Cardiovascular diseases are one of the most important causes of death worldwide. But even if these problems do not lead to death, they may have unpleasant and debilitating consequences. Following a proper and healthy diet and being active in daily life, which are necessary to benefit from heart health, is much easier than facing a The artery is blocked and medical measures are necessary to fix it. But what should be done with the blocked artery?
We are facing an increase in the prevalence of heart diseases in our country!
In recent decades, the decrease in physical activity, the increase in the prevalence of diseases such as diabetes, high blood fat, and high blood pressure, as well as the use of tobacco, have caused a greater prevalence of coronary artery disease in Iran, and as a result, heart attacks and the resulting deaths. Increased. The most common cause of death in the world is heart disease. In Iran, unfortunately, the age of cardiovascular diseases has decreased and the incidence of this disease has increased. But the good news is that today, with more accurate diagnostic methods and more effective, practical and simple treatments such as angioplasty, the treatment of this disease can often be done quickly and even as an outpatient or at most one-day hospitalization.
- What is angiography and what is its use?
Angiography is a definitive diagnostic method to determine the presence and severity of coronary artery stenosis (the arteries that supply blood to the heart and their blockage causes a heart attack).
Who should undergo angiography?
When a significant probability of coronary artery stenosis is given after clinical examination, echocardiography and more advanced methods such as exercise test, nuclear heart scan, stress echo, or CT angiography, angiography is used as a definitive method for diagnosing vascular disease. Kroner is used. It should be noted that during all these steps it is not necessary to confirm the high probability of the disease. Sometimes, a simple history shows a very high possibility of this disease: it is enough for a middle-aged man to tell the doctor that recently, while climbing the floors of his house, he feels tightness or burning in the back of his sternum. This person is more than 95% likely to have severe coronary artery stenosis and should undergo angiography as soon as possible.
– How is angiography performed?
Angiography is traditionally performed through the groin artery, where a narrow tube (catheter) is inserted into the femoral artery and from there to the entrance of the coronary arteries. Then, by injecting a radiological contrast material in these arteries, the narrow points of the artery are identified. Usually, strictures of more than 50 to 75% should be treated, which nowadays is mostly done by balloon and stent (spring) at the same time. We know that in the recent past, in all these cases, patients were led to open heart surgery.
- What is angiography through the hand?
A newer method that is performed in a pioneering way at Mehrgan Hospital, but unfortunately is not yet very common in Iran, is the method of angiography and angioplasty through the hand. This method was first used in European countries and in the last decade it spread explosively in all regions of the world. The advantage of this method is that it reduces the local complications of angiography to almost zero, and it is associated with obviously greater patient comfort, because the patient can get out of bed and walk immediately after performing angiography and angioplasty without the need for to have an absolute hospital stay of several hours after angio.. and this means that the most deadly disease in human history can now be treated on an outpatient basis with the least complications.
- What is CT angio and how is it different from regular angiography?
CT angiography is a new diagnostic method that is performed with a CT scan and has up to 95% accuracy in experienced centers. Of course, in this method, the amount of contrast material used is the same as the angiography method, the only difference is that a catheter does not enter the patient's vein. to be Therefore, if the clinical probability of coronary artery disease is high, angiography should be performed from the very beginning, because with the confirmation of CT angiography, the patient should also undergo angiography, and in the meantime, only unnecessary time and money have been spent. CT angiography is mainly recommended in cases where there is a moderate to high probability of coronary artery stenosis.
What is the term angioplasty?
A very effective method is treatment that can be performed at the same time as angiography. In this procedure, a very thin wire as thick as a hair is inserted into the coronary artery and the balloon and then the stent are passed on this narrow rail. By expanding the balloon, the stent (spring) adheres to the vessel wall and prevents re-narrowing of the vessel by 95%. This method has replaced open heart surgery in most cases. Although in fewer cases, surgery is still a more effective method and should still be introduced to the patient as the best method.
- Where does Mehrgan Hospital stand in terms of techniques, equipment and facilities for angioplasty and international treatments in Iran and the world?
The angiography-angioplasty (international cardiology) department of Mehrgan Hospital is one of the most equipped departments in Iran. The equipment and knowledge available in this department are undoubtedly at the level of the best European hospitals. In fact, facilities have been provided in this department that sometimes did not even have an economic justification, but were necessary to justify our scientific and practical conditions. It is not for nothing that despite the youth of this center, a significant number of our patients are patients who came here from private or university hospitals, because due to the number or complexity of the involved vessels, the only treatment offered to them is heart surgery. has been open, while the patient himself, on the contrary, strongly wanted to choose another possible method, namely angioplasty. And the reputation of this hospital is precisely about the effective and successful treatment of these cases. Another thing that distinguishes this department is the active performance of angioplasty in cases of acute heart attacks, which is the most life-saving procedure ever invented in the history of heart disease treatment. Mehrgan Hospital is one of the few private hospitals in Iran that puts a heart attack patient on the angio bed and saves them from death, all day and night, in less than thirty minutes.
The angiography machine of Mehrgan hospital's cat lab department is the newest and most advanced and with the least amount of radiation available in the world. Using Philips angiography device in treatments leads to improvement of treatment results and saving the lives of patients. Philips angiography system is provided with the aim of safer, more effective and reproducible treatment for patients. In addition to changing the lives of patients, the new Philips techniques have also significantly reduced medical costs. The above device is designed and presented based on the needs stated by the users of the device and with a set of unique hardware and software.
The basis of this design allows the inversion specialists to increase the efficiency and stability of diagnostic and therapeutic angiography by facilitating the inversion processes while improving the number of patient admissions.
This department is located on the first floor of the hospital.