Статья
ПРЕДСТАВЛЕНИЯ О ВЛИЯНИИ ПРЕДВАРИТЕЛЬНОЙ КОРОНАРНОЙ РЕВАСКУЛЯРИЗАЦИИ НА ЧАСТОТУ РАЗВИТИЯ КАРДИАЛЬНЫХ ОСЛОЖНЕНИЙ ВНЕСЕРДЕЧНЫХ ХИРУРГИЧЕСКИХ ВМЕШАТЕЛЬСТВ
Прогнозирование и профилактика кардиальных осложнений внесердечных хирургических вмешательств является важной клинической задачей. На сегодняшний день многое известно о различных шкалах прогнозирования риска развития инфаркта миокарда и смерти в периоперационном периоде, а также о медикаментозных возможностях их профилактики. Вопрос о пользе выполнения коронарографии и превентивной коронарной реваскуляризации перед внесердечными хирургическими вмешательствами у пациентов высокого кардиального риска остается спорным. В данном обзоре рассмотрены взгляды на патогенез развития периоперационного инфаркта миокарда, а также подробно проанализированы результаты существующих ретроспективных и проспективных исследований эффективности и безопасности различных видов предварительной коронарной реваскуляризации для снижения частоты кардиальных осложнений внесердечных хирургических вмешательств.
1. Poldermans D, Schouten O, Bax J, et al. Reducing cardiac risk in non-cardiac surgery: evidence from the DECREASE studies. Eur Heart J Suppl 2009; 11: 9-14.
2. Grobben RB, van Klei WA, Grobbee DE, et al. The aetiology of myocardial injury after noncardiac surgery. Neth Heart J 2013 September; 21(9): 380-8.
3. Cohen M, Aretz T . Histological analysis of coronary artery lesions in fatal postoperative myocardial infarction. Cardiovascular Pathology 1999; 8: 133-9.
4. Gualandro DM, Campos CA, Calderaro D, et al. Coronary plaque rupture in patients with myocardial infarction after noncardiac surgery: frequent and dangerous. Atherosclerosis 2012; 222(1): 191-5.
5. Bauer SM, Cayne NS, Veith FJ New developments in the preoperative evaluation and perioperative management of coronary artery disease in patients undergoing vascular surgery. J Vasc Surg 2010; 51: 242-51.
6. Lucreziotti S, Carletti F, Santaguida G, et al. Myocardial infarction in major noncardiac surgery: Epidemiology, pathophysiology and prevention. Heart Int 2006; 2: 82.
7. Leung MK, Irwin MG Perioperative cardioprotection. F1000Prime Rep. 2013; 5: 7.
8. Hertzer NR, Beven EG, Young JR, et al. Coronary artery disease in peripheral vascular patients. A classification of 1000 coronary angiograms and results of surgical management. Annals of Surgery 1984; 199: 223-33.
9. Eagle KA, Rihal CS, Mickel MC, et al. Cardiac risk of noncardiac surgery: influence of coronary disease and type of surgery in 3368 operations. CASS Investigators and University of Michigan Heart Care Program. Coronary Artery Surgery Study. Circulation 1997; 96: 1882-7.
10. Hassan SA, Hlatky MA, Boothroyd DB, et al. Outcomes of noncardiac surgery after coronary bypass surgery or coronary angioplasty in the Bypass Angioplasty Revascularization Investigation (BARI). American Journal of Medicine 2001; 110: 260-6.
11. Landesberg G, Mosseri M, Wolf YG, et al. Preoperative thallium scanning, selective coronary revascularization, and long-term survival after major vascular surgery. Circulation 2003; 108: 177-83.
12. Kelly R, McFalls E Preoperative evaluation and treatment of stable CAD in patients scheduled for major elective vascular surgery. Curr Treat Options Cardiovasc Med. 2006 Feb; 8(1): 59-66.
13. Poldermans D, Schouten O, Vidakovic R, et al. A clinical randomized trial to evaluate the safety of a noninvasive approach in high-risk patients undergoing major vascular surgery. The DECREASE-V pilot study. J Am Coll Cardiol 2007; 49: 1763-9.
14. McFalls EO, Ward HB, Moritz TE, et al. Coronary-artery revascularization before elective major vascular surgery. New England Journal of Medicine 2004; 351: 2795-804.
15. Wong EY, Lawrence HP, Wong DT The effects of prophylactic coronary revascularization or medical management on patient outcomes after noncardiac surgery — a meta-analysis. Canadian Journal of Anesthesia 2007; 54: 705-17.
16. Garsia S, McFalls E, Goldmann S, et al. Diagnostic coronary angiography in patients with peripheral arterial disease: a sub-study of the Coronary Artery Revascularization Prophylaxis Trial. J Interv Cardiol. 2008 Oct ; 21(5): 369-74.
17. Garsia S, Moritz T, Goldmann S, et al. Perioperative Complications After Vascular Surgery Are Predicted by the Revised Cardiac Risk Index But Are Not Reduced in High-Risk Subsets With Preoperative Revascularization. Сirc Cardiovasc Qual Outcomes. 2009; 2: 73-7.
18. Biccard BM, Rodseth RN A meta-analysis of the prospective randomized trials of coronary revascularisation before noncardiac vascular surgery with attention to the type of coronary revascularisation performed. Anaesthesia 2009; 64: 1105-13.
19. Albaladejo P, Marret E, Samama CM, et al. Non-cardiac surgery in patients with coronary stents: the RECO study. Heart 2011; 97: 1566-72.
20. Nuttall GA, Brown MJ, Stombaugh JW, et al. Time and cardiac risk of surgery after baremetal stent percutaneous coronary intervention. Anesthesiology 2008; 109: 588-95.
21. Rabbitts JA, Nuttall GA, Brown MJ, et al. Cardiac risk of noncardiac surgery after percutaneous coronary intervention with drug-eluting stents. Anesthesiology 2008; 109: 596-604.
22. Collet JP, Aout M, Alantar A, et al. Real-life management of dual antiplatelet therapy interruption: the REGINA survey. Arch Cardiovasc Dis 2009; 102: 697-710.
23. Wijeysundera DN, Wijeysundera HC, Yun L, et al. Risk of elective major noncardiac surgery after coronary stent insertion: a population-based study. Circulation. 2012; 126: 1355-62.
24. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Anesth Analg. 2008; 13: 685-712.
25. Poldermans D, Bax JJ, Boersma E, et al. The Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA). Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery. European Heart Journal 2009; 30: 2769-812.
26. Garofalo M, Nardi P, Borioni R, et al. The impact of coronary revascularization on longterm outcomes after surgical repair of abdominal aortic aneurysm. Italian Heart Journal Supplements 2005; 6: 369-74.
27. Takahashi J, Okude J, Gohda T, et al. Coronary artery bypass surgery in patients with abdominal aortic aneurysm: detection and treatment of concomitant coronary artery disease. Annals of Thoracic and Cardiovascular Surgery 2002; 8: 213-9.
28. Back MR, Stordahl N, Cuthbertson D, et al. Limitations in the cardiac risk reduction provided by coronary revascularization prior to elective vascular surgery. Journal of Vascular Surgery 2002; 36: 526-33.
29. Back MR, Leo F, Cuthbertson D, et al. Long-term survival after vascular surgery: specific influence of cardiac factors and implications for preoperative evaluation. Journal of Vascular Surgery 2004; 40: 752-60.
30. Karapandzic VM, Vujisic-Tesic BD, Colovic RB, et al. Coronary artery revascularization prior to abdominal nonvascular surgery. Cardiovascular Revascularization Medicine. 2008; 9(1): 18-23.
31. Rossini R, Musumeci G, Navarese R, et al. Coronary artery disease: to cath or not to cath? When and how best to cath: those are the remaining questions Am J Cardiovasc Dis. 2013; 3(1): 27-38.
32. Posner KL, Van Norman GA, Chan V Adverse cardiac outcomes after noncardiac surgery in patients with prior percutaneous transluminal coronary angioplasty. Anesthesia and Analgesia 1999; 89: 553-60.
33. Godet G, Riou B, Bertrand M, et al. Does preoperative coronary angioplasty improve perioperative cardiac out-come? Anesthesiology 2005; 102: 739-46.
34. Nuttall GA, Brown MJ, Stombaugh JW, et al. Time and cardiac risk of surgery after baremetal stent percutaneous coronary intervention. Anesthesiology 2008; 109: 588-95.
35. Rabbitts JA, Nuttall GA, Brown MJ, et al. Cardiac risk of noncardiac surgery after percutaneous coronary intervention with drug-eluting stents. Anesthesiology 2008; 109: 596-604.
36. Notice of Concern. J Am Coll Cardiol 2012; 60: 2696-7.
37. O’Riordan M Erasmus MC fires Poldermans; ESC reviews his work. www.theheart.org/ article/1315171.do (27 February 2013).
38. Lüscher T . T he codex of science: honesty, precision, and truth — and its violations. Eur Heart J 2013; 34: 1018-23.
39. Bouri S ., Shun-Shin M., Cole G., et al. Meta-analysis of secure randomized controlled trials of beta-blockade to prevent perioperative death in noncardiac surgery. Heart 2013; DOI:10.1136/heartjnl-2013- 304262.
40. Don Poldermans MD PhD, replies to Eur Heart J Editorial Eur Heart J. E ur Heart J 2013; 34(23): 1693-1698.
41. Monaco M, Stassano P, Di Tommaso L, et al. Systematic strategy of prophylactic coronary angiography improves long-term outcome after major vascular surgery in medium- to high-risk patients: a prospective, randomized study. J Am Coll Cardiol. 2009; 54: 989-96.
42. Illuminati G, Ricco JB, Greco C, et al. Systematic preoperative coronary angiography and stenting improves postoperative results of carotid endarterectomy in patients with asymptomatic coronary artery disease: a randomised controlled trial. Eur J Vasc Endovasc Surg 2010; 39(2): 139-45.