Fanta S. Interventional treatment of patients with ischemic heart disease with recurrent angina pectoris after coronary bypass surgery

The dissertation is devoted to the actual problem of modern cardiosurgery and interventional cardiology - treatment of patients with MS after the operation of KS. In the presented work, clinical data was used for 350 patients initially operated on CHD (250 patients with MS and 100 patients without MS, randomly selected among those operated during the same time interval with preservation of distribution by years). The conducted scientific research allowed to establish the frequency, timing and causes of MS in patients after KS. The presented work is the first domestic research, in which new modern scientific results were obtained on a large clinical material on the basis of a comprehensive analysis of interventional and surgical treatment of patients with coronary heart disease from MS after the initial operation of the KS. A new method for verifying symptom-dependent border disturbances of distal anastomosis (VFR) was developed for the justification of indications for PCI in shunts. The possible factors of risk of unsuccessful PCI and complications in interventional interventions on coronary shunts were determined, and the effectiveness of implantation of different types of stent systems with such interventions was investigated. Appended HPLC in the area of distal anastomosis in order to assess the characteristics of lesions and PCI results on shunts. The dynamics of the main indicators of quality of life of patients with MS treated with different methods was analyzed