Modern technologies with ultrasound support for the treatment of patients with cardiac pathology and high surgical risk. Transcatheter interventions in valvular heart disease

Authors: Bogachevskaya S.A., Bogachevskiy A.N.

Company: 1 Federal Center for Cardiovascular Surgery, Khabarovsk, Russian Federation
2 Far Eastern State Medical University, Khabarovsk 680000, Russian Federation
3 Sakhalin Regional Hospital, Yuzno-Sakhalinsk, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2021-15-4-496-509

For citation: Bogachevskaya S.A., Bogachevskiy A.N. Modern technologies with ultrasound support for the treatment of patients with cardiac pathology and high surgical risk. Transcatheter interventions in valvular heart disease. Creative Cardiology. 2021; 15 (4): 496–509 (in Russ.). DOI: 10.24022/1997-3187-2021-15-4-496-509

Received / Accepted:  10.09.2021 / 01.12.2021

Keywords: echocardiography cardiac surgery endovascular cardiac surgery high surgical risk

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Abstract

Endovascular treatment methods are becoming the “gold standard” for the correction of cardiovascular pathology and could be the method of choice for high-risk patients with cardiovascular diseases. Endovascular techniques stand in the basic principles of surgery: valvular commissurotomy, implantation of support rings and prosthetic valves, reduction of the diameter of the native fibrosis ring and clipping of valve leaflets, plastic of the subvalvular structures, implantation of defect occluders (like a ”patch”). The key of such strategy and depend on clinical and anatomical specialties of patient. Use of a wide range of high-tech endovascular instrumentation is obligatory. Perioperative ultrasound support for endovascular surgery is an important part of the successful interventions both at the preoperative stage and intraoperative. Expert-level of echocardiographic intraoperative imaging is one of the main requirements for modern endovascular surgery.

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About Authors

  • Svetlana A. Bogachevskaya, Cand. Med. Sci., Functional and Ultrasonic Diagnostician, Cardiologist; ORCID
  • Aleksander N. Bogachevskiy, Cardiovascular Surgeon, Functional Diagnostician, Head of Department; 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