Trends in intravascular diagnostics development in the Russian Federation: four-year data from the Russian registry on intravascular imaging and physiology methods
V. V. Demin,
A. M. Babunashvili,
D. V. Duplyakov,
T. V. Kislukhin,
E. Yu. Kostyrin,
O. E. Zauralov,
A. V. Demin,
A. V. Ter-Akopyan,
S. A. Dolgov,
Z. Kh. Shugushev,
E. V. Merkulov,
Yu. G. Matchin,
G. K. Arutyunyan,
R. V. Atanesyan,
S. P. Semitko,
D. A. Asadov,
F. B. Shukurov,
G. V. Manaenkov,
V. N. Ardeev,
A. V. Azarov,
M. S. Kapranov,
A. A. Anufriev,
R. S. Agafonov,
N. A. Kochergin,
D. V. Teplyakov,
S. V. Kozlov,
A. V. Grigoriev,
S. D. Klimovsky,
A. V. Korotkikh,
A. I. Gorkov,
A. E. Baev,
B. B. Gegenava,
D. D. Zubarev,
E. A. Shloydo,
E. Yu. Gubarenko https://doi.org/10.15829/1560-4071-2026-6496
EDN: VHCTIX
Abstract
Aim. To analyze the results of the use and development trends of intravascular diagnostic methods based on four-year data from the Russian registry on the use of intravascular imaging and physiology methods.
Material and methods. In 2024, data on 13125 examinations in 5408 patients were entered into the registry, and the registry includes information on 33154 procedures in 14311 patients. The database design and content continued to be refined, with several sections significantly revised. The most significant changes affected the sections on immediate and late surgical outcomes. To standardize the intravascular imaging evaluation during endovascular interventions, quantitative parameters were introduced, with semi-automated calculation of final coefficients and derivation of final conclusions.
Results. Over 4 years, 30 departments from 18 Russian cities participated in the registry. The average number of examinations per patient increased from 1,96 in 2021 to 2,43 in 2024. There is a trend toward an increasing role for intravascular ultrasound, with a decline in the use of optical coherence tomography and, to a lesser extent, fractional flow reserve. The share of intravascular ultrasound increased from 37% to 66%, while optical coherence tomography decreased from 23% to 5%, and fractional flow reserve decreased from 40% to 29%. Approximately 20% of studies were performed for acute coronary syndrome (19% of which were for ST-segment elevation myocardial infarction), while 2% were performed for noncoronary pathology. The largest number of studies were performed at the initial and final stages of surgery, followed by primary diagnostic studies, intraoperative monitoring, and diagnostic studies during patient follow-up.
Conclusion. The registry provides an objective means of analyzing intravascular diagnostic methods in Russia. Improving the registry and standardizing approaches to performing and evaluating data from intravascular techniques allows for an objective assessment of intervention results and contributes to their improvement. A number of clinics across the country routinely use intravascular diagnostic techniques, including for acute coronary syndrome and non-coronary pathology.
About the Authors
V. V. Demin
Orenburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Sovetskaya str., 6, Orenburg, 460000
Competing Interests:
none
A. M. Babunashvili
Endosurgery and Lithotripsy Center; Sechenov First Moscow State Medical University
Russian Federation
Competing Interests:
Russian Federation
Entuziastov Shosse, 62, Moscow, 111123; Trubetskaya str., 8, bld. 2, Moscow, 119991
Competing Interests:
none
D. V. Duplyakov
Polyakov Samara Regional Clinical Cardiology Dispensary; Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Aerodromnaya str., 43, Samara, 443070; Chapaevskaya str., 89, Samara, 443099
Competing Interests:
none
T. V. Kislukhin
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Competing Interests:
Russian Federation
Aerodromnaya str., 43, Samara, 443070
Competing Interests:
none
E. Yu. Kostyrin
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Competing Interests:
Russian Federation
Aerodromnaya str., 43, Samara, 443070
Competing Interests:
none
O. E. Zauralov
Vsevolozhsk Clinical Interdistrict Hospital
Russian Federation
Competing Interests:
Russian Federation
Koltushskoe Shosse, 20, Vsevolozhsk, 188643
Competing Interests:
none
A. V. Demin
Voynov Orenburg Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Aksakov str., 23, Orenburg, 460018
Competing Interests:
none
A. V. Ter-Akopyan
Central Clinical Hospital with Polyclinic of the Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Marshal Timoshenko str., 15, Moscow, 121359
Competing Interests:
none
S. A. Dolgov
Central Clinical Hospital with Polyclinic of the Administrative Directorate of the President of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Marshal Timoshenko str., 15, Moscow, 121359
Competing Interests:
none
Z. Kh. Shugushev
Central Clinical Hospital "Russian Railways Medicine"
Russian Federation
Competing Interests:
Russian Federation
Budayskaya str., 2, Moscow
Competing Interests:
none
E. V. Merkulov
Chazov National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
3-ya Cherepkovskaya str., 15-a, Moscow, 121552
Competing Interests:
none
Yu. G. Matchin
Chazov National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
3-ya Cherepkovskaya str., 15-a, Moscow, 121552
Competing Interests:
none
G. K. Arutyunyan
Chazov National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
3-ya Cherepkovskaya str., 15-a, Moscow, 121552
Competing Interests:
none
R. V. Atanesyan
Chazov National Medical Research Center of Cardiology
Russian Federation
Competing Interests:
Russian Federation
3-ya Cherepkovskaya str., 15-a, Moscow, 121552
Competing Interests:
none
S. P. Semitko
Sechenov First Moscow State Medical University
Russian Federation
Competing Interests:
Russian Federation
Trubetskaya str., 8, bld. 2, Moscow, 119991
Competing Interests:
none
D. A. Asadov
Sechenov First Moscow State Medical University
Russian Federation
Competing Interests:
Russian Federation
Trubetskaya str., 8, bld. 2, Moscow, 119991
Competing Interests:
none
F. B. Shukurov
National Medical Research Center of Therapy and Preventive Medicine
Russian Federation
Competing Interests:
Russian Federation
Petroverigsky lane, 10, bld. 3, Moscow
Competing Interests:
none
G. V. Manaenkov
Babenko Tambov Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moskovskaya str., 29, Tambov, 392000
Competing Interests:
none
V. N. Ardeev
Mechnikov North-Western State University
Russian Federation
Competing Interests:
Russian Federation
Piskarevsky ave., 47, 16-1 pavilion, St. Petersburg
Competing Interests:
none
A. V. Azarov
Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
Competing Interests:
Russian Federation
Shchepkina str., 61/2, bld. 1, Moscow, 129110
Competing Interests:
none
M. S. Kapranov
Vladimirsky Moscow Regional Research Clinical Institute; Belgorod State National Research University
Russian Federation
Competing Interests:
Russian Federation
Shchepkina str., 61/2, bld. 1, Moscow, 129110; Pobedy str., 85, Belgorod, 308015
Competing Interests:
none
A. A. Anufriev
MEDASSIST Medical Center
Russian Federation
Competing Interests:
Russian Federation
Dimitrova str., 16, Kursk, 305000
Competing Interests:
none
R. S. Agafonov
MEDASSIST Medical Center
Russian Federation
Competing Interests:
Russian Federation
Dimitrova str., 16, Kursk, 305000
Competing Interests:
none
N. A. Kochergin
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Competing Interests:
Russian Federation
Sosnovy Boulevard, 6, Kemerovo, 650002
Competing Interests:
none
D. V. Teplyakov
Pokrovskaya City Hospital, Vasilyevsky Island
Russian Federation
Competing Interests:
Russian Federation
Bolshoy Prospekt, 85, St. Petersburg, 199106
Competing Interests:
none
S. V. Kozlov
none
Russian Federation
Competing Interests:
Russian Federation
Zavodskaya str., 29, Yekaterinburg
Competing Interests:
none
A. V. Grigoriev
Orsk City Hospital
Russian Federation
Competing Interests:
Russian Federation
Dokuchaeva str., 2A, Orsk, 462401
Competing Interests:
none
S. D. Klimovsky
Yeramishantsev City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Lenskaya str., 15, Moscow, 129327
Competing Interests:
none
A. V. Korotkikh
Amur State Medical Academy, Cardiac Surgery Clinic
Russian Federation
Competing Interests:
Russian Federation
Gorky str., 97, Blagoveshchensk, 675000
Competing Interests:
none
A. I. Gorkov
Regional Cardiology Dispensary Diagnostic and Cardiovascular Surgery Center
Russian Federation
Competing Interests:
Russian Federation
Lenin Ave., 69/1, Surgut, 628416
Competing Interests:
none
A. E. Baev
Tomsk National Research Medical Center, Cardiology Research Institute
Russian Federation
Competing Interests:
Russian Federation
Kievskaya str., 111A, Tomsk, 634012
Competing Interests:
none
B. B. Gegenava
Zhukovsky Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Frunze str., 1, Zhukovsky, 140180
Competing Interests:
none
D. D. Zubarev
Almazov National Medical Research Center
Russian Federation
Competing Interests:
Russian Federation
Akkuratov str., 2, St. Petersburg, 197341
Competing Interests:
none
E. A. Shloydo
St. Petersburg City Multidisciplinary Hospital № 2
Russian Federation
Competing Interests:
Russian Federation
Uchebny lane, 5, St. Petersburg, 194354
Competing Interests:
none
E. Yu. Gubarenko
Altai Regional Cardiology Dispensary
Russian Federation
Competing Interests:
Russian Federation
Malakhova str., 46, Barnaul, 656055
Competing Interests:
none
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- Over four years, the Russian Registry for the use of intravascular imaging and physiology methods has accumulated an extensive database providing objective data on the use of these methods in Russian clinics.
- The introduction of standardized approaches to analyzing results allows for an objective assessment of intervention results and facilitates their optimization during the surgical stage.
- Intravascular diagnostic methods are used quite widely in acute coronary syndrome. Over the years analyzed, trends have included the increasing prevalence of intravascular ultrasound over optical coherence tomography, and the increasing prevalence of non-hyperemic indices over the conventional definition of fractional flow reserve in coronary physiology analysis.
Review
For citations:
Demin V.V., Babunashvili A.M., Duplyakov D.V., Kislukhin T.V., Kostyrin E.Yu., Zauralov O.E., Demin A.V., Ter-Akopyan A.V., Dolgov S.A., Shugushev Z.Kh., Merkulov E.V., Matchin Yu.G., Arutyunyan G.K., Atanesyan R.V., Semitko S.P., Asadov D.A., Shukurov F.B., Manaenkov G.V., Ardeev V.N., Azarov A.V., Kapranov M.S., Anufriev A.A., Agafonov R.S., Kochergin N.A., Teplyakov D.V., Kozlov S.V., Grigoriev A.V., Klimovsky S.D., Korotkikh A.V., Gorkov A.I., Baev A.E., Gegenava B.B., Zubarev D.D., Shloydo E.A., Gubarenko E.Yu. Trends in intravascular diagnostics development in the Russian Federation: four-year data from the Russian registry on intravascular imaging and physiology methods. Russian Journal of Cardiology. 2026;31(4):6496. (In Russ.) https://doi.org/10.15829/1560-4071-2026-6496. EDN: VHCTIX
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