СПОСОБ ЭНДОВАСКУЛЯРНОЙ КОРРЕКЦИИ ФЕНОМЕНА "NO-REFLOW" У ПАЦИЕНТОВ С ОСТРЫМ КОРОНАРНЫМ СИНДРОМОМ С ПОДЪЕМОМ СЕГМЕНТА ST ПРИ ПРОВЕДЕНИИ ПЕРВИЧНОГО ЧРЕСКОЖНОГО КОРОНАРНОГО ВМЕШАТЕЛЬСТВА ИНФАРКТ-ЗАВИСИМОЙ АРТЕРИИ
FIELD: medicine.SUBSTANCE: method involves performing coronary angiography, detecting an acute thrombotic occlusion or stenosis, measuring the artery diameter and distal blood flow by grading a degree of restoration of a coronary blood flow and myocardial perfusion. A 0.014-inch coronary guide wire is inserted into the distal culprit artery, which is followed by thromboaspiration from the culprit artery through the guide wire by means of a thrombus aspiration device. An aspiration catheter is attached to a Y-connector and delivered along the first coronary guide wire to the culprit artery thrombus the second coronary guide wire is inserted through the main trunk the second coronary guide is used to deliver a coronary balloon having the diameter and length of no more than 1.5×10 mm and a delivery length of not less than 1,500 mm behind the thrombotic occlusion the balloon is inflated at a nominal pressure in the distal culprit artery. The thrombus is aspirated through the secondary passage of the Y-connector. The coronary guide wire is taken out of the main trunk of the coronary balloon a vasodilator solution is administered through the main trunk that is combined with intravenous bolus dosing of an eptifibatide solution 180 mcg/kg. After the blood flow and myocardial perfusion restore, the culprit artery is stented.EFFECT: method makes it possible to increase the therapeutic effect of the surgery, provide distal branches protection against migration of residual thrombotic masses, as well as enable the single-step balloon angioplasty of a destabilised atheromatosis plaque or parietal small thrombotic masses.7 dwg, 1 exИзобретение относится к медицине, а именно к интервенционной кардиологии. Выполняют коронароангиографию, выявляют острую тромботическую окклюзию или стеноз, оценивают диаметр артерии, дистальный кровоток по градации степени восстановления коронарного кровотока и перфузии миокарда. Проводят коронарный проводник 0,014 дюйма в дистальные отделы ИЗА, после
