cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2017-32-3-40-48cardiotomsk-320Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESХРОНИЧЕСКАЯ ИШЕМИЧЕСКАЯ БОЛЕЗНЬ СЕРДЦА ПРИ ПОРАЖЕНИИ СТВОЛА ЛЕВОЙ КОРОНАРНОЙ АРТЕРИИ: СОВРЕМЕННОЕ СОСТОЯНИЕ ПРОБЛЕМЫ И МЕТОДЫ ЛЕЧЕНИЯLEFT MAIN CORONARY ARTERY DISEASE: CURRENT STATUS AND MANAGEMENTБессоновИ. С.BessonovI. S.

канд. мед. наук, научный сотрудник лаборатории инструментальной диагностики научного отдела инструментальных методов исследования, врач отделения рентгенэндоваскулярных методов диагностики и лечения № 1

Ivan_Bessnv@mail.ruКузнецовВ. А.KuznetsovV. A.

докт. мед. наук, профессор, руководитель научного отдела инструментальных методов исследования заболеваний

kuznets@cardio.tmn.ruТюменский кардиологический научный центр, Томский национальный исследовательский медицинский центр Российской академии наук, ТюменьРоссияTyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, TyumenRussian Federation2017231120173231421Copyright © Бессонов И.С., Кузнецов В.А., 20172017Бессонов И.С., Кузнецов В.А.Bessonov I.S., Kuznetsov V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/320

Обзорная статья посвящена описанию современных тенденций в лечении ишемической болезни сердца (ИБС) у пациентов со стенозом ствола левой коронарной артерии (ЛКА). Представлена клинико-морфологическая характеристика ИБС при поражении ствола ЛКА, описаны особенности и преимущества различных методов реваскуляризации в сравнении с медикаментозной терапией у этой категории больных, проанализированы возможности чрескожных коронарных вмешательств (ЧКВ) в сравнении с коронарным шунтированием (КШ).

 

The review article describes the current trends in the treatment of coronary artery disease (CAD) in patients with left main coronary artery stenosis (LMCA). The article shows the clinical and morphological characteristics of CAD in patients with LMCA stenosis, and describes the benefits of revascularization. Safety and efficacy of percutaneous coronary intervention versus coronary bypass surgery grafting were analyzed using up-to-date evidence base.

 

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