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Information × Registration Number 0225U000488, (0121U111747) , R & D reports Title Develop a comprehensive approach to the treatment of coronary heart disease in patients with left coronary artery disease popup.stage_title Розробити комплексний підхід щодо лікування ішемічної хвороби серця у пацієнтів з ураженням стовбуру лівої коронарної артерії Head Aksonov Yevhenii V., Кандидат медичних наук Registration Date 13-01-2025 Organization State Institution "National Institute of Cardiovascular Surgery named after MM Amosov of the National Academy of Medical Sciences of Ukraine" popup.description1 Improving the effectiveness of treatment of coronary heart disease in patients with lesions of the trunk of the left coronary artery. popup.description2  According to the results of the study, it was established that both coronary bypass grafting and coronary stenting of the trunk of the coronary artery are effective methods of treatment for patients with hemodynamically significant lesions. The choice of the technique of coronary stenting should be determined by the features of the lesion not only of the trunk, but also of the main and side branches. In order to achieve optimal immediate and long-term results, a necessary condition is compliance with the intervention methodology, especially in patients who require the initial use of a two-stent technique. It should be noted that the use of a single-stent technique may lead to the need to switch to a two-stent manipulation. The easiest way is to switch to the TAR and culotte method. Intravascular imaging is a prerequisite for performing stenting of the LCA trunk, as it allows for the most accurate selection of the necessary equipment to reduce the risk of restenosis in the stented segment in the distant period. One of the main reasons for the recurrence of angina pectoris is the progression of atherosclerosis, which is due to low patient compliance with drug therapy. LCA stem stenting requires a highly qualified operator and requires discussion by a team of specialists. Coronary bypass surgery is an effective way of treating patients with hemodynamically significant damage to the trunk of the coronary artery (69.2% in the remote period). Recurrence of angina pectoris was noted by patients in 26.7% of cases. The most frequent causes of deterioration in both studied subgroups were the progression of coronary atherosclerosis in new locations, degenerative changes of shunts, and a combination of these two processes. In solving the problem of angina recurrence in patients with a history of coronary bypass surgery, the surgeon who performed the operative treatment and the cardiologist should participate in addition to the interventional cardiologist. Product Description popup.authors Bondarets Dmytro V. Havrylyshyn Andrii Yu. Hladun Artem Yu. Kalashnikov Sviatosliv A. Konoplova Yuliia L. Levchyshyna Olena V. Panichkin Yurii V. Salo Serhii V. popup.nrat_date 2025-01-13 Close