The Haemodynamics and Interventionist Cardiology Unit aims to diagnose and treat coronary artery, heart and blood vessel diseases through minimally invasive percutaneous techniques.
Cardiac catheterisation is the gold standard of diagnosis in most heart diseases, and therapeutic catheterisation allows us to treat numerous coronary or structural diseases through different devices (balloons, stents, occluders, valves, etc.). Catheterisations are performed in the outpatient (under observation for 4-24 hours) or inpatient setting, electively or urgently.
Mission
We offer percutaneous diagnosis and treatment of cardiology diseases with the most efficiency and safety for the patient, providing value to each case that has undergone surgery and rationally applying the most advanced techniques to benefit the patient.
During our years of experience in this area, we have aimed to be the most transparent, close and loyal to the numerous patients who have undergone surgery, to undertake the most complex interventions, explaining and attending to all your questions and needs, as well as your friends and family.
Location, Infrastructure And Equipment
The Haemodynamics and Interventionist Cardiology Unit is located on the ground floor of the Hospital Ruber Internacional, in the operating room area, directly connected to the multi-purpose area and the Intensive Medicine area. It offers a room completely equipped for percutaneous intervention and diagnosis with state-of-the-art cardiovascular radiology equipment (General Electrics).
The room is equipped with all the equipment necessary for optimal operation and to solve potential complications. Moreover, the room offers: external defibrillator, pulse oximeters, oximeters, systems for the immediate assessment of PCI, continuous cardiac monitoring, intra-aortic balloon and material for orotracheal intubation and pericardiocentesis.
Consultations are carried out both at the Ruber Internacional de Mirasierra centre and the Paseo de la Habana centre.
Procedures
Diagnostic procedures
For the study of valvar, myocardial, pericardial, coronary, congenital, aortic and great vessel diseases:
- Diagnostic coronary angiography:
Healthy coronary arteries. The heart receives its own blood supply from the coronary arteries. In the absence of atherosclerotic lesions (fat deposits and inflammation) blood circulates freely through them. With X-rays and by injecting iodine-based contrast medium through a catheter inserted into the puncture, we are able to dye the lumen of the coronary arteries and rule out or confirm the presence of obstructions.
A: The trunk of the left main coronary artery quickly splits into two main branches: the left anterior descending artery (ADA) and the circumflex coronary artery (CCA).
B: Right coronary artery (RCA).
- Right catheterisation.
- Intramyocardial biopsy.
- Ventriculography. Aortography. Pulmonary arteriography.
- Intracoronary ultrasound.
- Intracoronary optimum coherence tomography.
- Intracoronary pressure guide.
Therapeutic procedures
For the percutaneous treatment of valvar, myocardial, pericardial, coronary, congenital, ascending aortic and great vessel diseases:
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- Simple, multi-segment or conventional multi-vessel angioplasty (only with balloon).
- Simple, multi-segment or multi-vessel angioplasty with intracoronary prosthesis (stent):
- Percutaneous treatment with stent of a severe coronary lesion. Cardiovascular risk factors (high blood pressure, diabetes, hypercholesterolemia, smoking) produce a progressive deposition of lipids (fat) and inflammatory cells on the coronary artery walls. These deposits can end up restricting blood flow, triggering symptoms (angina) and significantly increasing the risk of acute myocardial infarction.
- Highly severe atherosclerotic lesion (arrow) in the right coronary artery that obstructs the lumen.
- Through a catheter inserted into the puncture and a guide (very thin wire) we dilate the obstruction with a balloon to improve blood flow.
- To preserve the lumen and avoid new obstructions, we implant a stent (spring) at the same level.
- Once the stent has been implanted, blood flows freely through the artery again.
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- Chronic coronary occlusion angioplasty.
- Coronary atherectomy (Rotablator).
- Manual and mechanic thrombectomy.
- Diagnostic and evacuating pericardiocentesis.
- Temporary pacemaker implantation.
- Intra-aortic balloon implantation.
- Percutaneous mitral annuloplasty (Mitraclip®).
- Percutaneous ventricular assist device implantation (Impella®).
- Wireless pacemaker implant (Micra®).
- Arterial haemostasis device implantation.
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- Valvar pathology: Mitral and aortic valvuloplasty. Percutaneous aortic prosthesis implant. Percutaneous closure of periprosthetic leaks with percutaneous and transapical approach.
- Congenital pathologies: Closure of persistent ductus arteriosus. Closure of ventricular septal defects (congenital or after acute myocardial infarction). Closure of atrial septal defects.
- TPercutaneous treatment of cardiac congenital defects. The heart can become altered during its formation and development. Some defects increase the risk of stroke and cause heart function complications.
A: Hole between both atria because of an atrial septal defect (arrow).
B: Blood flow from the left atrium to the right atrium through the hole.
C: Through a single venous puncture, we can place the first metal disc in the left atrium.
D: The second metal disc of the percutaneous device completely closes the interatrial septum defect.
E: Inserted device "sealing" the septal defect.
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- Percutaneous treatment of the aortic coarctation.
- Pericardial pathology: Percutaneous pericardiotomy with balloon.
- Auricle percutaneous closure.
- Renal artery ablation for HBP treatment.
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