CrimeaPRESS reports:
A unique operation for the region was performed at the Evpatoria City Hospital using one of the advanced and innovative methods of minimally invasive interventions — a device for rotational ablation (rotational atherectomy). With its help, surgeons from Evpatoria, together with a colleague from Moscow, the chief clinical specialist of the Eurasian Union in interventional cardiology, Nikola Pesic, removed a calcified plaque in the patient’s coronary artery.
According to Maxim Minakov, Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment of the Evpatoria City Hospital, rotary atherectomy is, in fact, two operations in one.
Introducing the device into the radial artery on the patient’s arm under X-ray control, the doctors first restored the patency of the coronary vessels using a special drill that destroys calcified plaques during rotation. Particles of broken plaques are removed by blood flow, after which a stent is installed. The speed of rotation of the drill can reach up to 200 thousand revolutions per minute, while the vessel itself remains undamaged , Minakov explained.
Commenting on the operation, Elena Sadovnikova, Acting Chief Physician of the Evpatoria City Hospital, noted that if earlier, to perform an operation to restore vascular patency during occlusion of a calcified plaque, doctors opened the chest, introducing a person into general anesthesia, now everything is done under local anesthesia. Through a 4-mm lumen of the vessel on the arm, a microscopic drill is inserted, which, thanks to the skill of the surgeon, reaches the obstruction in the coronary artery, restoring its patency. At the same time, the patient is conscious and the next day can practically be included in active life.
In the department of X-ray surgical methods of diagnosis and treatment of the institution for the first half 527 of the year, it was successfully carried out 76 vascular stenting operations.
Photo: Ministry of Health of the Republic of Crimea.
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