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Cardiology: Myocardial infarction (heart attack) — Coronary angioplasty with stent placement. Treatment

Angioplasty (AP) is a surgical procedure, which allows restoring the normal blood flow in the area of ​​narrowing or occlusion of the vessel. Such an intervention is used for various types of vascular diseases, i.e. atherosclerosis, thrombosis, embolism, and arteritis. Very often, angioplasty is complemented by installation of a metal frame, stent.

Angioplasty Types

Depending on what vessel is corrected, there are four kinds of angioplasty:

  • coronary (on the arteries supplying blood to the heart)
  • cerebral (vascular brain)
  • brachiocephalic (vascular neck)
  • renovascular (on the kidney vessels)
  • in the arteries of lower extremities.

The first type of AP is the most demanded in vascular surgery. According to statistics, it accounts for about 80% surgeries.

Preparation

The issue of the procedure is addressed after the data of coronary angiography, i.e. X-ray examination of blood vessels, become available. The physician determines the degree of occlusion of the affected artery and the possibility of access to the narrowed area.

To prepare for the surgery, the patient is prescribed a set of standard research:

  • electrocardiography,
  • blood tests for HIV, hepatitis, and to determine the Rhesus factor etc.,
  • a therapist’s and cardiologist’s advice.

Procedure

30 minutes prior to angioplasty, the patient is given a sedative drug. Under local anesthesia, the physician makes a puncture of an artery in the area where the catheter will be inserted. Depending on the procedure, it can be groin, elbow or wrist area.

A catheter is a thin plastic tube. Under the X-ray monitoring, it is gently introduced into the puncture site and moved to the narrowed area. Then the microballoon is passed through the tube. In the affected site of the artery it is expanded, which leads to the vessel unfolding. Thereafter, the balloon is deflated and removed again. To support the vessel from the inside, the surgeon may install a stent.

In some clinics, a laser AP is practiced. In this case, the artery lumen is released by application of dosed radiation to its walls.

Rehabilitation

Angioplasty is characterized by low traumatism to the tissue, so the patients recover rather quickly. After the procedure, the patient is transported to the chamber, where s/he is prescribed bed rest for 6 to 10 hours. To prevent infectious complications, the antibiotics are recommended. The patient is discharged from the hospital on day 2 or 3.

In some cases, the artery restenosis can develop. Therefore, it is important to come to regular check-ups to a cardiologist and pass the follow-up tests for prevention purposes.

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St. Vincentius Clinic Karlsruhe

9.8/10 from23 Votes
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

Balloon angioplasty and stenting to treat myocardial infarction #336375

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.

Include:
people Interpreter up to 20 hours
list_alt Translation of medical documents up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes
location_onGermany, Munich
certificatecertificatecertificate

Department of Cardiology, Angiology and Pulmonology

Balloon angioplasty and stenting to treat myocardial infarction #178495

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.

University Hospital Muenster

9.8/10 from78 Votes
location_onGermany, Muenster
certificatecertificatecertificatecertificate

Department of Cardiology

Balloon angioplasty and stenting to treat myocardial infarction #137603

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.

University Hospital Frankfurt am Main

10/10 from97 Votes
location_onGermany, Frankfurt am Main
certificate

Department of Cardiology and Angiology

Balloon angioplasty and stenting to treat myocardial infarction #76551

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Balloon angioplasty and stenting to treat myocardial infarction #334179

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.

Academic Hospital Neuperlach Munich

9.8/10 from11 Votes
location_onGermany, Munich
certificatecertificate

Department of Cardiology, Pneumology and Internal Intensive Care

Balloon angioplasty and stenting to treat myocardial infarction #144225

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.

HELIOS Clinic Krefeld

9.7/10 from38 Votes
location_onGermany, Krefeld

Department of Cardiology

Balloon angioplasty and stenting to treat myocardial infarction #388352

The Department of Cardiology offers the full range of services in this medical focus. The department specializes in the treatment of heart failure, heart rhythm disorders, heart valve diseases and other heart pathologies. For the provision of emergency medical care, the department has a Chest Pain Unit.

Vivantes Humboldt Hospital Berlin

9.7/10 from23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Balloon angioplasty and stenting to treat myocardial infarction #337824

The Department of Internal Medicine, Cardiology and Conservative Intensive Medicine offers the full range of treatment of internal diseases. Diseases of the heart, lungs and pathologies associated with circulatory disorders are treated here.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from23 Votes
location_onGermany, Hamburg

Department of Cardiology

Balloon angioplasty and stenting to treat myocardial infarction #356881

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.

Academic Hospital Bogenhausen Munich

9.2/10 from43 Votes
location_onGermany, Munich
certificate

Department of Cardiology and Internal Intensive Medicine

Balloon angioplasty and stenting to treat myocardial infarction #68715

The Department of Cardiology and Intensive Care Medicine at the Academic Hospital Bogenhausen offers all modern diagnostic and therapeutic methods for heart and circulatory diseases. The medical emphases are on the non-invasive and invasive diagnosis and treatment of heart disease and cardiac arrhythmias.

Academic Hospital Schwabing Munich

8.5/10 from7 Votes
location_onGermany, Munich
certificate

Department of Cardiology, Pneumology and Internal Intensive Medicine

Balloon angioplasty and stenting to treat myocardial infarction #140389

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.

Vivantes Neukölln Hospital Berlin

10/10 from23 Votes
location_onGermany, Berlin

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Balloon angioplasty and stenting to treat myocardial infarction #358209

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.

Tel Aviv Sourasky Medical Center

9.9/10 from23 Votes
location_onIsrael, Tel Aviv

Department of Cardiology

Balloon angioplasty and stenting to treat myocardial infarction #329913

The Department of Cardiology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the entire spectrum of heart diseases starting from critical conditions up to chronic pathologies requiring ongoing monitoring or rehabilitation.

Hannover Medical School

9.8/10 from43 Votes
location_onGermany, Hannover
certificate

Department of Cardiology and Angiology

Balloon angioplasty and stenting to treat myocardial infarction #247099

The Department of Cardiology and Angiology at the Hannover Medical School specializes in treatment of acute myocardial infarction, chronic heart failure, arteriosclerosis and cardiac arrhythmias. An interdisciplinary focus is on cardiomyopathy in pregnancy, especially on the peripartum cardiomyopathy.

University Hospital Cologne

9.8/10 from82 Votes
location_onGermany, Cologne
certificatecertificatecertificatecertificatecertificate

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Balloon angioplasty and stenting to treat myocardial infarction #78399

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...

HELIOS University Hospital Wuppertal

9.8/10 from42 Votes
location_onGermany, Wuppertal

Department of Cardiology

Balloon angioplasty and stenting to treat myocardial infarction #392035

The Department of Cardiology offers the whole range of modern cardiology, ranging from corrective diagnostics and restoration of coronary vessel patency up to the implantation of artificial heart valves.




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