vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2019-4-121-128vtio-1114Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSВнутрисосудистая визуализация атеросклеротических бляшек у больных с кардиоренальным синдромом: возможности оптической когерентной томографииIntravascular imaging of atherosclerotic plaques in patients with cardiorenal syndrome: potential use of optical coherence tomographyСозыкинА. В.SozykinA. V.

Москва

Moscow

ШевченкоО. П.ShevchenkoO. P.

Москва

Moscow

НаумовЯ. А.NaumovYa. A.

Наумов Ярослав Анатольевич

117997, Москва, ул. Островитянова, д. 1.Тел. (915) 164-37-80

Naumov Yaroslav Anatol’evich

1, Ostrovitianova str., Moscow, 117997.Tel. (915) 164-37-80

yaroslavnaumov14@yandex.ruСтроковА. Г.StrokovA. G.

Москва

Moscow

ВасильеваВ. П.VasilievaV. P.

Москва

Moscow

ШевченкоА. О.ShevchenkoA. O.

Москва

Moscow

ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России; ФГБУЗ «Центральная клиническая больница Российской академии наук»РоссияPirogov Russian National Research Medical University; Central Clinical Hospital of the Russian Academy of SciencesRussian FederationФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава РоссииРоссияShumakov National Medical Research Center of Transplantology and Artificial OrgansRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России; ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава РоссииРоссияPirogov Russian National Research Medical University; Shumakov National Medical Research Center of Transplantology and Artificial OrgansRussian Federation201902022020214121128Copyright © Созыкин А.В., Шевченко О.П., Наумов Я.А., Строков А.Г., Васильева В.П., Шевченко А.О., 20202020Созыкин А.В., Шевченко О.П., Наумов Я.А., Строков А.Г., Васильева В.П., Шевченко А.О.Sozykin A.V., Shevchenko O.P., Naumov Y.A., Strokov A.G., Vasilieva V.P., Shevchenko A.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1114

В настоящее время трансплантация почек и применение гемодиализа являются основными методами лечения терминальной почечной недостаточности. При этом главной проблемой при лечении указанной категории пациентов остается высокая смертность, в структуре которой первое место занимают сердечнососудистые заболевания. Показано, что у пациентов с терминальной стадией хронической болезни почек, находящихся на гемодиализе, риск смертности от сердечно-сосудистых заболеваний до 20 раз выше, чем в популяции соответствующего пола и возраста. Указанные данные обусловили целесообразность выделения кардиоренальных взаимоотношений в единый кардиоренальный синдром (КРС). В связи с вышеуказанным особую значимость приобретают методы внутрисосудистой визуализации поражений коронарного русла, в частности оптическая когерентная томография (ОКТ). В настоящем обзоре представлен анализ опубликованных к настоящему времени данных об особенностях и возможностях ОКТ у больных с КРС.

Currently, kidney transplantation and hemodialysis are the primary therapies for end-stage renal disease. High mortality, mostly caused by cardiovascular disease, remains the main challenge in the treatment of this category of patients. It has been shown that in patients with end-stage chronic kidney disease undergoing hemodialysis, the risk of mortality due to cardiovascular disease is up to 20 times higher than in the sex- and age-matched general population. The indicated data determined the appropriateness of isolating cardiorenal relationships into a single cardiorenal syndrome (CRS). Due to the facts mentioned above, intravascular imaging methods, notably optical coherence tomography (OCT), are particularly important in diagnosing coronary artery lesions. This review analyses the data published to date on the features and capabilities of OCT in CRS patients.

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The authors declare that there are no conflicts of interest present.