A comparative analysis of surgical and endovascular revascularization results in ischemic patients

The article focuses on up-to-date techniques for surgical and endovascular treatment of various types of coronary heart diseases (CHD). A comparative analysis of immediate and long-term results of coronary artery bypass graft (CABG) and transluminal balloon angioplasty with stenting is performed. Using the characteristics of coronary artery lesions according to stenosis types and treatment results, the indications for CABG and stenting are specified. Surgical and endovascular procedures used in 105 patients suffering from various types of CHD are analyzed. The severity of CHD clinical course and multivascular disruptions of the blood stream served as indications for surgery. 33 patients (31.4%) (1st group), who had multiple disruptions of the blood stream, underwent angioplasty with stenting. The 2nd group included 72 patients (68.6%) who received CABG of the damaged arteries. When treating CHD, invasive (surgical and endovascular) revascularization of the myocardium has a permanent clinical effect and manifests itself in a significant decrease in the number of perioperative and postoperative cardiovascular events and the functional class (FC) of angina, as well as in an increase in global myocardial contractility.