Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №2

UNSTABLE ANGINA: CURRENT APPROACH TO AGGRESSIVE TREATMENT. SURGICAL REVASCULARIZATION OR TRANSCUTANEOUS CORONARY ANGIOPLASTY?

E.P. Kohan, A.A. Paivin

Intensive use of coronary disease invasive therapy including coronary angioplasty and myocardial surgical revascularization has given rise to the problem of appropriate indications for each method. In Russian medical facilities a cardiologist usually keeps in mind only available modalities for unstable angina (UA) treatment planning rather then choosing the most adequate ones. Despite the increasing number of medical centers suggesting the wide range of medical therapeutics, surgical interventions and myocardial revascularization methods, most of patients with UA are not surveyed by cardiosurgeons and endovascular radiosurgery specialists. Drug therapy undoubtedly is not opposed to surgical or interventional methods. For the most of patients these methods comprise counterparts of a single sequence: drug therapy – balloon angioplasty – myocardial surgical revascularization – drug therapy. Several modes of US therapy were currently suggested, though the choice must be based on individual approach to each case according to clinical parameters, diagnostic data and technological potential of the medical facility. Despite the apparent concurrence of indications for coronary angioplasty and myocardial surgical revascularization these methods hardly could be considered as alternative variants. Each case must be evaluated individually according to severity of illness and technological potential of the medical facility.

KEY WORDS: Unstable angina, transcutaneous coronary angioplasty.

P. 100-105

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