CARDIOLOGY SERVICES

Procedures of Interventional Cardiology

  • Coronary angiography
  • Peripheral angiography
  • Right and left heart catheterization
  • Vascular resistance measurement for pulmonary hypertension
  • Diagnostic procedures such as renal angiography
  • Complex percutaneous coronary interventions
  • Carotid Attempts
  • Renal stent
  • Alcohol septal ablation in hypertrophic obstructive cardiomyopathy
  • Percutaneous closure of atrial and ventricular septal defects
  • Renal denervation in resistant hypertension
  • TAVI (Transcatheter aortic valve implantation) in patients at risk of operation

Coronary Angiography

Coronary angiography is the visualization of the vessels (coronary arteries) that provide and supply the heart with a painted liquid. Angiographic procedures can be performed for all vessels of the body. Eye, brain, heart and leg veins are usually the most frequently investigated vascular systems. The procedure to examine the heart vessels is called coronary angiography.

Coronary angiography, also referred to as cardiac catheterization or angiography, is an invasive imaging modality for evaluating cardiovascular function and function.
Diagnosis and treatment of cardiac catheterization

  • Coronary artery, heart valve or aortic vein diseases
  • Evaluation of heart muscle function
  • Determining advanced treatment methods such as coronary balloon angioplasty and stent, coronary bypass surgery, cardiac valve interventional or surgical intervention

Balloon Angioplasty

Fluid located at the end of a thin catheter can be opened in the narrowed coronary artery by inflating an expanding balloon. Balloon angioplasty is technically referred to as percutaneous coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI). When the balloon is inflated, the oily plaque is compressed against the occluded artery walls, and blood flow is increased.

Balloon Angioplasty with Stent

In most cases, stent placement is performed in combination with the balloon angioplasty procedure. Stent coronary is a small metal cage tube that acts as a skeleton to provide support within the artery. To insert a stent in the narrowed artery, a balloon catheter is used which is guided through the guide wire. When the stent arrives in the narrowed area, the balloon is inflated and the stent expands appropriately to the diameter of the artery and attaches to the vessel wall. After the balloon is quenched, the stent remains permanently at the point of placement. Within a few weeks, the stent is covered with normal vascular cells (endothelium). Angioplasty with stent is usually applied to patients with congestion or obstruction in 1-2 coronary arteries. If more than two coronary arteries are obstructed, coronary artery bypass surgery may be involved.

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Catheters
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Implantable Defibrillator (ICD)

Implantable Defibrillators are a type of pacemaker used to prevent sudden death due to a rhythm disorder called ventricular fibrillation. Corrects the life-threatening arrhythmia by giving electric shock if necessary. It is usually used in the presence of severe heart diseases with possibility of ventricular fibrillation. It is an effective treatment method in patients with sudden cardiac arrest and survived. Local anesthesia is placed under the skin. Battery life is shorter than other pacemakers. The electric shock is larger because it requires high energy.

Pacemaker Treatment in Heart Failure

When the pumping power of the heart decreases, heart failure occurs. These patients have symptoms such as fatigue, shortness of breath, swelling of the feet. In spite of treatment with medications, complaints may not improve. In this case, the quality of life can be seriously impaired. In a significant proportion of patients with heart failure, coordination between the cavities of the heart is impaired. Three-cord pacemakers in these patients; provides coordination, increases pump power and corrects complaints. These batteries are placed under the skin with local anesthesia. Unlike other pacemakers, special echocardiography techniques should be used to adjust the way they work.

Electrophysiology and Catheter Ablation

There are different kinds of rhythm disorders that make tachycardia. These disorders are caused by electrical abnormalities in different regions of the heart. A tissue that should not be in the normal heart is responsible for abnormal electricity. Coronary angiography, such as the catheter called the catheter is advanced from the veins to the heart, these tissues are destroyed and destroyed. This is called catheter ablation. Radiofrequency or cooling system is applied to eliminate abnormal tissue. An electrophysiological device is required for catheter ablation. A follow-up hospital stay may be required. It is done by local anesthesia