Американские рекомендации по коронарному шунтированию 2011 года

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    2011

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    . - , 2011.

    , , -

    - , : L. David Hillis, Peter K. Smith, Jeffrey L. Anderson, John A. Bittl, Charles R.

    Bridges, John G. Byrne, Joaquin E. Cigarroa, Verdi J. DiSesa, Loren F. Hiratzka,

    Adolph M. Hutter, Jr, Michael E. Jessen, Ellen C. Keeley, Stephen J. Lahey, Richard A.

    Lange, Martin J. London, Michael J. Mack, Manesh R. Patel, John D. Puskas, Joseph F.

    Sabik, Ola Selnes, David M. Shahian, Jeffrey C. Trost, and Michael D. Winniford

    Nallamothu, Henry H. Ting

    7 2011 . :10.1016/j.jacc.2011.08.009

    15 2011 .

    : http://content.onlinejacc.org/cgi/content/full/j.jacc.2011.08.007v1

    ACCF/AHA/ 2011

    - .

    , - -

    * L. David Hillis, MD, FACC,

    K. Smith, MD, FACC, -*

    Jeffrey L. Anderson, MD, FACC, FAHA* John A. Bittl, MD, FACC Charles R. Bridges, MD, SCD, FACC,

    FAHA* John G. Byrne, MD, FACC Joaquin E. Cigarroa, MD, FACC Verdi J. DiSesa, MD, FACC Loren F. Hiratzka, MD, FACC, FAHA Adolph M. Hutter, JR, MD, MACC, FAHA Michael E. Jessen, MD, FACC* Ellen C. Keeley, MD, MS

    Stephen J. Lahey, MD Richard A. Lange, MD, FACC,

    FAHA Martin J. London, MD|

    Michael J. Mack, MD, FACC* Manesh R. Patel, MD, FACC John D. Puskas, MD, FACC* Joseph F. Sabik, MD, FACC*#

    Ola Selnes, PHD David M. Shahian, MD, FACC,

    FAHA**

    Jeffrey C. Trost, MD, FACC* Michael D. Winniford, MD, FACC

    * ,

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    , - , ; . 1 . ACCF/AHA.. ACCF/AHA - . - || - . - # - ** ACCF/AHA .

    ACCF/AHA Alice K. Jacobs, MD, FACC, FAHA, Jeffrey L. Anderson, MD, FACC, FAHA, Nancy Albert, PHD, CCNS, CCRN, FAHA

    Mark A. Creager, MD, FACC, FAHA

    Steven M. Ettinger, MD, FACC, Robert A. Guyton, MD, FACC Jonathan L.

    Halperin, MD, FACC, FAHA Judith S. Hochman, MD, FACC, FAHA Frederick G.

    Kushner, MD, FACC, FAHA E. Magnus Ohman, MD, FACC William Stevenson,

    MD, FACC, FAHA Clyde W. Yancy, MD, FACC, FAHA

    - , - - 2011 ., - 2011 . - 2011 .

    - : Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, Cigarroa JE, DiSesa VJ, Hiratzka LF,

    Hutter AM Jr, Jessen ME, Keeley EC, Lahey SJ, Lange RA, London MJ, Mack MJ,

    Patel MR, Puskas JD, Sabik JF, Selnes O, Shahian DM, Trost JC, Winniford MD. 2011

    ACCF/AHA guideline for coronary artery bypass graft surgery: a report of the American

    College of Cardiology Foundation/American Heart Association Task Force on Practice

    Guidelines. J Am Coll Cardiol 2011;58:xxxxxx. Circulation. : -

    (www.cardiosource.org) (my.americanheart.org) . , , Elsevier Inc., (212) 633-3820, . : reprints@elsevier.com.

    : , , , - / - . . : healthpermissions@ elsevier.com.

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    : 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: a report of the American College of Cardiology Foundation/American Heart Association

    Task Force on Practice Guidelines. J Am Coll Cardiol 2011;58:xxxxxx.

    - - : www.npsaik.ru

    : : ... .. ... .. .. ... .. .. .. ..

    , , - - : - . , - , - , , 1999 . - ; - ; - - ; -.

    , -, , .

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    :

    .................................................................................................... 6 ................................................................................................................ 7 1. .............................................................................................................. 15 1.1. .................................................................... 15 1.2. ...................................................................... 16 1.3. ................................................................... 16 2. ....................................................................... 16 2.1. ........................................................................ 16 2.1.1. : ............................................................................ 16 2.1.2. ................................................................. 21 2.1.3. ..................................................................................... 22 2.1.4. : ...................................................................... 25 2.1.4.1. ........................................................................ 25 2.1.4.2. ................................................................... 26 2.1.4.3. , - ......... 28 2.1.5. .............................................................................................. 28 2.1.6. ................................................................. 29 2.1.7. : ......................................................................................................... 30 2.1.8. / : ......................................................................................................... 33 2.2. .......................... 35 2.2.1. : ............ 35 2.2.2. : ................... 39 2.2.3. : ....................... 40 2.2.4. : .......................................................................... 41 3. ............................................................................... 42 3.1. : ................................................ 43 3.2. : ...... 48 3.3. : ............ 50 3.4. ...................... 51 3.5. ........................................... 52 3.6. ................................................................................... 53 3.6.1. BMS .... 53 3.6.2. DES ....................................................... 54 3.7. ................................ 56 3.7.1. .......................................................................................... 56 3.7.2. .......................................... 56

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    3.7.3. ....................................... 58 3.8. ......................................................... 59 3.9. , - ..................................................................................... 59 3.9.1. .......................................................................................... 59 3.9.2. ......................................................................... 60 3.9.3. .......................................................................... 60 3.9.4. .................................................................. 61 3.9.5. ............................................................................... 62 3.9.6. / ST ........................................................................................ 62 3.9.7. : .................. 62 3.10. ................................................................................................... 63 3.11. : ........................ 63 4. ............................................................................... 65 4.1. : ..................... 65 4.2. : ............ 67 4.3. : ..................................................... 68 4.3.1. ................................................. 70 4.3.1.1. ................................................................ 70 4.4. : .............................. 71 4.4.1. ........................................................................................ 71 4.4.2. .............................................. 73 4.4.3. ................................................................... 74 4.5. -: ............. 74 4.6. /: ......................................................... 76 4.7. : .......................................................... 77 4.8. : ......................................................................................... 79 4.8.1. ...... 80 4.8.2. , ....................................... 81 4.9. : ......................................... 81 4.10. .................................................................. 83 4.10.1. : ...................... 83 4.10.2. : ................................... 83 4.10.3. : ................. 84 5. , : ............................................................................ 86 5.1. : ............................................................................ 86 5.1.1. : ....................................................... 88

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    5.2. ...................................................................................................... 90 5.2.1. ................................................... 90 5.2.1.1. ...................................... 91 5.2.1.1.2. : ...................................................................................... 92 5.2.1.2. ...................................................................................................... 95 5.2.1.3. ....................................... 95 5.2.2. / : ......................................................................................................... 96 5.2.3. : ............................................. 100 5.2.4. : ......... 102 5.2.4.1. : ........................................................ 104 5.2.5. : ............... 104 5.2.6. /: ..... 106 6. ............................................................................... 108 6.1. ....................................................................................... 108 6.2. ....................................................................................................... 109 6.3.

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