Endovascular and hybrid surgery

Congenital heart defects can also be adjusted with the help of modern endovascular, i.e. intravascular techniques. Such operations are called minimally invasive, which presupposes low-traumatizing methods with a minimal interference with the body. A minimally invasive hybrid surgery It is a combination of an endovascular and surgical approach. This innovative technique is recommended in those cases when the application an endovascular surgery is impossible due to the anatomical features. The advantages of the minimally invasive hybrid surgery include the ability to combine simultaneous multiple stages of treatment, avoiding the use of a heart-lung machine and facilitating the postsurgical period. Hybrid methods of treatment are the most modern and the most lenient in the correction of the congenital heart disease.

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Advantages

The chest is not opened, no large incision is made.
The time of a surgery is reduced.
General anesthesia is not used.
The surgery is tolerated much easier, which is especially important for infants.
The rehabilitation period lasts no more than two weeks.

Method of implementation

The surgery is performed with the use of local anesthesia under the control of X-ray equipment. The surgeon inserts a catheter directly through the vessels into the heart and produces a plasty of the defect. Depending on the type of the defect, one of the specific intravascular devices is used: it may be a vessel, an occluder or a stent. Thus, in case of an atrial septal defect, the occluder is chosen, it opens like an umbrella in the place of the defect and clogs it, thereby preventing the abnormal discharge of blood from the left atrium to the right one. In the case of the stenosis, however, it is required to increase the pathological narrowing of the heart valve, where an inflatable balloon is actually applied.
To conduct these minimally invasive hybrid surgeries, our CardioCenter has been equipped with the most modern gear in a special new operating theatre. Several doctors with expertise in different areas perform the defects correction under control of at least two methods of research: angiography and echocardiography (X-ray and ultrasound).
Such technologies can be used for young children for closing complex interventricular communication with occluders, in cases when the transluminal access is impossible. Also, these methods are used in the first stage of surgical treatment of a hypoplastic left heart, for stenting hard-to-get-to stenosis of the pulmonary artery and a number of other combined complex congenital heart defects.

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Korzh Dmitry

Medical expert in X-ray endovascular diagnostics and treatment