Interventional Cardiology

Policlinico San Donato

key figures 

CLINICAL SERVICES:

  • Coronary angiography
  • Coronary angioplasty and stent placement
  • Aortic and mitral valve repair
  • Aortic and mitral valve replacement
  • Angioplasty of peripheral arteries
  • Carotid angioplasty

PROCEDURES PERFORMED PER YEAR:

  • 6.000 hemodynamic procedures

The Cardiology, Interventional Cardiology and ICU Unit is a centre of excellence for primary angioplasty that is a first line treatment for acute myocardial infarction with ST-segment elevation. The outcomes have proved this treatment to be the best currently available. The Unit is also specialized in the treatment of patients who, due to particular acute and / or serious conditions, need intensive care and monitoring systems, and offers 24h Emergency Service.

 

treatmentS

Coronary Angiography

Angiography of the coronary arteries is carried out by means of special catheters that are inserted through different access routes, the most common among which are the femoral artery and the radial arteries. The radial arterial access allows to perform the coronary angiography in the Day Hospital without the need for the patient to spend the night at the hospital. Once inserted, these catheters are traced to the aorta until they reach the heart. To acquire images of the coronary arteries, a contrast dye that "opacifies" the lumen of the arteries is injected.

The images are acquired by a machine that emits a weak radiation and records the images.

Coronary Angioplasty and Stent Placement

Nowadays it is the most common treatment of coronary atherosclerosis that was successfully used over past 30 years. The procedure can be performed immediately after the coronary angiography implementation using the same arterial access pathway. Usually, in the absence of any complications, the patient undergoing coronary angioplasty can be discharged the day after the procedure. The coronary stent ("bare metal stent" or "drug eluting stent") is a device that is usually used after the coronary artery balloon dilatation. It is not susceptible to rejection phenomena as far as it is made of biocompatible materials. Stent placement aims at reducing the chance of the coronary artery to block up again after a simple angioplasty.

Aortal / Mitral Valvuloplasty

Valvuloplasty is a procedure aimed at treating a condition of severe valvular (aortic or mitral) stenosis. It is carried out percutaneously, through the femoral artery (aortic valvuloplasty) or femoral vein (mitral valvuloplasty). This procedure is intended for particular indications, in patients not suitable or at high risk for traditional surgery.

MitraСlip and Transcatheter Mitral Valve Repair (TMVR)

Edge-to-edge percutaneous repair for severe mitral regurgitation

Transcatheter Aortic Valve Replacement (TAVR)

TAVR is a percutaneous treatment of the aortic valve concerned with an aortic valve prosthesis placement into the physiological aortic valve’s position without removing the damaged valve. This procedure is carried out with a commercially available aortic valve prosthesis that is placed percutaneously through the femoral artery or the subclavian artery, and is suitable for patients affected by severe aortic valvular stenosis.

Angioplasty of the Arteries Of Lower Limbs

It is a percutaneous treatment of atherosclerosis of lower limbs arteries which is carried out through the femoral arteries access. It uses special devices and is very effective in treating problems such as pain in the leg muscles during walking, skin dystrophy, malleolar and foot ulcers.

Carotid Percutaneous Transluminal Angioplasty (PTA)

Carotid PTA is the percutaneous treatment of atherosclerosis of the carotid arteries carried out through the femoral artery access. It aims to reduce the risk of stroke and represents a widely used treatment method with excellent results.

ASD and PFO Closure

ASD /PFO closure is a percutaneous procedure that through the femoral veins and through the use of special instruments has the purpose of sealing the anomalous communication between the two atria. It aims to reduce the risk of cerebrovascular accidents.

Tricuspid Repair

The treatment of tricuspid regurgitation by means of percutaneous devices is an option for patients with right heart failure and severe tricuspid regurgitation. This treatment is still under investigation and can be offered within ongoing clinical trials.


NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • 3 Hybrid rooms
  • OCT
  • IVUS (Intravascular Ultrasound)
  • FFR (Fractional Flow Reserve o Pressure Wire)
  • Rotablator
  • Mitraclip system
  • TAVR prosthesis (Sapien 3, Evolut R and PRO, Portico, Symetis)