Годовой план на 2011 год

Дополнительно выделено
Коронарографий – 1700,
Итого 3.000 в год
Стентирований – 300,
Итого: 1.000 в год

Выполнение доп. заказа

TOBI 2011
Total Occlusion and Bifurcation Intervention
Хронические Окклюзии и Бифуркационные интервенции
Италия, 15-16 сентября 2011г.

Бельгия, 05.10.2009г.

Компьютерное моделирование

Осложнения операции

Операционная с манекеном

Имплантация стента

После операции

Силиконовые коронарные артерии

Негатоскоп для артерий

Ошибки под микроскопом ☺

Боковая ветвь сохранена!

Мозговой шторм!

Bifurcation Lesion by Transradial Approach
Dr. Sakhov Orazbek
Chief of Cath Lab,
City Cardiology center of Almaty, Kazakhstan

Republic of Kazakhstan
Capital – Astana
Population – 16 536 000
Area - 2 724 900 km²
Population density – 6 pers./km²

Surgical activity of interventional cardiologists of Kazakhstan

Surgical activity of interventional cardiologists of City Cardiology Center (Almaty)

Our consultants in the development of interventional cardiology
Bernhard Reimers - Head of Cardiology, General Hospital, Mirano, Italy
Jan Kovach - Consultant Cardiologist, University Hospitals NHS Trust Leicester, United Kingdom
Ladislav Groch - assistant professor, Masaryk University, Faculty of Medicine, Brno, Czech Republic
Sinitsa Stojkovich - Head, Department of Interventional Cardiology, Department of Cardiologzy, Clinical center of Serbia
and others

Bifurcation Lesion by Transradial Approach with the support of Dr. Bernhard Reimers
Patient T., male, 62 y.o.
D-s: Non STEMI
Risk-factors: Hypertension, current smoker
Chest pain for 12 hours.
ECG: negative T V2-V5
Echo: hypokinesia of anterior wall, EF – 49%
Lab: troponin T – 0,22; myoglobin – 214,0

Angio: ostial LAD + Cx (Medina - 0,1,1)

What to do?
1. CABG (before - maybe, but not now, with the support of high experienced colleagues)
2. Transition to transfemoral access (7-8 Fr guide, Crush, Mini Crush, Culotte, SKS)
3. Stay transradial access, Provisional stenting
4. Other

We have chosen the easiest path

Final result

Take Home Message
Transition to the treatment of bifurcation stenosis - a mandatory part of the work
For most of bifurcation lesions – Keep it simple.
For bifurcation lesions by transradial approach - Keep it more simple.

Thank You for Attention!

Зал TOBI 2011

Сессия клинических случаев