Эндоваскулярное лечение пациентов с симптомными миокардиальными мостиками: современное состояние проблемы
https://doi.org/10.15829/1560-4071-2026-6702
EDN: KIYBKN
Аннотация
Миокардиальный мостик (ММ) представляет собой участок мышечной ткани, лежащий поверх сегмента коронарной артерии, и является одним из врожденных вариантов коронарной анатомии. В ряде случаев ММ может вызывать систолическую компрессию подлежащей коронарной артерии. Традиционно принято рассматривать наличие ММ как доброкачественное состояние. Тем не менее, согласно данным литературы, пациенты с ММ и отсутствием обструктивного поражения коронарного русла имеют повышенный риск неблагоприятных сердечно-сосудистых событий. В настоящее время не существует официальных клинических рекомендаций или консенсуса экспертов, регламентирующих стратегию обследования и лечения пациентов с симптомными ММ. Цель работы – обобщить современные данные о диагностике и лечении пациентов с симптомными ММ, определить показания к эндоваскулярной реваскуляризации и описать ключевые принципы безопасного и эффективного стентирования коронарной артерии в пределах ММ.
Об авторах
Владимир Константинович Дмитриев
Медицинское объединение «Новая больница», Екатеринбург, Россия
Россия
Россия
врач отделения рентгенхирургических методов диагностики и лечения
Иван Сергеевич Бессонов
Тюменский кардиологический научный центр, ФГБНУ Томский национальный исследовательский медицинский центр Российской академии наук, Томск, Россия
Россия
Россия
д.м.н., заведующий лабораторией рентгенэндоваскулярных методов диагностики и лечения, Научный отдел инструментальных методов исследования
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Рецензия
Для цитирования:
Дмитриев В.К., Бессонов И.С. Эндоваскулярное лечение пациентов с симптомными миокардиальными мостиками: современное состояние проблемы. Российский кардиологический журнал. :6702. https://doi.org/10.15829/1560-4071-2026-6702. EDN: KIYBKN
For citation:
Dmitriev V.K., Bessonov I.S. Endovascular treatment of patients with symptomatic myocardial bridges: current state of the problem. Russian Journal of Cardiology. :6702. (In Russ.) https://doi.org/10.15829/1560-4071-2026-6702. EDN: KIYBKN
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