title: [Three years experience of catheter treatment of patients with acute coronary syndrome in conditions of 24-hour work of endovascular service].
abstract: In this work we have summarized 3-years experience of the treatment of acute coronary syndrome with the use of endovascular methods and presented organizational basis allowing to realize 24-hour work of the endovascular service, and algorithm of examination and treatment of patients admitted with diagnosis of acute coronary syndrome. During the analyzed period invasive interventions were carried out in 1417 patients (transluminal angioplasty - in 93, angioplasty with stenting - in 1356 patients) with mean door to balloon time 37.7 min. For stenting we used 925 standard metal stents and 584 drug eluting stents. Coronary artery bypass surgery was performed in 150 patients. Severe complications during hospital stay developed in 3% of patients. Fifteen patients died, 14 of them were admitted in a state of cardiogenic shock. Repeat coronary angiography in remote period was fulfilled in 170 patients with recurrence of angina. Restenoses were found in 31.2% of these patients, predominantly in those with implanted standard metal stents.
authors: V A
authors: VA
authors: Porkhanov
authors: E D
authors: ED
authors: Kosmacheva
authors: L K
authors: LK
authors: Kruberg
authors: O A
authors: OA
authors: Pozdniakova
authors: A N
authors: AN
authors: Fedorchenko
authors: A Iu
authors: AIu
authors: Bukhtoiarov
authors: K O
authors: KO
authors: Liaskovskiĭ
authors: R S
authors: RS
authors: Tupikin
authors: O S
authors: OS
authors: Volkolup
authors: A A
authors: AA
authors: Usachev
authors: P A
authors: PA
authors: Lazebnyĭ
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods; D016507:Cardiology Service, Hospital / Q000458:organization & administration*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D023903:Coronary Restenosis / Q000209:etiology / Q000628:therapy; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D055502:Secondary Prevention; D012770:Shock, Cardiogenic / Q000209:etiology / Q000401:mortality; D015607:Stents