inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2500-0268-2020-17-1-66-70inovmed-251Research ArticleОБЗОРЫREVIEWSВозможные подходы к лечению дистальной перфорации коронарных артерийPossible treatment approaches for distal coronary artery perforationhttps://orcid.org/0000-0003-1389-8414ГречишкинА. А.GrechishkinA. A.

Гречишкин Андрей Анатольевич, врач отделения рентгенохирургических методов диагностики и лечения

350086, Краснодар, ул. 1 Мая, 167

Andrey A. Grechishkin, Surgeon of X-ray Diagnostics and Treatment Department

167, 1st May str., Krasnodar, 350086

surgeon205@mail.ruМайнгартC. В.MaingartS. V.

Майнгарт Сергей Владимирович, врач отделения рентгенохирургических методов диагностики и лечения

Sergey V. Maingart, Surgeon of X-ray Diagnostics and Treatment Department

maingart@mail.ruhttps://orcid.org/0000-0003-0439-8389НекрасовА. С.NekrasovA. S.

Некрасов Александр Сергеевич, врач отделения рентгенохирургических методов диагностики и лечения

Alexander N. Nekrasov, Surgeon of X-ray Diagnostics and Treatment Department

alexandr_nekrasov1984@mail.ruhttps://orcid.org/0000-0001-5589-2040ФедорченкоА. H.FedorchenkoA. N.

Федорченко Алексей Николаевич, д. м. н., заведующий отделением рентгенохирургических методов диагностики и лечения

Aleksey N. Fedorchenko, Dr. of Sci. (Med.), Head of X-ray Diagnostics and Treatment Department

fedorchenko@mail.ruhttps://orcid.org/0000-0003-0572-1395ПорхановВ. А.PorhanovV. A.

Порханов Владимир Алексеевич, д. м. н., профессор, академик РАН, главный врач; заведующий кафедрой онкологии с курсом торакальной хирургии ФПК и ППС

Vladimir A. Porhanov, Dr. of Sci. (Med.), Professor, Academician of RAS, Chief Doctor; Head of Department of Oncology with the Course of Thoracic Surgery

vladimirporhanov@mai.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Russian FederationНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского края; Кубанский государственный медицинский университет Министерства здравоохранения РФРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityRussian Federation202030032020016670Copyright © Гречишкин А.А., Майнгарт C.В., Некрасов А.С., Федорченко А.H., Порханов В.А., 20202020Гречишкин А.А., Майнгарт C.В., Некрасов А.С., Федорченко А.H., Порханов В.А.Grechishkin A.A., Maingart S.V., Nekrasov A.S., Fedorchenko A.N., Porhanov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/251

Перфорация коронарных артерий – редкое (0,1–3,0%), но достаточно тяжелое осложнение, возникающее при коронарных интервенциях. Лечение перфорации, вызванной коронарным проводником, является крайне сложной задачей, так как, возникая неожиданно, она может сопровождаться катастрофическими последствиями при неправильном подходе. Выбор эффективной тактики лечения всегда является трудной задачей, о чем свидетельствуют госпитальные и отдаленные клинические результаты с высокими показателями смертности.

Coronary artery perforation is a rare (0.1–3.0%) but rather severe complication that occurs during the coronary interventions. Treating the perforation caused by the coronary conductor is extremely complicated, as it could be caused quite unexpectedly and may be accompanied by catastrophic consequences if misdirected. Choosing effective treatment techniques is not easy, as evidenced by hospital and remote clinical outcomes with high mortality rates.

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The authors declare that there are no conflicts of interest present.