Abstract
10 363 patients were examined and treated in the department in 2023. There is a notable trend towards a decrease in the proportion of diagnostic procedures against the background of an increase in the number of therapeutic interventions by 9.1% compared to 2022. The greatest progress is noted in the category of interventions in structural pathology, their number has increased 2.5 times compared to the previous year, which in absolute numbers amounts to 122 operations. There is an increase in percutaneous coronary interventions (PCI) by 5% (n = 1690). It is noteworthy that the methods of visualization and functional significance of coronary stenosis were applied in 520 patients (almost one in three patients). When analyzing the structure of PCI, an increase in the number of complex operations is noteworthy, since the number of PCI in lesions of the trunk of the left coronary artery increased by 37%.
In the reporting year, 995 interventions were performed for congenital heart disease, which is 10% more than the previous one. The largest increase of 41% is characterized by the category of operations to close septal defects and pathological connections.
The department carries out a significant number of scientific works which included in the complex topic “Implementation of intravascular imaging methods and invasive assessment of the physiological significance of coronary artery constrictions in optimizing the results of PCI and CABG”. The research results were reported at conferences (21 abstracts, 36 reports), published in specialized scientific journals (16 articles).
References
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Joo Myung Lee, Ki Hong Choi, Young Bin Song, Jong-Young Lee, Seung-Jae Lee, Sang Yeub Lee et al. Intravascular imaging-guided or angiography-guided complex PCI. N. Engl. J. Med. 2023; 388 (18): 1668–1679. DOI: 10.1056/NEJMoa2216607
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Fearon W.F., Zimmermann F.M., De Bruyne B., Piroth Z., van Straten A.H.M., Szekely L. et al. Fractional flow reserve – guided PCI as compared with coronary bypass surgery. N. Engl. J. Med. 2022; 386: 128–137. DOI: 10.1056/NEJMoa2112299
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Golukhova E.Z., Petrosyan K.V., Abrosimov A.V., Bulaeva N.I., Goncharova E.S., Berdibekov B.Sh. Impact of assessment of fractional flow reserve and instantaneous wave-free ratio on clinical outcomes of percutaneous coronary intervention: a systematic review, meta-analysis and meta-regression analysis. Russian Journal of Cardiology. 2023; 28 (1S): 5325 (in Russ.). DOI: 10.15829/1560-4071-2023-5325
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Alekyan B.G., Grigoryan A.M., Staferov A.V., Karapetyan N.G. Endovascular diagnosis and treatment of heart and vascular disease in the Russian Federation – 2022. Endovascular Surgeon. 2023; 10 (Special edition) (in Russ.). DOI: 10.24183/2409-4080-2023-10S-S5-S256
About the authors
Karen V. Petrosyan, Dr. Med. Sci., Head of Department;
ORCID
