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Российский кардиологический журнал

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СПИРТОВАЯ СЕПТАЛЬНАЯ АБЛЯЦИЯ МЕЖЖЕЛУДОЧКОВОЙ ПЕРЕГОРОДКИ С КОНТРАСТНЫМ ЭХОКАРДИОГРАФИЧЕСКИМ КОНТРОЛЕМ

https://doi.org/10.15829/1560-4071-2017-8-122-127

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Аннотация

Спиртовая септальная абляция была впервые предложена в 1994 г. в качестве альтернативы хирургической септальной миэктомии у пациентов с обструктивной гипертрофической кардиомиопатией, рефрактерной к медикаментозной терапии. Данная процедура уменьшает симптомы заболевания, образуя целенаправленный, ограниченный инфарктный очаг верхней части межжелудочковой перегородки, что приводит к увеличению диаметра выходного отдела левого желудочка, снижению градиента давления на уровне выходного отдела левого желудочка и регрессу гипертрофии левого желудочка, который был вызван перегрузкой давлением. Подобного улучшения клинических проявлений удается достичь в большинстве случаев. Основное осложнение спиртовой септальной абляции – развитие полной атриовентрикулярной блокады, в связи с чем у некоторых пациентов возникает необходимость установки постоянного кардиостимулятора. Применение эхокардиографии с контрастированием миокарда во время спиртовой септальной абляции позволяет ограничить размер инфаркта миокарда, использовать меньшее количества спирта и, соответственно, уменьшить частоту осложнений.

Об авторах

А. Г. Осиев
ГБУЗ МО МОНИКИ им. М.Ф. Владимирского
Россия
д-р мед. наук, профессор, руководитель отделения хирургии сердца и сосудов


Б. Б. Гегенава
ГБУЗ МО МОНИКИ им. М.Ф. Владимирского
Россия
к.м.н., ст. науч. сотр. кардиохирургического отделения


Ф. Н. Палеев
ГБУЗ МО МОНИКИ им. М.Ф. Владимирского
Россия
директор


Н. М. Григорьева
ГБУЗ МО МОНИКИ им. М.Ф. Владимирского
Россия
к.м.н., кардиолог отделения ангиографии


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Для цитирования:


Осиев А.Г., Гегенава Б.Б., Палеев Ф.Н., Григорьева Н.М. СПИРТОВАЯ СЕПТАЛЬНАЯ АБЛЯЦИЯ МЕЖЖЕЛУДОЧКОВОЙ ПЕРЕГОРОДКИ С КОНТРАСТНЫМ ЭХОКАРДИОГРАФИЧЕСКИМ КОНТРОЛЕМ. Российский кардиологический журнал. 2017;(8):122-127. https://doi.org/10.15829/1560-4071-2017-8-122-127

For citation:


Osiev A.G., Gegenava B.B., Paleev F.N., Grigoryeva N.M. ALCOHOL-BASED SEPTAL ABLATION OF INTERVENTRICULAR SEPTUM WITH CONTRAST ECHOCARDIOGRAPHIC CONTROL. Russian Journal of Cardiology. 2017;(8):122-127. (In Russ.) https://doi.org/10.15829/1560-4071-2017-8-122-127

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ISSN 1560-4071 (Print)
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