Catheter Procedure Minimally Invasive for Ventricular Septal Defect (VSD) treatment in Germany
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Department of Cardiology and Pulmonology
The Department of Cardiology and Pulmonology provides the full range of diagnostic and therapeutic services for patients with diseases of the cardiovascular system and lungs. In the field of cardiology, key attention is paid to the treatment of valvular heart disease, arrhythmias, heart failure, coronary artery disease, arterial hypertension and aortic diseases. The department's pulmonologists mostly deal with the treatment of pneumonia, bronchial asthma and chronic obstructive pulmonary disease. In addition, the department operates an Intensive Care Unit, within which patients can receive artificial ventilation, renal replacement therapy and procedures for maintenance of blood flow. The department's Chest Pain Unit is certified by the German Cardiac Society and provides medical care to patients with acute coronary syndrome. The department successfully uses in its clinical practice both proven classical treatments and innovative medical achievements, which are available only in leading European hospitals. The department's medical team provides treatment to more than 3,200 patients every year.
Department of Cardiology and Angiology
The Department of Cardiology and Angiology offers the full range of medical services in the fields of its competence. The department's doctors specialize in the treatment of congenital and acquired heart defects. The key focus is on catheter-based heart interventions, which are characterized by a minimal trauma rate and allow patients to avoid an open operation. For this purpose, the department has three modern Cardiac Catheterization Laboratories. The department also houses an Intensive Care Unit and a Chest Pain Unit for patients with acute coronary syndrome. The medical facility has 82 beds. The department was awarded the prestigious quality certificate from the German Cardiac Society (DGK) for outstanding results in the treatment of mitral valve diseases and acute coronary syndrome. Another important area of work of the department's physicians is comprehensive heart examinations for the prevention of heart disease. For this purpose, specialized Check Up Programs have been developed here, which include an optimal set of diagnostic tests. The medical facility employs a highly professional team of doctors and nursing staff, which makes every effort to provide each patient with effective medical care in a pleasant and comfortable atmosphere.
Department of Cardiology and Angiology
The Department of Cardiology and Angiology offers the full range of medical services in the areas of its specialization. The medical facility holds consultations and carries out the diagnostics and treatment of diseases of the heart and blood vessels. The department's team of cardiologists focuses on patients with valvular heart disease, heart rhythm disturbances, coronary artery disease, heart failure, and congenital heart disease. The department has a Chest Pain Unit certified by the German Cardiac Society (DGK) for the treatment of acute coronary syndrome. In the field of angiology, of key interest is the treatment of peripheral arterial occlusive disease, vascular stenosis of various locations, including carotid artery stenosis, and deep vein thrombosis. During the treatment of diseases of the heart and blood vessels, the department’s specialists use various drug therapy regimens and perform image-guided interventional procedures. The medical facility has been recognized with quality certificates for transcatheter aortic valve implantation (TAVI) and treatment of heart failure and mitral valve disease. Patients are treated by highly qualified physicians who strive to restore the patient's health using sparing treatment methods.
Department of Cardiology and Angiology
According to the Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers the full range of medical services for the diagnostics and treatment of cardiovascular diseases. The department conducts all diagnostic and therapeutic procedures within the Cardiac Catheterization Laboratory, functional diagnostics of the heart, diagnostics and treatment of cardiac arrhythmias. The department's angiologists carry out complex diagnostics using ultrasound examination and angiography, as well as the treatment of stenoses and vascular obstructions by means of balloon dilatation, stent implantation and lysis.
Department of Cardiology, Angiology and Pulmonology
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of modern medicine. A distinctive feature of the hospital is the presence of unique therapeutic methods for the treatment of complex and rare clinical cases.
Department of Cardiology and Angiology
According to the prestigious Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of heart diseases! The department offers the full range of modern diagnostic and conservative therapeutic techniques for patients with cardiovascular diseases. The department houses a General Cardiology Outpatient Clinic, high-tech Cardiac Catheterization Laboratory and Emergency Cardiac Care Unit. The medical facility is also certified as an Interdisciplinary Center for Heart Failure and a Center for Transcatheter Aortic Valve Implantation. All this creates excellent conditions for the provision of highly professional and effective medical care.
Department of Cardiology, Pulmonology and Angiology
According to the Focus magazine, the Department of Cardiology, Pulmonology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers all the modern medical options for the diagnostics and treatment of diseases of the cardiovascular system and lungs. The department's doctors have extensive experience and expert knowledge for the provision of competent medical care to patients with coronary heart disease, heart failure, arrhythmias, heart valve defects, cardiomyopathies, as well as hypertension. All the advanced diagnostic methods are available in the department. Special attention is paid to interventional therapy of various cardiovascular pathologies.
Department of Cardiology
The Department of Cardiology offers the full range of diagnostic and therapeutic services for patients with cardiovascular diseases. The department specializes in drug therapy and modern interventional cardiac catheter-based procedures. Patients with heart failure, myocardial infarction, heart valve pathologies, and arrhythmias are regularly admitted to the medical facility. The department's medical team has more than 300 employees, for whom it is important that each patient receives the most effective treatment in comfortable conditions. The department has 144 beds. Cardiologists admit about 7,500 inpatients annually. More than 20,000 patients receive medical care on an outpatient basis. The department is rightly proud of the numerous certificates of the German Cardiac Society (DGK) in treating acute coronary syndrome, heart failure, and atrial fibrillation, as well as transcatheter aortic valve implantation (TAVI) and the MitraClip procedure.
Department of Cardiology and Angiology
According to the Focus magazine, the Department of Cardiology and Angiology ranks among the top German medical facilities specializing in the treatment of cardiovascular diseases! The department offers the full range of modern diagnostic and therapeutic services to patients suffering from heart disease, as well as lesions of the peripheral arteries and veins. The department's doctors have at their disposal excellent technical resources and many innovative techniques for the treatment of arrhythmias, heart failure and catheter-based treatment of coronary stenosis, heart valve defects, congenital heart defects in adults and other heart pathologies. The department's specialists can also boast of their exceptional experience in cardiac imaging tests. The department's unique offer is sports cardiology. The experts in this medical field carry out a set of tests to determine the maximum possible physical activity in patients with cardiovascular diseases. In addition, doctors specializing in sports cardiology carry out preventive examinations in healthy people. In this case, the purpose of the examination is to assess the risks of developing cardiovascular pathology with a particular physical activity.
Department of Cardiology, Angiology, Pulmonology and Intensive Care
According to the Focus magazine, the Department of Cardiology, Angiology, Pulmonology and Intensive Care ranks among the top German medical facilities of this kind! The department offers the full range of diagnostic and therapeutic services in these fields. The main areas of specialization include interventional cardiac catheterization, including stent implantation, treatment of myocardial infarction, structural heart diseases, interventional therapy of heart valve (for example, TAVI and MitraClip techniques), electrophysiological examinations, ablation procedures, implantation of pacemakers and defibrillators, as well as diagnostic and interventional angiology, highly specialized treatment of lung diseases. The emergency cardiac care is provided in the department around the clock. The department operates in accordance with the very latest medical standards and has DIN EN ISO 9001 certification.
Department of Cardiology, Endocrinology, Nephrology and Pulmonology
The Department of Cardiology, Endocrinology, Nephrology and Pulmonology offers the full range of diagnostics and treatment of all diseases of the heart and blood vessels, pathologies of the endocrine organs, including diabetes mellitus, as well as diseases of the kidneys, lungs and respiratory tract. The department has in its arsenal an advanced medical infrastructure, which allows to provide the high-precision diagnostics and the most effective treatment of even the most complex clinical cases. At the center of all efforts of the department’s medical team is the patient, his health and a positive emotional mood for a favorable therapy outcome.
Department of Cardiology, Pulmonology and Angiology
According to the Focus magazine, the Department of Cardiology, Pulmonology and Angiology ranks among the top German departments specializing in cardiovascular diseases! It provides an accurate diagnostics and effective treatment of all diseases of the cardiovascular system, lungs, and respiratory tract. The highly qualified world-class specialists work with patients. Various functional and imaging examination techniques are available for the accurate diagnostics. Also, the department has state-of-the-art Cardiac Catheterization Laboratory.
Department of Cardiology, Angiology and Internal Intensive Care
According to the prestigious Focus magazine, the Department of Cardiology, Angiology and Internal Intensive Care ranks among the top medical facilities in Germany specializing in the treatment of heart diseases! The department offers the full range of modern non-invasive and invasive studies, as well as all interventional procedures and supportive care. Clinical practice includes intensive care for emergency cardiac conditions, modern computer catheter procedures for arrhythmias, implantation of pacemakers, defibrillators and devices for resynchronizing cardiac therapy. The department’s specialists also have excellent qualifications in the treatment of coronary artery stenosis. Particular attention is paid to the catheter-assisted therapy for heart valve diseases.
Department of Cardiology and Angiology
The Department of Cardiology and Angiology provides a full range of medical services in its areas of specialization. Patient care is provided in close cooperation with the Department of Cardiothoracic Surgery, and particularly complex clinical cases are discussed at weekly interdisciplinary medical boards. The healthcare facility offers patients a modern infrastructure, state-of-the-art equipment, and highly qualified doctors with many years of experience. The department's therapeutic offerings include drug treatment of heart pathologies, sparing interventional procedures using catheter-based techniques, and hybrid interventions combining catheter-based and open surgical techniques. Depending on the complexity of the clinical case, the department provides both inpatient and outpatient treatment. The successful clinical practice of the department is recognized by numerous quality certificates, including the ClarCert DIN EN ISO 9001:2015 certificate and certificates from the German Cardiac Society (DGK) in the field of interventional cardiology and treatment of acute coronary syndrome and heart failure.
Department of Cardiology, Angiology and Pulmonology
The Department of Cardiology, Angiology and Pulmonology offers the full range of diagnostics and treatment of all diseases of the cardiovascular system, lungs and bronchi, as well as veins and arteries, both on an outpatient and inpatient basis. The department specializes in the treatment of coronary heart disease, heart valve diseases, heart arrhythmias, congenital and acquired heart defects, as well as of inflammatory cardiovascular diseases.
Department of Cardiology, Angiology and Pulmonology
The Department of Cardiology, Angiology and Pulmonology offers the full range of modern diagnostics and treatment of cardiovascular diseases, pathological lesions of the arteries, veins and lymphatic vessels, as well as various respiratory diseases. It is worth noting that the department's cardiologists carry out not only drug therapy for heart diseases, but also many interventional procedures, including TAVI, MitraClip, left atrial appendage closure in case of atrial fibrillation, balloon valvuloplasty and many others. The interventional therapeutic procedures for diseases of the heart, arteries, veins and lymphatic vessels are performed in specially equipped catheterization laboratories. Of particular interest in the field of pulmonology are bronchoscopy, endoscopic lung volume reduction and lung cancer treatment in collaboration with thoracic surgeons, oncologists, radiation therapists and other physicians. The department's specialists give preference to an individual approach to each patient. They use only modern and reliable treatment methods that guarantee an optimal result.
A ventricular septal defect (VSD) is a common heart defect that can be treated with open surgery or a minimally invasive transcatheter procedure. The second treatment option is less traumatic and involves the insertion of a catheter through the blood vessels in the leg. A catheter is used to deliver an occluder to the heart, which is fixed to the ventricular septum and closes the defect. Such procedures are available in German hospitals. You can find out the cost of treatment in Germany and make an appointment for your preferred dates on the Booking Health website. Our website offers the best hospitals in the world that admit foreign patients.
Content
- What is a ventricular septal defect (VSD)?
- When can a ventricular septal defect (VSD) be closed using a minimally invasive technique?
- How is a transcatheter procedure performed for a ventricular septal defect?
- Why is it best to undergo your treatment in Germany for a septal defect?
What is a ventricular septal defect (VSD)?
The ventricular septum is located between the right and left ventricles. It normally has no holes. In different parts of the heart, there is different blood: arterial and venous. These two types of blood should not mix.
If a person has a septal defect (VSD), blood can be discharged from the left ventricle into the right. As a result, not all blood enters the systemic circulation, and some returns to the lungs. The left ventricle may shrink, and the right ventricle and atrium may increase in volume due to constant overload. The following complications may eventually develop:
- heart rhythm disorders;
- heart failure;
- systemic embolisms, including strokes.
This happens only in the case of medium- and large-sized defects. Minor defects do not affect health, are not felt by the patient, and do not lead to heart failure.
When can a ventricular septal defect (VSD) be closed using a minimally invasive technique?
The minimally invasive procedure does not require any chest incisions. A patient does not have to endure discomfort after surgery and a long recovery time. In addition, the minimally invasive procedure is less likely to cause any complications as compared to surgery.
For these reasons, minimally invasive treatment for a ventricular septal defect (VSD) seems to be more attractive to patients than surgery because it is safer for their health and the treatment is easier to tolerate. A transcatheter technique, however, is not a first-choice treatment for most children so far because, in many cases, the procedure is complex or even impossible to perform.
Depending on where the septal defects (VSD) are located, they are of four types:
- infundibular;
- perimembranous;
- atrioventricular;
- muscular.
Perimembranous defects account for up to 75% of cases. These can be closed with a minimally invasive technique, but not always, and the procedure causes complications in some patients (up to 5% of cases). In different centers, the statistics are very different, since the outcomes are largely determined by the experience and skills of the doctors as well as the quality of the equipment used in the hospital.
Muscular ventricular septal defects (VSD) are usually easily closed in German hospitals using a minimally invasive procedure. The risk of complications is calculated in tenths of a percent. In addition, muscular defects are the second most common, accounting for 20% of cases. In adults, the prevalence is lower, as muscular defects often close on their own.
Other types of defects are usually treated with open surgery. They are too close to the heart valves, so doctors cannot safely and reliably perform a transcatheter procedure.
Defects are also classified by their size. They may be small, medium, or large, occupying less than 25%, about 25-75%, or more than 75% of the diameter of the aortic annulus. Small septal defects (VSD) usually do not need to be closed because they do not affect health. The middle ones can be closed using an endovascular technique. Large ones have to be closed with open surgery.
How is a transcatheter procedure performed for a ventricular septal defect?
A transcatheter procedure to close the ventricular septum is performed through an incision in the groin. Doctors use a catheter to bring the occluder to the heart. The catheter is inserted under X-ray guidance with contrast enhancement.
The occluder expands inside the heart. It is fixed to the septum and closes the defect.
Various types of occluders are used in German hospitals to treat ventricular septal defects, including the German Nit-Occlud Nit-Occlud (pfm - Produkte für die Medizin AG, Cologne), as well as the American Amplatzer or the more advanced Amplatzer Duct Occluder II.
Since the procedure does not require any chest incisions, the recovery time after it is minimal. Patients spend only one day in the hospital.
The success of the procedure, with proper patient selection and high-quality technical performance, is comparable to the results of open surgery and even exceeds them, since cardiac remodeling occurs in a shorter time. Symptoms disappear almost immediately. A day later, the first changes in the heart are observed, and a few months after the repair of the ventricular septal defect (VSD), the normal shape and size of the cardiac chambers are restored. The earlier the surgery is performed, the more complete the recovery will be. If the procedure is performed after the development of complications, cardiac remodeling does not occur as quickly, and the heart chambers are not fully restored.
Why is it best to undergo your treatment in Germany for a septal defect?
Doctors in German hospitals successfully treat ventricular septal defects using catheter-based techniques. Specialists in German hospitals have vast experience in performing such manipulations, and the occluder, which is produced in Germany, is used to close a ventricular septal defect in hospitals around the world.
In German hospitals, you will receive high-quality and safe treatment for your health. German doctors prefer endovascular procedures to open interventions whenever possible. Endovascular procedures can be successfully performed not only for muscular but also for perimembranous ventricular septal defects.
You are welcome to look up prices on the Booking Health website. Our website shows the real cost of treatment in Germany, at which point you can immediately make your treatment appointment. Booking Health's prices are lower than if you contacted a hospital in Germany directly. The cost of treatment in Germany will be lower due to the lack of additional taxes for foreign patients.
The Booking Health specialists will help you select the most suitable German hospital and take care of all the arrangements for your trip. We will solve all organizational issues, and you can fully concentrate on restoring your health.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
European Society of Cardiology
