCLUSION OF THE HEART VENOUS SINUS IN PATIENT WITH ACUTE CORONARY SYNDROME WITH ST SEGMENT ELEVATION IN THE ABSENCE OF HEMODYNAMICALLY SIGNIFICANT ATHEROSCLEROTIC LESIONS OF THE CORONARY ARTERIES. Creative surgery and oncology. 2017;7(1):48-53. (In Russ.) https://doi.org/10.24060/2076-3093-2017-7-1-48-53
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