X -RAY SURGERY
At the junction of surgery and radiology, X-ray endovascular surgery has emerged and is actively developing with the use of advanced technologies and scientific achievements, being one of the most modern high-tech innovative and low-traumatic methods of X-ray surgical treatment and diagnosis.
X-ray endovascular intervention is performed in comfortable conditions of a specially equipped X-ray surgery room equipped with
angiographic complex;
ultrasonic equipment;
electrophysiological monitoring of vital signs (such as blood pressure, heartbeat, ECG, respiration, blood oxygen saturation);
anesthesia and respiratory equipment and equipment for continuous intravenous and intra-arterial administration of drugs.
The medical intervention itself is carried out under local anesthesia through a 1.5 mm puncture, most often through the vascular bed of the lower or upper extremities under the control of X-rays and ultrasound navigation (from the outside it seems that a needle or catheter was simply inserted into a vein).
The absence of surgical trauma (wounds) and anesthesia allows treatment even for patients with severe complex forms of the disease. Thus, the possibilities of providing medical care are expanded, the patient’s stay in the hospital is shortened, and the principle of early rehabilitation is implemented.
THE MAIN DIRECTIONS OF X-RAY SURGICAL METHODS OF DIAGNOSIS AND TREATMENT, IMPLEMENTED THROUGH THE USE OF X-RAY ENDOVASCULAR TECHNOLOGIES:
ANGIOGRAPHY OF THE VESSELS OF THE HEAD AND NECK, ABDOMINAL ORGANS AND RETROPERITONEAL SPACE, EXTREMITIES – using special catheters and conductors, a contrast agent is injected directly into the vascular bed under X-ray radiation, which makes it possible to identify various pathologies associated with the vascular bed (true and false aneurysms, stenosis and occlusion due to atherosclerosis or hyperplastic processes, congenital or acquired vascular malformation (anomaly)), plan and implement some types of operations and monitor the result of their execution.
INSTALLATION OF VARIOUS SYSTEMS OF LONG–TERM CENTRAL VENOUS ACCESS – in particular, installation of a peripherally implantable central venous catheter (PICC-line) or a port system, which eliminates the need for frequent intravenous punctures and complications of systemic chemotherapy such as chemical burns of the vascular wall, leading to phlebitis and the formation of cosmetic defects.
ENDOVASCULAR EMBOLIZATION OF VESSELS WITH MICROEMBOLES (MICROSPHERES) – using a system of conductors and boats, microconductors and microcatheters, embolization (occlusion – blockage) of blood vessels supplying the tumor process is carried out, thereby stopping bleeding from vessels destroyed by the tumor process in cases of malignant tumor formations. In benign diseases, such as uterine fibroids or benign prostatic hyperplasia (prostate adenoma), due to embolization of blood vessels supplying uterine fibroids (uterine artery embolization – EMA) or prostate adenoma (prostatic artery embolization – EAP), a therapeutic effect is achieved in the form of a reduction in formations and thereby the manifestations of these diseases are eliminated.