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Vascular Surgery and Angiography

Department of Vascular Surgery

Department of Vascular Surgery in Beilinson Hospital of Rabin MC is headed by Dr. Hadad, the grant-holder of leading medical institutions of  the USA and Europe.
 
The Department of Vascular Surgery of Beilinson Hospital is one of the most functional departments in this field in Israel. It  is the largest in Israel. Its experts were trained and had practice in the best medical institutions of the world. Annually in the Department of Vascular Surgery it is sperformed more than 800 procedures the majority from which (more than 500) are arterial reconstruction.

The following surgical procedures of the Department are:
  • Carotid endarterectomy
  • installation of  carotid stent
  •  aorta operations
  •  bypass catheterisation  of bypass or autonomic vessels (shunting).
  •  different kinds of catheterization
  •  operations on elimination of vascular traumas
  •  Great and lesser ablations
  •  aorto-femoral graft
  •  hybrid radiological-surgical operations
  •  angioplasty
  •  Treatment of lymphedems
  •  children's vascular surgery
  •  endoscopic thoracic sympathectomy
  •  treatment of aneurysms
  •  Treatment of aneurysms of  abdominal aorta
  •  embolisation of vessels of kidneys, uteruses, etc.
  • varicose treatment
 

Angiography Department

Dr. Alexander Belenky ,the leading expert   in this field of Medical Science  in Israel ,  is heading the  Department of Angiography in Beilinson Hospital.
Modern low-invasible   technologies, applied in the field of vascular surgery,  give the opportunity of  an operative interference  into vessels. This kind of  operations is called  intravascular or endovascular.
At the initial stage of its development, endovascular  equipment was aimed at  diagnostics. It was common for this method  to use the  transdermal  administration of a catheter  in a large blood vessel. As a rule, such vessel was the femoral artery  or a vein, which was possible  to enter from the  area of inguinal cord.
But  today endovascular  surgery helps not only to diagnose, but also to carry out an  operation through  coronary artery bypass grafting, clipping of aneurysm and carotid endarterectomy.
The essence of the method is that the special tube (catheter) gets into a body and moves there in veins and  aortas,  wider than 0.8 mm. The entered catheter has a radiopaque end ,  which allows to monitor the catheter excursion in a vessel. Doctors observe the  shunt movement  by means of  X-rays.

The basic  types of endovascular procedures:

Angiography, balloon angioplasty and stenting, embolization, the kava-filter equipment, a drainage and stenting biliary tracts, regional chemotherapy,  thrombolysis.
At a word "shunting" is often recollected coronary artery bypass grafting, allowing to cure arrhythmia, hypertonia, ischemic heart disease and so on, however  in reality  this method is applied far not only in case of heart diseases.
By means of shunting it is possible to cure  the person of such diseases, as hepatitis, cirrhosis, liver tumors ( hepatocellular cancer, insuinoma with metastasises in liver), aortic aneurysms, varix dilatation of the lower extremities, stenoses of somnolent and renal arteries, hysteromyomas, man's sterility (at varicocele), and also ovaricovaricocele, that is, varicose expansion of ovarian veins, followed  up by a chronic pain in small basin, and also many other diseases.
For today there are also innovations in the field of shunting, allowing, for example, to carry out a medical interference which is similar to cosmetology: treatment  of varix dilatation.
For treatment of liver tumor, and also hepatitises and cirrhosises the doctors use such methods  as: transdermal, intrahepatic and portal system  shunting,  liver biopsy, hemoembolization,  tumour burning out (Radiofrekvens), and also Sirtex,  drainage of biliary tracts and  portocatheter installation.
Varicose phlebectasia is treated  by means of endovenosis laser ablation. In this case the shunt is entered into a vein, from an ankle and to the perineum, and at its withdrawal, by means of a special head, a vein cauterization  from within on all its length and a collapse call  take place.
Moreover  shunting allows to implant certain filters into the main veins of feet  which "catch" the thrombuses, and prevent  them from  reaching the  heart, thus preventing  thromboembolism. Besides, in case of varices microstripping and sclerotherapy are used for treatment.
To relieve the patient of diseases of arteries, such as  obliterating atherosclerosis,  renal artery stenosis,  carotid and so on, physicians apply intravascular (endovascular)  stent – graft.
And for treatment of man's sterility (varicocele) and varicose expansion ovarian veins (ovaricovaricocele) embolization varicocele is used. As for   hysteromyoma it is  treated  by means of embolization of uterine arteries (UFE).
It is clear that shunting may unavoidably cause certain risk for the patient, but this risk is much smaller, than at common operations.

The basic advantages of  endovascular  techniques are the  following indicators:

* Rehabilitational period after a similar intervention is short: hospitalisation is not required, as a rule, longer than  two days, or the operation is carried out as out-patient.
* At this  surgical interference the general narcosis is not required.
* Endovascular  surgery reduces risk at operations, and also reduces pain. What’s more  endovascular  operation is less traumatic.
* Using of these  technologies, as a rule, is cheaper than traditional methods of an operative interference.
* At endovascular operations the risk of complications considerably decreases.

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