inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-91Research ArticleСЛУЧАИ ИЗ ПРАКТИКИCASE REPORTSКЛИНИЧЕСКИЙ СЛУЧАЙ ЛЕЧЕНИЯ ТРОМБОЗА ПЕРЕДНЕЙ НИСХОДЯЩЕЙ АРТЕРИИ У ПАЦИЕНТА С ОСТРЫМ КОРОНАРНЫМ СИНДРОМОМ БЕЗ ПОДЪЕМА СЕГМЕНТА STCLINICAL TREATMENT FOR ANTERIOR DESCENDING ARTERY THROMBOSIS IN A PATIENT WITH ACUTE CORONARY SYNDROME WITHOUT ST-SEGMENT ELEVATIONЕфимовВ. В.EfimovV. V.vitaliy_efimov_84@mail.ruПахолковА. Н.PakholkovA. N.andrei_298@mail.ruСусловЕ. С.SuslovE. S.e_suslov@inbox.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthRussian Federation201730092017734146Copyright © Ефимов В.В., Пахолков А.Н., Суслов Е.С., 20172017Ефимов В.В., Пахолков А.Н., Суслов Е.С.Efimov V.V., Pakholkov A.N., Suslov E.S.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/91

В настоящей статье представлен клинический случай успешного лечения пациента с острым коронарным синдромом без подъема сегмента ST с протяженным неокклюзирующим тромбозом передней нисходящей артерии при помощи комбинации устройств для тромбоаспирации и дистальной протекции. Представлены данные литературы, ряда исследований, посвященные изучению результатов применения этих устройств на коронарных артериях у больных с острым инфарктом миокарда. В нашем клиническом примере в связи с наличием организованного тромба передней нисходящей артерии мы не достигли оптимального результата выполнением тромбоаспирации. Тромб, образовавшийся в «чистой», без стенотического поражения артерии, был удален при помощи фильтра-ловушки.

In this article we present a clinical case of successful treatment in a patient with acute coronary syndrome without ST-segment elevation with prolonged non-occlusive thrombosis of the anterior descending artery with means of thromboaspiration and distal protection. We analysed literature sources of a series of studies performed in patients with acute myocardial infarction. In the present clinical case with a formed thrombus in the anterior descending artery we failed to achieve optimal outcomes by performing thromboaspiration. Thrombus formed in a "clear" artery without stenosis was removed with a filter-trap.

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