Successful endovascular correction of anterior descending artery bifurcation lesions under control of electrocardiogram from the coronary sinus

Authors: Shevchenko Yu.L., Ermakov D.Yu., Vakhrameeva A.Yu., Gerashchenko A.V., Somov P.A.

Company: 1 Pirogov National Medical & Surgical Center, Moscow, Russian Federation
2 Clinic for Thoracic and Cardiovascular Surgery named after St. George, Moscow, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2021-15-2-278-285

For citation: Shevchenko Yu.L., Ermakov D.Yu., Vakhrameeva A.Yu., Gerashchenko A.V., Somov P.A. Successful endovascular correction of anterior descending artery bifurcation lesions under control of electrocardiogram from the coronary sinus. Creative Cardiology. 2021; 15 (2): 278–85 (in Russ.). DOI: 10.24022/1997-3187-2021-15-2-278-285

Received / Accepted:  17.09.2020 / 25.06.2021

Keywords: coronary heart disease electrocardiogram from the coronary sinus monitoring of myocardial ischemia bifurcation lesions of coronary arteries

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Abstract

Assessing the degree of comprometation of the side branches during percutaneous coronary intervention in the bifurcation zone is a pressing issue for interventional cardiologists. Currently, to optimize treatment tactic for bifurcation lesions, doctors must use invasive stress tests, such as fractional flow reserve and instantaneous wavefree ratio. Per two clinical observations, we have demonstrated the effectiveness of an alternative invasive method used to detect myocardial ischemia in determining the required volume of bifurcation intervention – electrocardiogram from the coronary sinus.

References

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About Authors

  • Yuriy L. Shevchenko, Dr. Med. Sci., Professor, Academician of RAS, Pirogov National Medical & Surgical Center President, Head of the Clinic for Thoracic and Cardiovascular Surgery named after St. George; ORCID
  • Dmitry Yu. Ermakov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
  • Anastasia Yu. Vakhrameeva, Cand. Med. Sci., Radiologist; ORCID
  • Aleksander V. Gerashchenko, Cardiovascular Surgeon; ORCID
  • Pavel A. Somov, Specialist in Endovascular Diagnosis and Treatment; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery