CARDIOLOGY In our Cardiology Department, all diseases in the heart and circulatory system are treated with advanced diagnosis and treatment methods and the latest scientific approaches. Our patients are provided with diagnostic methods such as 7/24. Stress Test, Angiography, Holter ECG, Echocardiography, as well as advanced diagnostic methods such as CT (Computerized) Coronary Angiography. In high-risk surgical patients, minimally invasive heart valve replacement using the innovative TAVR method is performed. In cases of heart rhythm abnormalities, our experienced doctors perform ablation and pacing methods. Stress Test Holter ECG Echocardiography CT Coronary Angiography Cardiac Catheterization Ablation (Arrhythmia) TAVR (Aortic Valve Replacement) Peripheral Angio Peripheral Stent Carotid Angio Renal Angio Renal Artery Stenting
NEW GENERATION HEART DISEASES TREATMENT WITH INTERVENTIONAL (NON-SURGERY) METHODS
Since the medical technology is developing day by day, nowadays the treatment of heart diseases can be done with interventional (non-surgical) methods. Many heart diseases that could not be treated without surgery in the past years, can be treated without the need for an operation now. Treatment with interventional cardiological methods provides many advantages such as protecting from the risks of surgery and anesthesia, no surgical scars, faster recovery and returning to daily life.
In our hospital, these procedures are carried out by experienced physicians who have special training and experience in this regard.
CTO METHOD-Non-surgical opening of completely occluded coronary vessels
Chronic total occlusion (completely occluded heart vessel), as the name suggests, means chronic, that is, a heart vessel that has been occluded for a long time. Unlike the other cardiovascular occlusions, it is not easy to open the vessel with a balloon and stent in CTOs. It is necessary to use advanced devices with microcatheters and special wires. Such occlusions were treated with medication or open heart surgery in the past. However, especially in the last 10 years, thanks to technological developments, CTO lesions can now be treated with non-surgical methods such as balloon-stent. One of the most common questions patients ask about CTOs; whether there are risks such as rupture of the vessel during the procedure. This question arose because of the complications that occurred in the years when there was less experience with CTOs and the devices were not that advanced. Today, the risks are very low, especially when this procedure is performed by experienced physicians. Improvement of CTO management over open heart surgery
TAVI - Non-surgical replacement of heart valves
Aortic stenosis has become the most common heart valve disease, especially with advancing age. In this disease, which is more common in later ages, the only treatment method in the past was to replace the aortic valve with open heart surgery. However, for some patients, increasing of heart diseases with age as well as additional diseases used to cause some situations that are too risky to be operated on. One of the newly developed interventional treatment methods in recent years is the TAVI method. In this method, the developing aortic valve can be treated by angiographic method in less than 1 hour by entering through the groin. The most important advantages of the TAVI method are that the patient does not need to be put to sleep, there are no wound healing problems because it is entered with a very small incision, and it can be applied even to the highest risk patient groups. After TAVI process, the patient is followed up in the intensive care unit for 1 day. Afterwards, he/she can be discharged after being followed up in a normal room for one day. After a 1-week home rest, patient can return to one’s normal life.
ROTABLATOR (Removal of calcified veins with non-surgical procedure)
Every day, new treatment methods are emerging in cardiovascular diseases. Especially in our country, with the increase in the average life expectancy and the aging society, patients are more likely to encounter vascular diseases that are more difficult than the ones encountered in the past and require special treatment methods to be opened and treated. One of them is calcified veins. Along with cholesterol accumulation, calcification also has a certain place in the vascular occlusions. However, in some patients, especially in elderly people with kidney failure, severe calcification occurs in the veins and it becomes impossible to treat these veins with the normal balloon and stent method. However, with the rotablator technology, which has become widespread in recent years, areas with excessive calcification in the vessels are cleaned (trimmed) with this device, and then the balloon and stent procedure can be completed more easily and with less risk.
EVAR (Abdominal Aortic Aneurysm Treatment)
An abdominal aortic aneurysm is an enlargement of the part of the aorta (the main blood vessel that carries blood to the body) in the abdomen. The aorta is a vein that carries blood from the heart to our entire body and passes through the middle of the abdomen. Since, it is the largest vessel in our body, rupture of an enlarged aorta can cause life-threatening bleeding. Depending on the extent of the enlargement and how quickly it grows, treatment ranges from watchful waiting to emergency surgery.
Aneurysms can develop anywhere along the aorta, but most aortic aneurysms occur in the part of the aorta located in the abdomen. Several things can play a role in the development of an abdominal aortic aneurysm, including:
Induration of the arteries (atherosclerosis): Atherosclerosis occurs when fat and other substances build up in the lining of a blood vessel.
High blood pressure: High blood pressure can damage and weaken the aortic walls.
Blood vessel diseases: These are diseases that cause inflammation of the blood vessels.
Aorta infection: Rarely, a bacterial or fungal infection can cause abdominal aortic aneurysms.
In patients who develop abdominal aortic aneurysm, intervention is required when the diameter of the aorta in the abdominal region exceeds 5.5 cm due to the increased risk of rupture. Intervention can be done by 2 methods. A multidisciplinary approach should be considered when deciding on the method. It is one of the surgical treatment methods. Endovascular aortic aneurysm repair (EVAR) procedure is performed in patients for whom surgical intervention is not suitable. Angiographic EVAR procedure has a lower procedure risk compared to the surgical method. Patients who are suitable for the EVAR procedure recover faster and can return to their daily life faster.