Open AccessEndovascular recanalization of chronic infrarenal aortic occlusion in a patient with two-vessel coronary artery disease: a case report
Author(s) -
М. А. Чернявский,
Ю. К. Белова,
B.B. Komakha,
Н. В. Сусанин,
A. G. Vanyurkin,
В. А. Соловьев,
А. Н. Казанцев
Publication year - 2021
Publication title -
rossijskij kardiologičeskij žurnal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 14
eISSN - 2618-7620
pISSN - 1560-4071
DOI - 10.15829/1560-4071-2021-4353
Subject(s) - medicine , revascularization , perioperative , occlusion , percutaneous coronary intervention , surgery , percutaneous , coronary artery disease , artery , stent , cardiology , aorta , radiology , myocardial infarction
A case report on endovascular treatment of occlusion of the infrarenal aorta and iliac arteries in a patient with hemodynamically significant two-vessel coronary artery disease is presented. After a thorough examination and assessment of surgical risks, a multidisciplinary team meeting chose a staged revascularization strategy: stage 1 — percutaneous coronary intervention in the left anterior descending artery and right coronary artery; stage 2 — endovascular recanalization of aorto-iliac segment occlusion using the kissing stents technique. There were no perioperative complications and the patient was discharged on the 4th day after surgery in a satisfactory condition. The choice in favor of these types of reconstruction and staged revascularization strategy was substantiated. A conclusion was made about the effectiveness and safety of implemented measures.