ENDOVASCULAR TREATMENT OF THE RESIDUAL THROMBOEMBOLIC PULMONARY HYPERTENSION AFTER PULMONARY THROMBENDARTERECTOMY WITH THE DENERVATION SYSTEM SYMPLICITY
| Autor: | A. S. Shanoian, F. B. Shukurov, О. М. Drapkina, B. A. Rudenko, E. A. Zhavoronkova, S.L. Dzemeshkevich, A. G. Edemsky, S. A. Beregovskaya, Sergey Boytsov, D. A. Feshchenko, A. N. Koltunov, V. Yu Vlasov, N. Е. Gavrilova, А. Sh. Akhadova |
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| Jazyk: | ruština |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding Sildenafil Radiofrequency ablation Perforation (oil well) 030204 cardiovascular system & hematology law.invention 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine law Internal medicine medicine.artery pulmonary hypertension medicine Diseases of the circulatory (Cardiovascular) system pulmonary thromboembolism 030212 general & internal medicine Denervation business.industry medicine.disease Thrombosis Pulmonary hypertension chemistry radiofrequency ablation of pulmonary arteries RC666-701 Pulmonary artery Cardiology denervation system symplicity Cardiology and Cardiovascular Medicine business |
| Zdroj: | Кардиоваскулярная терапия и профилактика, Vol 17, Iss 2, Pp 43-48 (2018) |
| ISSN: | 2619-0125 1728-8800 |
| Popis: | Aim. To assess the safety and efficacy of radiofrequency denervation of pulmonary artery (PA) with the Simplicity system in patients with residual pulmonary hypertension (PH) after the thromberarterectomy surgery.Material and methods. To the study, 12 patients included, with the signs of residual PH (by echocardiography data, mean PH pressure ≥25 mmHg), who had undergone surgery (thrombendarcterectomy) for chronic thromboembolic PH. Mean time interval between the diagnosis of PH and pulmonary denervation was 8,5 years. After catheterization of the right chambers of the heart and tensiometry in small circle circulation, the spot circular radiofrequency denervation performed of the right and left PH at the area of ostia, with ablation catheter Simplicity. The success was defined by decrease of mean PA pressure >10 mmHg, absence of complications, exercise tolerance increase after the procedure immediately and in 12 months.Results. At long term period after the intervention there was significant decrease of mean PA pressure from 58±6 to 33±4 mmHg (pConclusion. Utilization of the Simplicity system in PA denervation is safe and effective. Further randomized studies in need to confirm clinical benefits from the procedures in PH patients. |
| Databáze: | OpenAIRE |
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