The German specialists offer cardiac catheterization both for diagnostic and treatment of cardiac problems. Our heart is a muscle which functions uninterruptedly and thus needs abundant supply of blood and oxygen. Although the heart is constantly pumping blood, vascular plexus providing the cardiac muscle with blood and oxygen accomplishes a very important function.
Vascular plexus (coronary arteries) is formed from two branches of arteries. Coronary arteries are so small that they can be examined only by means of special X-ray engineering and cardiac catheter. While radiopaque substance is inserted into coronary arteries through a thin plastic tube, radiologists use X-ray to watch the substance distribute through the vessels. This helps not only to get an image of the tiniest branches of coronary vessels, but also to detect the spots of their constriction and occlusion.
According to the results of examination, doctors select the method of treatment: artery dilatation by means of balloon catheter, removing the clots by medical treatment or heart surgery. The surgeon gains access to the coronary vessels under local anesthesia through the right side of inguinal region or through the vascular plexus near the wrist. From there cardiac catheter approaches the coronary vessels.
Stuttgart Clinic is one of the largest interdisciplinary medical centres in the south of Germany. The clinic focuses its attention on interdisciplinarity of diagnostics and therapy. Doctors use the most advanced technologies to identify the disease and to form a diagnosis.
According to hygiene norms, pubic area should be carefully shaved, disinfected and anesthetized before the surgery. After that the surgeon inserts an injection cannula through which the cardiac catheter would be later introduced. The examination itself is painless and does not require general anesthesia. In some cases, if the patient is too anxious, a sedative is inserted together with the cardiac catheter. If it is possible to perform necessary treatment manipulation during the examination by means of cardiac catheter, the doctors would immediately do it. When the procedure is completed, the doctor retrieves the cardiac catheter and injection cannula and applies a tight bandage which should not be removed during the following day to avoid bleeding.
If during the examination the doctor detects constriction (stenosis) or deposits on vascular walls, he or she can insert a balloon catheter or implant a vessel skeleton (stent).
Both methods are aimed at dilatation of the vessel and fixation of the obtained result. Stent implantation and insertion of balloon catheter are painless procedures. A stent is a few cm long metal construction of small diameter. Some kinds of stents can also release medicinal drugs and prevent further constriction of the stent.
Cardiac catheterization is a minimally invasive type of cardiac examination. Cardiac catheter can be inserted through a venous or arterial blood vessel in inguinal region, crook of the arm or the wrist. There are different methods of gaining access depending on the aim of the examination. Examination of vessels in venous heart is called right heart catheterization and examination of systemic heart is, correspondingly, called left heart catheterization. Left heart catheterization is performed more often than the right one. Venous heart catheterization is mainly conducted for visualization of coronary vessels and enlargement of their lumen by means of balloon dilatation.
Catheter ablation: cardiac catheter to fight arrhythmia
Catheter ablation is a special kind of surgical treatment by means of a cardiac catheter. During the procedure electric current can be used to treat heart rhythm disturbance (tachycardia). Nowadays catheter ablation is considered a standard therapy method for some forms of tachycardia. While medication only suppresses the symptoms of tachycardia, catheter ablation can treat the disease. This treatment method has a quite high success rate; for example, treatment of atrial fibrillation, re-entry in arteriovenous node or Wolff-Parkinson-White syndrome (preexcitation syndrome) has success rate of more than 90 %.
At cardiology centres of Germany cardiac catheterization is conducted using the latest technology.
We will comprehensively consult you on all the issues, concerning the cardial catheterization treatment in Germany.