Interventional (Invasive) Cardiology

Interventional cardiology, also called invasive cardiology, diagnoses and treats heart disease through catheters passed from an artery or vein in the wrist or groin, guided by X-ray, without opening the chest. It takes place in a catheterisation laboratory, the cath lab.

It began with coronary angiography and balloon angioplasty and now includes valve implantation and repair, closure of holes in the heart and other structural procedures. Recovery is fast, but these are still real procedures with real risks, and for some patterns of disease surgery or medicines alone give better long-term results.

Bedingungen, die dieser Service betreut

• Coronary artery disease causing angina
• Heart attack, treated as an emergency in your nearest cath lab
• Chronic total occlusion of a coronary artery
• Severe aortic stenosis suitable for TAVI
• Mitral regurgitation or rheumatic mitral stenosis in selected patients
• Atrial septal defect, patent foramen ovale and patent ductus arteriosus
• Atrial fibrillation in people who cannot take anticoagulants (left atrial appendage closure)
• Hypertrophic obstructive cardiomyopathy suitable for alcohol septal ablation
• Leaks around prosthetic valves
• Pulmonary hypertension needing right heart catheterisation

Tests, die Ihnen möglicherweise angeboten werden

• Coronary angiography: Dye pictures of the heart arteries; the basis for stent or bypass decisions.
• Pressure wire assessment (FFR or iFR): Measures whether a narrowing truly limits blood flow.
• Intravascular ultrasound and OCT: Imaging from inside the artery to guide complex stenting.
• Right and left heart catheterisation: Direct measurement of pressures, oxygen levels and cardiac output.
• Coronary function testing: Acetylcholine and flow measurements for microvascular or vasospastic angina when arteries look normal.
• Endomyocardial biopsy: Small samples of heart muscle in selected myocarditis, infiltrative disease or after transplant.

Behandlungen verfügbar

• Coronary angioplasty and drug-eluting stents: Including left main, bifurcation and calcified lesions with rotational atherectomy or lithotripsy.
• CTO angioplasty: Reopening long-standing complete blockages in specialised hands.
• TAVI: Catheter aortic valve implantation.
• Transcatheter mitral and tricuspid repair: Edge-to-edge clip devices for selected patients.
• Balloon valvuloplasty: For mitral, pulmonary and selected aortic stenosis.
• Device closure of ASD, PFO and PDA: Plugs delivered through the vein.
• Left atrial appendage closure: A plug that seals the pouch where most atrial fibrillation clots form.
• Alcohol septal ablation: Controlled reduction of thickened septum in hypertrophic obstructive cardiomyopathy.

Wann Sie eine Fachmeinung einholen sollten

• Angina persists despite medicines, or a stress test or CT shows significant disease
• You have been told you need a stent or bypass and want to understand the options
• You have severe aortic stenosis and are asking whether TAVI suits you
• A hole in the heart has been found on echo
• You have had a stroke with a patent foramen ovale and no other cause

Reisen nach Türkiye für diese Pflege

Planned catheter procedures suit short visits: 3 to 4 days for angiography, 4 to 7 for stenting or device closure, 10 to 14 for TAVI. Send existing angiogram or CT files beforehand so the plan is realistic. Heart attacks and unstable angina must be treated at the nearest hospital without delay. Antiplatelet or anticoagulant therapy after the procedure, and echo follow-up, continue under your home doctor.

Senden Sie Ihre Berichte, Scans und eine kurze Geschichte und eine Clinic-Y Koordinator Antworten innerhalb von 24 Stunden mit geeigneten Teams und schriftlich, All-inclusive Vorschläge nebeneinander. Die Überprüfung Ihres Falls ist kostenlos.

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