K. A. Kireev

Russian Railways

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V.V. Fistakovskiy

A. V. Krasnopeev

Russian Railways

K. S. Fastakovskaya

Chelyabinsk State Medical Academy

A. A. FOKIN

V. V. Fastakovsky

Ural State Medical University

S. A. Rusanova

Russian Railways

V. V. Genkel

Ural State Medical University

V. V. Fastakovskiy

Chelyabinsk State Medical Academy

АС

А. С. Кузнецова

Ural State Medical University

G. A. Treiger

Chelyabinsk State Medical Academy

Cooperative Institutions

Chelyabinsk State Medical Academy

Russian Railways

Ural State Medical University

Regional Clinical Hospital No 4

Infectious Clinical Hospital No. 1

Harvard University

Centre for Human Drug Research

Boston University

Vita-Salute San Raffaele University

Istituti di Ricovero e Cura a Carattere Scientifico

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Formation and evolution of surgical methods for treatment of stable coronary heart disease and acute myocardial infarction (review of literature)

Regional blood circulation and microcirculation (2023)

V. V. Fastakovskiy K. A. Kireev А. А. Фокин K. S. Fastakovskaya

Currently, two methods of coronary revascularization are used in coronary surgery – percutaneous coronary interventions and coronary bypass grafting. Technical capabilities allow using them both for the treatment of chronic coronary heart disease and in surgery for acute myocardial infarction.The development of cardiosurgical and endovascular areas has gone through two main stages. The first was to develop and improve the methodology itself and the second was to create standards and recommendations governing the treatment of coronary heart disease based on experience and accumulated results. At the present stage, individual technical aspects are subject to even greater standardization, which relate to both the selection and preparation for surgical treatment and individual stages of revascularization.

Bypass surgery

Coronary disease

Coronary anatomy

10.24884/1682-6655-2023-22-2-4-10

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Difficulties of managing a patient with acute myocardial infarction, severe anemia, and cirrhosis

Regional blood circulation and microcirculation (2023)

А. С. Кузнецова K. A. Kireev V. V. Genkel V. V. Fastakovsky S. A. Rusanova

It is now, known that liver diseases, including cirrhosis, are associated with a higher cardiovascular risk compared with the general population. The management of patients with cirrhosis and acute coronary syndrome is associated with the risk of various complications. The clinical case presented in the publication showed significant risks that have direct and indirect influence on the outcome and further prognosis of a patient with myocardial infarction and cirrhosis, namely: ischemic risks, hemorrhagic risks, surgical and somatic risks.

10.24884/1682-6655-2023-22-2-58-66

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Successful endovascular treatment of acute myocardial infarction in patients with novel coronavirus infection COVID-19 (case reports)

Angiology and vascular surgery (2022)

A. A. FOKIN K. A. Kireev K.A. Rudneva V.V. Fistakovskiy

2019-20 coronavirus outbreak

Coronavirus

Betacoronavirus

Coronavirus Infections

10.33029/1027-6661-2022-28-3-120-127

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Clinical examples of microcirculation disorders in acute myocardial infarction

Regional blood circulation and microcirculation (2016)

K. A. Kireev A. V. Krasnopeev

Objective. To improve the results of acute myocardial infarction (AMI) treatment. Material and methods. We have analyzed 2 clinical cases of unfavorable course of AMI. Results. The middle aged patient who had ST segment elevation acute coronary syndrome received immediate full reperfusion therapy (thrombolysis and stenting). It was performed early in the course of the disease and demonstrated good angiographic result. Postoperatively there were no typical evolution of ECG signs of AMI. By the end of the first day we registered stent thrombosis with fatal outcome. Cause of death: acute left ventricular failure. The area of infarcted cardiac muscle was about 40 %, in the projection of the apex of the left ventricle the acute aneurysm was formed. Perhaps this situation has been associated with disorders of microcirculation in the infarcted area, which can be potentially neutralized by inhibitors 2b/3a receptors of platelets. This drug was given to this patient too late (during rethrombosis). In another observation (with the same circumstances) the inhibitor of IIb/IIIa GP receptors was given during the early postoperative period, what was followed by the natural course of AMI. Conclusion. These examples demonstrate the need of additional antiplatelet support (inhibitor IIb/IIIa GP receptors) in such clinical situations.

Antiplatelet drug

10.24884/1682-6655-2016-15-1-56-64

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