S.A. Bogachevskaia¹, A.N.Bogachevsky¹, V.Y. Bondar^1,2
1Federal Centre for Cardiovascular Surgery, Khabarovsk
²Far Eastern State Medical University, Khabarovsk

Contacts: Svetlana A. Bogachevskaia, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. The study evaluates performance of the seven Federal Centers for Cardiovascular Surgery in 2011-2013 with the purpose of determining potential of the service development in the regions of the Russian Federation.

Methods. The measures are calculated per 100 thousand population of the corresponding age, involvement of the regions in the surgical activity and country as a whole was determined as share (%) for the same period of time.

Results. Establishment of those centers primarily stimulated increase in coronary heart disease surgery; its combined contribution to the total volume of surgical interventions in the country over the last three years added up to 13.74%. The share of heart valve reconstruction, combined operations with simultaneous myocardial revascularization and on two or more valves has increased. Cumulative contribution of the federal centers over the last three years equaled to 19.10% of all surgeries in Russia. Active performance of the centers resulted in the increased number of pacemaker implantations in Russia by 2.5 times and cardiac conduction system surgery - by 5.0 times for the last decade. The number of children from birth to 3 years operated in the centers accounted for more than a half of all cases of surgical treatment (58.9%) and more than a third of all endovascular interventions (35.1%) with congenital heart disease, corresponding to the modern patient management techniques practiced by the advanced health care systems. Interventions on precerebral arteries in the federal centers accounted for the smallest share among all types of cardiovascular surgery in Russia.

Discussion. Therefore, besides intensified surgical activities, the federal centers for cardiovascular surgery increased the level and quality of surgical treatment of patients with cardiovascular diseases in Russia (in 2011-2013, the centers performed one fifth of all cardiac surgery and more than one sixth including vascular surgery in the country).

Keywords: Federal Centers for Cardiovascular Surgery; high-tech medical care; cardiovascular surgery; endovascular intervention.

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