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Angioplasty

Atherosclerosis currently occupies a leading place in the structure of morbidity worldwide. This disease kills thousands of people every year. When atherosclerosis on the walls of blood vessels is the deposition of adipose tissue, the so-called atherosclerotic plaque is formed. As a result, the lumen of the artery narrows significantly, there is an obstacle to normal blood flow. Hypoxia of vital organs may develop due to vasoconstriction. The most common atherosclerosis are coronary, brachiocephalic, renal, and arteries of the lower extremities.

One of the most effective methods of treating atherosclerosis in Kyiv is transluminal balloon angioplasty. It is a minimally invasive surgical procedure in which a balloon catheter specially selected in length and diameter is inserted into the area of vessel narrowing or occlusion. At the same time, the form of a vessel is restored, the drugs interfering with the formation of thrombi are entered into a gleam. In modern endovascular surgery, transluminal balloon angioplasty is performed in combination with arterial arthroplasty, which ensures that the dilated artery is kept open and nothing will interfere with blood flow.

Indications for TLBAP are:

  • Coronary heart disease (acute myocardial infarction, angina pectoris, progressive, postinfarction angina, painless myocardial ischemia).
  • The defeat of brachiocephalic arteries (stroke, transient ischemic attack).
  • Lesions of the renal arteries (vasorenal hypertension).
  • Vascular stenosis of the lower extremities, which is manifested by intermittent claudication (diabetic foot syndrome, obliterating atherosclerosis, etc.).

Contraindications include:

  • acute infectious disease;
  • intolerance of contrast agents;
  • chronic diseases in the stage of decompensation;
  • disorders of the blood coagulation system;
  • endocarditis;
  • glycoside intoxication, hypokalemia;
  • diffuse vascular stenosis.

How is the preparation for angioplasty?

Balloon angioplasty and stenting in Kyiv can be performed both in an emergency and in a planned manner. In case of emergency, the operation is performed on vital signs, so patients do not need special training. Diagnostic coronary angiography and simultaneous stenting of a narrowed artery are performed in the X-ray operating room.

All instruments and consumables for stenting (stents and everything for their implantation) are only disposable from the best European and American manufacturers.

Preparation for routine balloon angioplasty is a consultation with a doctor, a general clinical examination, ECG, ECHO-CG, angiography, ultrasound of vessels with Doppler, and other tests prescribed by a specialist. Contrast-enhancing substances that contain iodine are used during the operation, so it is important to find out in advance whether the patient is allergic to the drug. Immediately before angioplasty, it is necessary to refuse food and water for 4 hours, and also to clear the area of a possible puncture from a hair cover.

The course of the operation

Angioplasty and stenting of arteries are performed under the supervision of anesthesiologists inpatiently but do not require general anesthesia, as the incisions are small. ECG and blood pressure are monitored. To begin with, the operated area is anesthetized (local anesthesia). Then balloon dilatation of vessels is performed. The doctor uses a puncture to insert a manipulator catheter into the radial or femoral artery, then launches the iodine-containing drug and monitors its progress with the help of X-ray equipment. The catheter with the balloon gradually begins to inflate to the required size at the site of narrowing. As a result, the lumen of the affected vessel expands and does not interfere with blood flow. The restored diameter of the vessel is fixed by a stent, which is a mesh metal structure. The stent can be holo metallic or drug-coated with drugs that reduce the risk of restenosis and thrombus formation. At the end of the procedure, the blood supply is normalized, the wound is sutured and bandaged. Typically, balloon angioplasty and stenting last from one to three hours.

Rehabilitation

The patient spends the first day after stenting under the supervision of specialists, then a few more days in the hospital. The total recovery period takes about 2-4 weeks. The specialist prescribes double antiplatelet therapy so that no blood clots form in the installed stents. You can find out the cost of the procedure by calling our call centers or on the website.

After discharge, it is recommended to normalize lifestyle, which includes physical therapy, diet, normalization of blood pressure. The psychological mood of the patient is important.

The task of therapeutic exercise is to lose weight and keep muscles toned. The allowed range of exercises is prescribed by a doctor. The diet includes limiting the consumption of fats to lower cholesterol, increase the diet of plant fiber.

Advantages of balloon angioplasty

The advantages of balloon angioplasty and stenting are undeniable. Interventions are minimally invasive, punctures are insignificant, painful sensations are minimal, which means that after the operation the patient recovers quickly and soon returns to normal life. Complications occur quite rarely, and the risk of their occurrence is reduced by following all doctor's prescriptions and lifestyle adjustments.

In the cardiology center of the Dobrobut clinic in Kyiv, balloon angioplasty and vascular stenting at the best price will be performed by the best specialists in Ukraine in the field of cardiac surgery, using the best and most modern equipment. The cost of the procedure is indicated on the website of the Dobrobut clinic. All operations are performed according to protocols and in accordance with the standards of European clinics (without restrictions on the quality and quantity of consumables).

Our main advantages are high-tech, the use of the latest minimally invasive techniques, extensive practical experience of specialists, as well as the best conditions for postoperative rehabilitation.

Don't put off your health for tomorrow, sign up today! You can find out the cost, price, and terms of the procedure in Kyiv, as well as choose a convenient time for registration by calling the call center or on the website.

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Angioplasty

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Doctors Angioplasty:
24experience (y.)
Kuzmenko Dmytro Oleksandrovych
Cardiologist; Cardiovascular surgeon
14experience (y.)
Matsiuk Bohdan Volodymyrovych
Endovascular surgery
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