Professor Bernardo VidneHead of the Institute of Pediatric Cardiology
Coronary Therapeutic Angiography at Top Ihilov Medical Center
In the coronary angiography department, along with diagnostic procedures such as diagnostic angiography of the vessels, therapeutic procedures are also performed.
If during diagnosis a pathological process is visualized, identifying the focus of damage in the coronary vessel, the aim of therapeutic angiography is to eliminate the defect. Using angiography, the narrowing of the vessel is expanded, a thrombus is removed, and stenting of the coronary arteries is performed.
The development of methods for treating narrowing of the heart vessels has progressed in various directions; some (vessel dilation by drilling or bougienage, use of lasers) have not found wide application, while angiography, on the contrary, has immediately and permanently entered medicine. Currently, the expansion of the vessel lumen using balloon catheterization and subsequent stenting of the affected vessel area is widely used.
Typically, the angiography procedure aimed at expanding the vessel walls lasts about 40 minutes, but this time can vary depending on the anatomical features of the patient and the vascular system, and of course, the experience and qualifications of the physician play a role.
Stenting of Coronary Arteries
Technique of the balloon catheterization procedure. A balloon catheter is introduced through the nearest large artery into the vessel, advanced to the site of narrowing, where the balloon is inflated with air (manually, the physician must feel the tension inside the balloon), pressing the sclerotic plaque against the vessel walls, the air is released from the balloon, and the catheter is removed. This procedure is usually insufficient for stable vessel expansion, and in half of the patients, a recurrence occurs. In the place of the previous narrowing, the vessel wall grows back, and the lumen narrows again, which is why the expanded vessel wall is usually fixed with a stent.
A stent is a structure in the form of a wire cylinder; in its compressed state, the stent is delivered to the site of vessel narrowing, where it expands and holds the vessel walls in an opened state.
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