Вінцеве шунтування в пацієнтів високого ризику (літературний огляд)

  • О. К. Гогаєва ДУ «Національний інститут серцево-судинної хірургії імені М. М. Амосова НАМН України», м. Київ, Україна
DOI: https://doi.org/10.30702/ujcvs/20.3803/002007-012
Ключові слова: шкала EuroSCORE, пацієнт високого ризику, вінцеве шунтування, працююче серце

Анотація

Ішемічна хвороба серця залишається однією з найголовніших причин захворюваності та смертності населення розвинених країн. З кожним роком збільшується кількість операцій вінцевого шунтування, особливо пацієнтам високого ризику.

Мета роботи – провести огляд літератури з проблем вінцевого шунтування у пацієнтів високого ризику.

Результати: розглянуті та порівняні шкали ризику, які використовуються в кардіохірургії для визначення ступеня тяжкості пацієнта та вірогідності летального наслідку. Визначені основні похибки шкал EuroSCORE I, II та можливості їх використання в мініінвазивній хірургії. За даними сучасних рандомізованих досліджень, які порівнюють методику вінцевого шунтування на працюючому серці та в умовах штучного кровообігу, не отримано чіткої різниці за ускладненнями залежно від використання штучного кровообігу. Однак треба звернути увагу на малий відсоток пацієнтів високого ризику (18 %, у дослідженні CORONARY). Водночас у роботах багатьох авторів підтримується думка про переваги застосування методики вінцевого шунтування на працюючому серці пацієнтам високого ризику.

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Опубліковано
2020-03-24
Як цитувати
1.
Гогаєва ОК. Вінцеве шунтування в пацієнтів високого ризику (літературний огляд). ujcvs [інтернет]. 12, Січень 2020 [цит. за 21, Грудень 2024];(1 (38):7-12. доступний у: https://cvs.org.ua/index.php/ujcvs/article/view/327
Номер
Український журнал серцево-судинної хірургії № 1 (38) 2020
Розділ
ІШЕМІЧНА ХВОРОБА СЕРЦЯ

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