PMID- 17806199
OWN - NLM
STAT- MEDLINE
DCOM- 20071220
LR  - 20161020
IS  - 0869-6047 (Print)
IS  - 0869-6047 (Linking)
IP  - 12
DP  - 2006
TI  - [Analysis of the use of coronary balloon angioplasty in staged treatment of 
      patients with valvular heart disease and stenosing coronary arterial lesion 
      (twelve-year experience)].
PG  - 3-7
AB  - The authors present the analysis of their twelve-year experience in staged 
      treatment of patients with combined pathology using coronary balloon angioplasty 
      (CBA). CBA was performed in 83 patients (mean age 61.7 +/- 9.0 years) prior to 
      heart valve replacement. Mean functional class according to New York Heart 
      Association (NYHA) was 3.3 +/- 0.5. Thirty-one (37.3%) patients displayed signs 
      of circulatory decompensation. Nine (10.8%) patients had had myocardial 
      infarction. Thirteen (15.6%) patients had been operated on for valvular heart 
      disease. The authors present their own method of staged treatment of combined 
      pathology, describe and substantiate a regimen of therapy with desaggregants, the 
      timing of the second stage of treatment, and post-operative therapy with 
      desaggregants. In-hospital lethality was 8.4%, which was lower than the lethality 
      of combined surgery (14.5%). Actual three-year survival rate was totally 
      comparable to that of patients who had undergone a combined surgery (87.8% and 
      88%, respectively). The method of two-staged treatment of patients with combined 
      (valvular plus coronary) pathology allows for a significant improvement in their 
      surgical treatment, and deserves further study and clinical application.
FAU - Shumakov, V I
AU  - Shumakov VI
FAU - Semenovskii, M L
AU  - Semenovskii ML
FAU - Sokolov, V V
AU  - Sokolov VV
FAU - Gureev, A V
AU  - Gureev AV
FAU - Mironkov, B L
AU  - Mironkov BL
LA  - rus
PT  - English Abstract
PT  - Journal Article
PL  - Russia (Federation)
TA  - Vestn Ross Akad Med Nauk
JT  - Vestnik Rossiiskoi akademii meditsinskikh nauk
JID - 9215641
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Angioplasty, Balloon, Coronary/*methods
MH  - Coronary Angiography
MH  - Coronary Stenosis/complications/diagnosis/*therapy
MH  - Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Diseases/*complications/diagnosis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2007/09/07 09:00
MHDA- 2007/12/21 09:00
CRDT- 2007/09/07 09:00
PHST- 2007/09/07 09:00 [pubmed]
PHST- 2007/12/21 09:00 [medline]
PHST- 2007/09/07 09:00 [entrez]
PST - ppublish
SO  - Vestn Ross Akad Med Nauk. 2006;(12):3-7.