Non-Surgical Solution for Cardiac Artery Occlusion
The narrowing and blockage of the pathways to the heart vessels can lead to irreversible health problems in the person. Stent insertion can now be done easily and painlessly, without incision, thanks to the intravenous ultrasound system. This disease threatens the basic functions of life and can increase the risk of death if not treated promptly. Cardiology specialist Prof. Dr. Korhan Soylu emphasized that the stent, which is placed in the desired location thanks to the intravascular ultrasound imaging system made by the arm, ensures the healing of the disease.
Prof. Dr. Korhan Soylu said: “Severe stenosis was detected in the position of the main artery vessel of Mr. Erol and a bypass was recommended. There is nothing wrong with the suggestion. With the research and technical developments of recent years, we are able to treat a significant proportion of the most important vascular patients, who we thought could only be treated surgically, without surgery. During these treatments, the stent is placed very ideally with intravenous ultrasound devices in balloon stent procedures. This has greatly improved our clinical outcomes and we are in a position to compete with bypasses. We know that surgery is not the only option for main vessel stenosis in our young patients like Mr. Erol. We perform stenting for our eligible patients.”
The patient regains his health thanks to the stent inserted with the intravascular ultrasound imaging system. Korhan Soylu said: “We placed a stent on Erol Şenol, who has a severe stenosis in the main artery of the heart, accompanied by an intravenous ultrasound system (IVUS). No residual stenosis remained at the stenosis site, very good patency was achieved. The stent was placed by reaching large diameters. This is an application that significantly reduces the future narrowing of the stent. Just opening the vein is not enough. You must have an ideal stent to minimize the risk of vasoconstriction. We performed the surgery on the arm of our patient whose main vessel was blocked.
Now we can do a lot of surgery with angiography, which we only do from the wrist, without doing it from the groin. Our patient is discharged 1 day after the procedure. The main artery of the heart is located in a very important place. Because where 2 of the 3 veins have their roots. A problem that occurs here can lead to sudden death. Although a problem can arise even when 1 vein is blocked in stones, the occlusion of the main vein means the occlusion of 2 major veins. It’s no surprise that this unfortunately has a fatal outcome. Erol was diagnosed without experiencing this situation. After the treatment, he returned to his normal life.”
The best information about intravenous is obtained with IVUS. Soylu said: “The same treatment is not possible for every patient whose main vessel is blocked. Bypass and stent treatments are options that should be evaluated in detail for all patients. These options should be properly evaluated in patients with vascular anatomy, how often the stenosis occurs and concomitant diseases. For some patients, surgery remains the better choice. IVUS is an imaging method. As we image the heart vessels, we perform an imaging according to the dyes we give to fill the vessel.
This does not give us any information about the vessel wall. Angiographic imaging alone may not provide an ideal result during stent placement. When we apply intravascular ultrasound, we get detailed information about the vascular anatomy and we can measure stenosis. Even if the stenosis in the vein is angiographically critical, when looking at the intravascular ultrasound, we can conclude that this stenosis is not very critical and can be resolved with drug monitoring. Because unnecessary stent placement is not a good practice. Even if a stent needs to be placed, I think intravenous ultrasound is the best method right now. Therefore, intravascular ultrasound is important in making the stent decision and performing the procedure in the required patients. It is an advantage that intravascular ultrasound can also be performed from the wrist. After a 1-hour operation, the patient could immediately get up, go to the toilet and continue his work.”
Erol Şenol, who underwent the operation, said: “I had a lot of pain in my chest. I went to a doctor in Istanbul and they offered me a ‘bypass’. We stayed there for 4 days. Later, my brother-in-law recommended our teacher “Even the fact that he came back to us before the surgery and gave morale first improved by 50 percent. When we got to Samsun, he immediately took us to the operating room. Now we’re fired. Thank God I’m very well now.” I don’t have aches or pains anymore,” he said.