{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>General urine analysis<\/li>\n\t\t<li>Biochemical analysis of blood<\/li>\n\t\t<li>Indicators of inflammation (CRP, ERS)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Blood pressure measurement<\/li>\n\t<li>ECG<\/li>\n\t<li>Echocardiography, if necessary, transesophageal one<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Catheterization of blood vessels and heart chambers<\/li>\n\t<li>Transcatheter implantation of the Mitralign system<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Explanation of future recommendations<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Functional mitral regurgitation (FMR)<\/li>\n\t<li>Combination of FMR with tricuspid regurgitation<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Day 1-2<\/strong>. Initial presentation at the clinic. After consultation with the attending physician and physical examination, the patient undergoes the necessary laboratory and instrumental examination.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Day 3<\/strong>. On the 2-3 day of hospital stay, after receiving the examination results and their assessment by the attending physician, the transcatheter implantation of the Mitralign system is performed. In most cases, the operation requires only local anesthesia at the site of catheter insertion. If the patient can not tolerate a probe for an intraoperative transesophageal echocardiography, then general anesthesia may be given.<br \/>\nAfter insertion into the femoral artery, a guide catheter is moved towards the heart, delivered through the aortic valve and placed on the posterior side of the left ventricle. EchoCG is used to confirm wire placement in the mitral annulus. Pledgets are fixed inside the atrium and ventricle, plicated, pooled together, and locked. Then the same steps are repeated on the other side of the mitral annulus. Pledgets reduce the circumference of the mitral annulus and correct the functional mitral regurgitation. After installing and fixing the Mitralign system, the catheter is removed, and a pressure bandage is applied to the place of its introduction for several hours.<\/p>\n\n<p style=\"text-align: justify;\"><strong>From day 4<\/strong>. The patient stays in the ward of the cardiology department, under the supervision of doctors and nursing staff. Depending on the dynamics of the health condition, the patient is discharged from the hospital in 5-10 days.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>Medical records<\/li>\n\t<li>EchoCG (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>General urine analysis<\/li>\n\t\t<li>Biochemical analysis of blood<\/li>\n\t\t<li>Indicators of inflammation (CRP, ERS)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Blood pressure measurement<\/li>\n\t<li>ECG<\/li>\n\t<li>Echocardiography, if necessary, transesophageal one<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Catheterization of blood vessels and heart chambers<\/li>\n\t<li>Transcatheter implantation of the Mitralign system<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Explanation of future recommendations<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><ul>\n\t<li>Functional mitral regurgitation (FMR)<\/li>\n\t<li>Combination of FMR with tricuspid regurgitation<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Day 1-2<\/strong>. Initial presentation at the clinic. After consultation with the attending physician and physical examination, the patient undergoes the necessary laboratory and instrumental examination.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Day 3<\/strong>. On the 2-3 day of hospital stay, after receiving the examination results and their assessment by the attending physician, the transcatheter implantation of the Mitralign system is performed. In most cases, the operation requires only local anesthesia at the site of catheter insertion. If the patient can not tolerate a probe for an intraoperative transesophageal echocardiography, then general anesthesia may be given.<br \/>\nAfter insertion into the femoral artery, a guide catheter is moved towards the heart, delivered through the aortic valve and placed on the posterior side of the left ventricle. EchoCG is used to confirm wire placement in the mitral annulus. Pledgets are fixed inside the atrium and ventricle, plicated, pooled together, and locked. Then the same steps are repeated on the other side of the mitral annulus. Pledgets reduce the circumference of the mitral annulus and correct the functional mitral regurgitation. After installing and fixing the Mitralign system, the catheter is removed, and a pressure bandage is applied to the place of its introduction for several hours.<\/p>\n\n<p style=\"text-align: justify;\"><strong>From day 4<\/strong>. The patient stays in the ward of the cardiology department, under the supervision of doctors and nursing staff. Depending on the dynamics of the health condition, the patient is discharged from the hospital in 5-10 days.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"0","clinic_icon":"6613daafca3f9.jpg","city":"Siegburg","clinic_site":"https:\/\/www.helios-gesundheit.de\/standorte-angebote\/kliniken\/siegburg\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Helios Hospital Siegburg","cinic_name":"Helios Hospital Siegburg","department_id":"4640","duration":"10","direction":"Cardiosurgery","min_duration":0,"clinic_id":"3446","paketPrice":7800,"paket":"<ul>\n <li>Interpreter up to 17 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n \n<\/ul>","title":"Surgical treatment of mitral valve insufficiency with Mitralign System (minimally invasive)","price":{"val":27468,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"5626.80","req":0}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}