Reestablishing coronary blood flow of elderly and old age patients with multi-vascular lesions of coronary channel.
The object of the work was to study the effectiveness of surgical (using extracorporeal circulation and on the "functioning heart") and endovascular (using stents) methods for treatment of elderly and old age patients suffering from coronary heart disease (CHD) and multi-vascular affection of coronary arteries (CA). CS and direct revascularization operation of myocardium in the treatment of CHD in elderly and old age patients suffering from multi-vascular affection of CA give steady clinical effect with relatively low probability of complications in the postoperative period. Endo vascular operations with the use of stents with drug covering considerably increase the duration of normal functioning of the stented CA part in elderly and old age patients in connection with decreased traumatization and proliferation of the vascular intima. Modern technology of fulfillment and gained experience make it possible to decrease considerably the invasiveness and to enhance angioplasty safety. Angiographic criteria and intraoperative assessment determine the possibility to perform coronary artery bypass grafting on the functioning heart, which at present is the most modern method of myocardium revascularization associated with the minimum risk of perioperative complications and lethality and has significant advantages over CABG under the conditions of EC.