{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:31:33Z","timestamp":1793640693189,"version":"4.5.1"},"reference-count":13,"publisher":null,"issue":"2","license":[{"start":{"date-parts":[[2019,3,8]],"date-time":"2019-03-08T00:00:00Z","timestamp":1552003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/lib.ossn.ru\/jour\/about\/editorialPolicies#openAccessPolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kardiologiia"],"abstract":"<jats:p>\n                    <jats:underline>Aim:<\/jats:underline>\n                    to assess clinical efficacy and expediency (appropriateness) of simultaneous single stage combined coronary stenting and closure of atrial septal defect.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>Materials and methods.<\/jats:underline>\n                    Of total number of patients who underwent endovascular correction of atrial septal defect (ASD) (n=91), in 6 (6.6 %) the procedure of endovascular repair of secondary ASD was combined with performed at same session oronary stenting. Mean age of these patients was 63\u00b16.4 years. Mean diameter of ASD according to transesophageal echocardiography was 13.7\u00b13.1 \u043c\u043c (from 10 to 17 mm). Two patients had dysplasia of atrial septum with pronounced aneurysmal protrusion in the right atrial cavity. Estimate of coronary arteries (CA) involvement SYNTAX score was 14.5\u00b14.9.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>Results.<\/jats:underline>\n                    At initial stage we performed coronary stenting, then ASD closure with occluder. Technical success of combined endovascular procedures was 100 %. Six ASD occluders were implanted in 6 patients. Mean occluder diameter was 21\u00b17,3 mm. Immediately after occluder implantation complete defect closure was achieved in 5 cases, in one case small residual shunt was observed. CA stenting procedure, in one patient after successful recanalization of chronic CA occlusion, in all cases was fulfilled without complications. At control examination after 13.5\u00b11.5 months complete closure of defects was preserved. In all cases significant reduction of right heart chambers occurred. According to echocardiography right atrial volume decreased from 48.6\u00b15.6 to 32.6\u00b13.3 cm\n                    <jats:sup>3<\/jats:sup>\n                    , right ventricular volume \u2013 from 45.2\u00b15.1 to 33.4\u00b13.8 cm\n                    <jats:sup>3<\/jats:sup>\n                    , systolic pulmonary pressure fell from 49.7\u00b18.6 to 32.6\u00b16.9 mm Hg. According to control coronary angiography good effect of endovascular procedures was preserved. Tolerance to exercise rose from 68.5\u00b111.8 \u0434\u043e 85.3\u00b112.4 W.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>Conclusion.<\/jats:underline>\n                    Same time CA stenting and endovascular ASD closure appears to be safe and effective procedure. The strategy used was not associated with additive risk for a patient and shortened duration of hospital stay.\n                  <\/jats:p>","DOI":"10.18087\/cardio.2019.2.10222","type":"journal-article","created":{"date-parts":[[2019,3,11]],"date-time":"2019-03-11T03:52:01Z","timestamp":1552276321000},"page":"56-60","source":"Crossref","is-referenced-by-count":1,"title":["Simultaneous Percutaneous Coronary Intervention and Endovascular Closure of Atrial Septal Defect in Adults"],"prefix":"10.68900","volume":"59","author":[{"given":"D. G.","family":"Ioseliani","sequence":"first","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. A.","family":"Kovalchuk","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. R.","family":"Rafaeli","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. N.","family":"Rogatova","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. V.","family":"Stepanov","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. V.","family":"Zakharova","sequence":"additional","affiliation":[{"name":"Sechenov First Moscow State Medical University (Sechenov University)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. V.","family":"Pekarskaya","sequence":"additional","affiliation":[{"name":"Moscow Regional Research and Clinical Institute."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2019,3,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"McCandless R.T., Aringtou C.B., Nielsen D.C. et al. Patent Foramen Ovale in Children with Migraine Headaches. J of Pediatrics 2011.01.062. 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A case of successful surgery of atrial septal defects combined with coronary artery bypass grafting. Kokyu To Juncan 1989;37:93\u201396."},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Onorato E., Pera I., Lanzone A. et al. Transcatheter treatment of coronary artery disease and atrial septal defect with sequential implantation of coronary stent and Amplatzer septal occluder: preliminary results. Catheter Cardiovasc Interv 2001;54:454\u2013458.","DOI":"10.1002\/ccd.1310"},{"key":"ref10","unstructured":"Chessa M., Medda M., Moharram A. et al. Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention. Anatol J Cardiol 2007;7(1):51\u201353."},{"key":"ref11","unstructured":"Ioseliani D. G., Koledinsky A. G., Danilov E. Yu. et al. Simultaneous endovascular procedure of coronary angioplasty (direct stenting of marginal branch of LCA, recanalization with stenting of \u201cchronic\u201d occlusion of the LAD) and ASD\u2013II closure. 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Combined percutaneous coronary intervention and atrial septal defect closure in adult patient. Acute Card Care 2007;9(4):254\u2013256.","DOI":"10.1080\/17482940601173881"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Calver A., Dawkins K., Salmon A. Combined percutaneous management of an atrial septal defect and coronary artery disease. J Intervent Cardiol 2000;13:35\u201337. doi.org\/10.1016\/j.ihjccr.2017.10.006","DOI":"10.1111\/j.1540-8183.2000.tb00694.x"}],"container-title":["Kardiologiia"],"original-title":[],"link":[{"URL":"https:\/\/lib.ossn.ru\/jour\/article\/viewFile\/508\/376","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:16:32Z","timestamp":1793639792000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardio.elpub.ru\/jour\/article\/view\/508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,8]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,3,8]]}},"URL":"https:\/\/doi.org\/10.18087\/cardio.2019.2.10222","relation":{},"ISSN":["2412-5660","0022-9040"],"issn-type":[{"value":"2412-5660","type":"electronic"},{"value":"0022-9040","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3,8]]}}}