Тактика хирургического лечения аневризмы брюшной аорты при сочетанных поражениях коронарных и сонных артерий
Abstract
The article is dedicated to the literature review concerning the problem of surgical approach to treatment of abdominal aortic aneurysm in combined lesions of coronary and carotid arteries. The frequency of isolated and combined lesions of important vital systems in abdominal aortic aneurysm, main methods of diagnostics and indications to surgery is considered. The dependence of treatment results from the initial risk factors, age, gender and intensity of combined diseases is studied. Surgical approach to treatment is performed depending on intensity of coronary, carotid and abdominal artery lesions, the course of disease in each considered systems (symptomatic asymptomatic), possible cardiac (acute myocardial infarction), cerebral (acute insult) complications and complications connected with abdominal aortic aneurysm. Indications to single-stage and staging procedures are considered separately. The data of literature for immediate and long-term results of isolated, single-stage and staging procedures, life quality of operated patients and strategy of prophylaxis of complications of vital organs.References
1. Белов Ю.В., Степаненко А.Б., Генс А.П., Зверхановская Т.Н. Расслоение и расслаивающая аневризма брюшной аорты // Хирургия. 2004. № 5. С. 52–56.2. Бураковский В.И., Работников В.С., Спиридонов А.А. и др. Хирургическое лечение ИБС, сочетающейся с поражением атеросклерозом магистральных артерий, – одна из основных проблем сердечно-сосудистой хирургии // Грудная хир. 1987. № 4. С. 64–71.
3. Казанчян П.О., Попов В.А. Осложнения в хирургии аневризм брюшной аорты. М.: МЭИ, 2002. 304 с.
4. Национальные рекомендации по ведению взрослых пациентов с аневризмами брюшной аорты и артерий нижних конечностей (Россий- ский согласительный документ). М.: НЦССХ им. А. Н. Бакулева РАМН, 2011, 139 с.
5. Покровский А.В., Светухин А.М., Чупин А.В., Цветков В.О. Профилактика и лечение гнойных осложнений после реконструктивных операций в аорто-бедренно-подколенной позиции с использованием синтетических протезов // Ангиол. и сосуд. хир. 1996. № 22. С. 72–79.
6. Покровский А.В., Фитилев С.Б., Склярова Е.А. Значение резерва коронарного кровообращения в оценке частоты инфаркта миокарда при хирургическом лечении больных атеросклерозом аорты и ее ветвей // Ангиол. и сосуд. хир. 1995. №3. С. 45–53.
7. Работников В.С., Алшибая М.М., Куперберг Е.Б. Хирургическое лечение сочетанных атеросклеротических поражений коронарных и брахиоцефальных артерий // Грудная и серд.-сосуд. хир. 1996. №3. С. 131–135.
8. Спиридонов А.А., Тутов Е.Г., Аракелян В.С. Хирургическое лечение аневризм брюшной аорты. М.: НЦССХ им. А.Н. Бакулева РАМН, 2000. 206 с.
9. Adam D.J., Mohan I.V., Stuart W.P. et al. Community and hospital outcome ruptured abdominal aortic aneurysm within the catchment ауеа of а regional vascular surgical service // J. Vasc. Surg. 1999. Vol. 30, № 25. Р. 922–928.
10. Adembri С., Kastamoniti Е., Bertolozzi I. et al. Pulmonary injury follows systemic inflammatory reaction in infrarenal aortic surgery // Crit. Саrе Med. 2004. Vol. 32, № 5. P. 1170–1177.
11. Adye В., Luna G. Incidence of abdominal wall hemia in aortic surgery // Аm. J. Surg. 1998. Vol. 175, № 5. Р. 400–402.
12. Ahn S. S., Rutherford R. B., Johnston K. W. et al. Reporting standard for infrarenal endovascular abdominal aortic aneurysm repair // J. Vase. Surg. 1997. Vol. 25. Р. 405–410.
13. Barratta J., Parajasingamb R., Sayersb R.D., Feehallyb J. Outcome of acute renal failure following surgical repair of ruptured abdominal aortic aneurysms // Еur. J. Vasc. Endovasc. Surg. 2000. Vol. 20, № 2. P. l63–168.
14. Biancari F., Catania A., D’Andrea V. Elective endovascular vs. open repair for abdominal aortic aneurysm in patients aged 80 years and older: Systematic review and meta-analysis // Eur. J. Vasc. Endovasc. Surg. 2011. Vol. 42. Р. 571–576.
15. Borenstein D.G. А clinician's approach to acute low back pain // Аm. J. Med. 1997. Vol. 102 (1А). P. 16S–22S.
16. Bown M. J., Sutton A. J., Веll P. R., Sayers R. D. А meta-analisis of 50 years of ruptured abdominal aortic aneurysm repair // Вr. J. Surg. 2002. Vol. 89, № 2. Р. 714–730.
17. Braams R., Vossen Y., Lisman В.А., Eikelboom В.С. Outcome in patients requiring renal replacement therapy after surgery for ruptured and nonruptured aneurysm of the abdominal aorta // Еur. J. Vasc. Endovasc. Surg. 1999. Vol. 18, № 4. Р. 323–327.
18. Brady A.R., Fowkes F.G., Greenhalgh R.M. et a1. Risk factors for postoperative death following elective surgical repair of abdominal aortic aneurysm: Results from the UK Small Aneurysm Trial. Оn behalf of the UK Small Aneurysm Trial participants // Вr. J. Surg. 2000. Vol. 87, № 4. Р. 742–749.
19. Cayne N.S., Veith F.J., Lipsitz E.C. et al. Variability of maximal aortic aneurysm diameter measurements on CT scan: Significance and methods to minimize // J. Vasc. Surg. 2004. Vol. 39, № 4. Р. 811–815.
20. Cerveira J.J., Halpem V.J., Faust G., Cohen J.R. Minimal incision abdominal aortic aneurysm repair // J. Vasc. Surg. 1999. Vol. 30, № 6. Р. 977–984.
21. Coggia М., Di Centa I.I., Javerliat I.I. et al. Total laparoscopic abdominal aortic aneurysms repair // J. Cardiovasc. Surg. (Torino). 2005. Vol. 46, № 4. Р. 407–414.
22. Crawford E.S., Bomberger R.A., Glaeser D.H. et al. Aortoiliac occlusive disease: Factors influencing survival and function following reconstructive operation оvеrs а twenty-five-year period // Surgery. 1981. Vol. 90, № 6. P. l055–1066.
23. Crawford E.S., Salwa A.S., Bagg J.W. Infrarenal abdominal aortic aneurysm: Factors influencing survival after operation performed оvеrs а 25-уеаrs period // Ann. Surg. 1981. Vol. I93. Р. 699–709.
24. Dahl А., Russel D., Nyberg-Hansen R., Rootwelt К. Effect of nitroglycerin оn cerebral circulation measured bу transcranial Doppler and SPECT // Stroke. 1989. Vol. 20. Р. 1733–1736.
25. Elkouri S., Gloviczki Р., McKusick М.А. et al. Perioperative complications and early outcome after endovascular and ореn surgical repair of abdominal aortic aneurysms // J. Vasc. Surg. 2004. Vol. 39, № 3. Р. 497–505.
26. Elkouri S., Martelli Е., Gloviczki Р. et al. Most patients with abdominal aortic aneurysm аrе not suitable fоr endovascular repair using сurrеntlу approved bifurcated stent-grafts // Vasc. Endovascular. Surg. 2004. Vol. 38, № 5. Р. 401–412.
27. Fillinger M.F., Raghaven M.L., Marra S.P. et al. In vivo analysis of me cliamcal wall stress and abdominal aortic aneurysm nipture risk // J. Vasc. Surg. 2002. Vol. 36. P. 589–597.
28. Kim L.G., Scott R.A., Thompson S.G. et al. Multicentre Aneurysm Screening Study Grouр. Implications of screening fоr abdominal aortic aneurysms оn surgical workload // Br. J. Surg. 2005. Vol. 92, № 10. Р. 171–176.
29. Klokocovnik Т. Minilaparotomy fоr abdominal aortic aneurysm repair: Preliminary results // Тех. Heart Inst. J. 2001. Vol. 28, № 3. Р. 183–185.
30. Кnaut A.L., Kendall J.L., Patten R., Ray С. Ultrasonographic measurement of aortic diameter bу emergency physicians approximates results obtained bу computed tomography // J. Emerg. Med. 2005. Vol. 28, № 2. Р. 119–126.
31. Marlow N.E., Barraclough B., Collier N.A. et al. Effect of hospital and surgeon volume on patient outcomes following treatment of abdominal aortic aneurysms: A systematic review // Eur. J. Vasc. Endovasc. Surg. 2010. Vol. 40. Р. 572–579.
32. Mohr F.W., Falk V., Autschbach R. et al. One-stage surgery of coronary arteries and abdominal aorta in patients with impaired left ventricular function // Circulation. 1995. Vol. 91. Р. 379–385.
33. Powell J.T., Gotensparre S.M., Sweeting M.J. et al. Rupture rates of small abdominal aortic aneurysms: A systematic review of the literature // Eur. J. Vasc. Endovasc. Surg. 2011. Vol. 41. Р. 2–10.
34. Sandridge L.C., Baglioni A.J. Jr, Kongable G.L., Harthun N.L. Evaluation of the effect of endovascular options оn infrarenal abdominal aortic aneurysm repair // Аn. Surg. 2006. Vol. 72, № 8. Р. 700–704 (discussion 704–706).
35. Schouten О., Kok N.F., Hoedt М.Т. et al. The influence of aneurysm size оn perioperative cardiac outcome in elective ореn infrarenal aortic aneurysm repair // J. Vasc. Surg. 2006. Vol. 44, № 3. P. 435–441.
36. Schunn C.D., Кrauss М., Heilberger Р. et al. Aortic aneurysm size and graft behavior after endovascular stent-grafting: Clinical experiences and observations over 3 years // J. Endovasc. Ther. 2000. Vol. 7, № 1. Р. 167–176.
37. Shantikumar S., Ajjan R., Porter K.E., Scott D.J.A. Diabetes and the abdominal aortic aneurysm // Eur. J. Vasc. Endovasc. Surg. 2010. Vol. 39. Р. 200–207.
38. Van Kuijk J.P., Flu W.J., Dunckelgrun M. et al. Coronary artery disease in patients with abdominal aortic aneurysm: A review article // J. Cardiovasc. Surg. (Torino). 2009. Vol. 50, № 1. Р. 93–107.
39. Williamson W.K., Nicoloff A.D., Taylor L.M. Jr et al. Functional outcome after open repair of abdominal aortic aneurysm // J. Vasc. Surg. 2001. Vol. 33, № 5. Р. 913–920.
40. Wilmink А.В., Forshaw М., Quick C.R. et al. Ассurасу of serial screening fоr abdominal aortic aneurysms bу ultrasound // J. Med. Screen. 2002. Vol. 9, № 3. Р. 125–127.
41. Wolff K.S., Prusa А.М., Polterauer Р. et al. Endografting increases total volume of ААА repairs but not at the expense of open surgery: Experience in mоrе than 1000 patients // J. Endovasc. Ther. 2005. Vol. l2, № 3. Р. 274–279.
