TIME DECIDES EVERYTHING
(about the work of the department of X-ray surgical methods of diagnosis and treatment)
To date, the department has performed 12067 operations and studies in 7009 patients (the department works seven days a week, around the clock, 24/7).
— X–ray surgery, or endovascular surgery, is a relatively young direction in modern medicine, leading its history since the 70s of the last century. Initially, this branch of medicine was created exclusively for diagnostic purposes, but the development of technology has allowed us to master the treatment of many vascular diseases.
The main feature and advantage of RHMDL is that all interventions are performed in a minimally invasive way, with minimal incisions or punctures, most often under local anesthesia. Manipulations – diagnostics or surgery — take place in the X-ray room on special equipment. This makes it possible to perform interventions even for patients with severe concomitant diseases who are contraindicated by traditional surgical treatment. In most cases, after our interventions, patients can be discharged from the hospital within a few days, and sometimes the next day.
Specialists of the RHMDL department perform various types of interventions: -stenting, which allows to restore the patency of narrowed or clogged vessels, which is the main cause of diseases such as coronary heart disease, heart attack, ischemic stroke, atherosclerosis of the arteries of the lower extremities, etc. The stent is inserted into the vessel through a puncture on the hip or through the forearm, it is also possible to remove a blood clot, both mechanically taking it away and delivering a targeted drug that will dissolve it.
-Percutaneous transhepatic cholangiography, embolization for acute bleeding of various origins, and many other operations. The possibilities of our profession are almost limitless. To date, there is no such area in the body where our technologies can be applied. Prosthetics of the aortic and mitral valves, prosthetics of the aorta and its main branches, restoration of patency of central veins and preservation of dialysis access in patients on dialysis, treatment of arteriovenous malformations of any localization, embolization of aneurysms and their stenting with flow-controlled stents, our methods are widely used in oncology — superselective chemoembolization of tumors and much more, continue indefinitely.
Specialists of the RHMDL department perform both planned and emergency operations. The operating room works seven days a week, around the clock. Patients in conditions requiring emergency medical intervention are delivered by an ambulance team. There is a criterion, the so-called «guide door» — the time from the moment when the patient enters the emergency room to the moment the vessel is opened. The European standard is up to one hour. In our hospital, and this is a great achievement, this time is 38 minutes. If medical intervention is carried out within 6 hours (or better – earlier!) since the beginning of the process, the chance to minimize the consequences is much higher.
— Patients who have undergone vascular stenting operations live a full life. Specialists of the RHMDL department operate on the patient in a certain period of time and precisely the pathology that has already formed by this moment.
— The department has good, modern equipment, and operations generally last around 1 hour, but sometimes up to 6 hours. On average, the patient receives radiation that does not exceed the doses received, say, during a CT scan. And doctors work in special protection, these are lead «aprons for the whole body», «collars» to protect the thyroid gland and special caps to protect the brain.
— The department has a fairly young team: the age of doctors working in the department is 25-36 years.
Our immediate plans include the expansion of the department, the opening of a second operating room and the purchase of a second angiograph, which will significantly increase the availability and quality of the manipulations carried out, eliminate downtime in case of breakdowns or prevention of equipment. The future of medicine is in high–tech, innovative methods of treatment, and we are keeping pace with global progress
Head of the Department Vladimir Nikolaevich Ardeev