We report a new technique for treatment of radial artery pseudoaneurysm (RAP) caused by transradial access (TRA) for coronary angiography. Traditional extrinsic compression with radial flow cessation leads to a local milieu likely associated with an increase in probability of radial artery occlusion (RAO). Our technique involves obtaining ipsilateral radial artery access distal to the neck of the RAP followed by a prolonged sheath dwell time covering the neck of the RAP which allows the RAP sac to thrombose and maintains radial artery lumen patency. © 2016 The Authors. Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.

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Несмотря на значительный прогресс в интервен-ционной кардиологии, лечение длинных (>20 мм) поражений коронарных артерий при диффузных ате-росклеротических изменениях стенок сосудов оста-ется нерешенной проблемой. При этом, до внедре-ния стентов баллонная ангиопластика таких пораже-ний часто осложнялась острой окклюзией просвета дилатированной артерии (5-10%) [1][2][3], применение стентов значимо уменьшило частоту острых осложне-ний, однако, частота рестенозов и повторных ревас-куляризаций миокарда в отдаленном периоде оста-ется очень высокой (30-60%) [4][5][6] Results. the direct success at short term was noted in 113 patients in group I (97,4%) and in 116 in group II (99,1%) (p=0,74). In both groups there were no cases of acute thrombosis of stents. subacute thrombosis (in 1-3 weeks) was noted in 2 patients (1,7%) in group I and in 1 (0,85%) in group II (p=0,47). Long term angiographic restenosis was noted in 12 patients from group I (10,6%) and in 66 in group II (56,9%) (p<0,0025). Also, in group II 47 patients from 66 had diffuse restenosis (71,2%), as in group I there was no diffuse restenosis. survival rate with no MACE or angina in 12 months was 79,8% in group I, and 31% in group II. EFFICACY OF SIROLIMUS ELUTING STENTS IMpLANTATION IN DIFFUSE (LONG AND EXTREMELY LONG) CORONARY ATHEROSCLEROTIC LESIONS Russ J Cardiol 2017, 8 (148): 42-50http://dx