russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2022-4641russjcardiol-4641Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWРеваскуляризация миокарда методом чрескожного коронарного вмешательства при хронических окклюзиях коронарных артерий у пациентов старческой возрастной группы: современный взгляд на проблемуMyocardial revascularization by percutaneous coronary intervention in senile patients with chronic total occlusion: a modern view of the problemhttps://orcid.org/0000-0001-8130-3844АтаманюкЕ. Р.AtamanyukE. R.

Егор Романович Атаманюк — врач по рентгенэндоваскулярным диагностике и лечению.

Барнаул

Barnaul

er.atamanuk@yandex.ruhttps://orcid.org/0000-0003-3882-709XТарасовР. С.TarasovR. S.

Роман Сергеевич Тарасов — доктор медицинских наук, доцент, зав. лабораторией рентгенэндоваскулярной и реконструктивной хирургии сердца и сосудов.

Кемерово

Kemerovo

roman.tarasov@mail.ruhttps://orcid.org/0000-0002-3800-3640ТырышкинА. Г.TyryshkinA. G.

Александр Геннадьевич Тырышкин — зав. отделением рентгенэндоваскулярной диагностики и лечения.

Барнаул

Barnaul

zav_rhmdil@akkd.ruАлтайский краевой кардиологический диспансерРоссияAltai Regional Cardiology DispensaryRussian FederationАлтайский краевой кардиологический диспансерРоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian FederationФГБУ Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний, СО РАМНРоссияAltai Regional Cardiology DispensaryRussian Federation20220902202227146414641Copyright © Атаманюк Е.Р., Тарасов Р.С., Тырышкин А.Г., 20222022Атаманюк Е.Р., Тарасов Р.С., Тырышкин А.Г.Atamanyuk E.R., Tarasov R.S., Tyryshkin A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/4641

За последние несколько десятилетий проблема ишемической болезни сердца ввиду хронической окклюзии коронарных артерий (ХОКА) у людей старческого возраста выходит на передний план. Причина тому, отсутствие общепринятых стратегий лечения данных групп больных. Выбор метода реваскуляризации миокарда у людей старческого возраста оказывает основополагающее влияние на клинические результаты, но требует дополнительных исследований. Нет сомнений, что чрескожное коронарное вмешательство (ЧКВ) при ХОКА за последние годы приобретает весомый статус как метод первого выбора при лечении данной патологии. Основные причины: развитие методов внутрисосудистой визуализации, совершенствование хирургического инструментария, разработка новейших подходов и тактик реканализации, рост опыта хирургов. Применение ЧКВ при ХОКА у старческой возрастной группы продиктовано тенденциями к увеличению доли старческого населения во всех регионах планеты. Данный обзор рассматривает обоснованность и возможность применения ЧКВ при ХОКА у пациентов старческого возраста, его безопасность, преимущества и перспективы. Поиск статей для написания данного обзора осуществлялся с помощью баз данных Medline (PubMed), РИНЦ (eLIBRARY), Google Scholar.

In recent decades, the problem of coronary artery disease (CAD) accompanied by chronic total occlusion (CTO) has come to the fore in senile patients. The reason for this is the absence of generally accepted management strategies for these groups of patients. The choice of myocardial revascularization method in elderly patients has a fundamental impact on outcomes, but requires additional research. There is no doubt that in recent years, percutaneous coronary intervention (PCI) in CTO has gained a status as the first-choice method for this pathology. The following main reasons are distinguished: development of intravascular imaging; improvement of surgical instruments; development of new approaches to recanalization; increase in the number of experienced surgeons. The use of PCI for CTO in elderly patients is specified by the upward trend in the proportion of senile population worldwide. This review considers the validity and potential of using PCI for CTO in senile patients, as well as its safety, benefits and prospects. For this review, the following databases were used: Medline (PubMed), RSCI (eLIBRARY), Google Scholar.

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