Cardiovascular Surgery

IRMET HOSPITAL’s department of cardiovascular diseases diagnose and treats many heart conditions. Coronary bypass surgeries including open heart bypass and coronary artery bypass on beating heart, heart valve surgeries, aortic aneurysm treatment , placement of artificial vessel and stent for artery diseases and stem cell therapy practices are some of the treatments, but not limited to, performed at our hospital.

CORONARY BYPASS SURGERY
Coronary bypass surgery is a procedure that restores blood flow to your heart muscle by diverting the flow of blood around a section of a blocked artery in your heart. The surgery involves using a section of blood vessel from the leg, chest, or another part of the body to graft onto the affected coronary artery, thus bypassing the clogged or diseased section. After a coronary bypass surgery, blood flow to your heart is improved. Coronary bypass surgery is just one option to treat heart disease when balloon angioplasty and stents methods are insufficient.
The surgery helps people whose coronary arteries have become narrowed or blocked by fatty material called plaque. Coronary bypass surgery improves symptoms, such as chest pain and shortness of breath due to poor blood flow to the heart. Coronary bypass surgery may improve your heart function and reduce your risk of dying of heart disease.
During bypass surgery, the heart is stopped, where in some cases, the surgery may be performed on a beating heart which shortens the post op recovery period.

HEART VALVE SURGERY
Heart valve surgery is used to repair or replace diseased heart valves with either mechanical, made of man-made materials or biological valves made of human or animal tissue.

AORTIC ANEURYSM AND DISSECTION
An aneurysm is a balloon-like bulge in an artery. Aneurysms can form in arteries of all sizes. An aneurysm occurs when the pressure of blood passing through part of a weakened artery forces the vessel to bulge outward. Not all aneurysms are life-threatening. But if the bulging stretches the artery too far, this vessel may burst, causing a person to bleed to death. An aneurysm that bleeds into the brain can lead to stroke or death.
Aortic dissection occurs when the layers of the wall of the aorta separate or are torn, allowing blood to flow between those layers and causing them to separate further. When the aortic wall separates, blood cannot flow freely, and the aortic wall may burst.
Both aortic aneurysm and dissections are treated through surgical methods. Coronary artery and heart valve replacement surgeries can be performed in a single session if necessary.

VASCULAR SURGERY
Damaged or diseased blood vessels, arteries and veins are diagnosed and treated to remove blockages, bypass diseased arteries and replace or bolster weak, aneurysmal arteries. Without treatment, vascular disorders often lead to serious problems, such as stroke or heart attack. With treatment, adequate blood flow is restored to the vessels, reducing the risk of further complications. Coronary stent , balloon and placement of artificial veins with catheter as well as artery bypass surgeries are performed on diseased abdominal aorta, arteries in extremities and carotid artery. In case other methods of treatments are non applicable or insufficient then stem cell therapy is performed for certain artery diseases.

II - IRMET VARICOSE CLINIC
VEIN HEALTHCARE
ALL TREATMENTS OF VARICOSE ARE PERFORMED AT OUR CLINIC
LASER TREATMENT
Endovenous Laser Ablation , also called laser therapy, is a newer technique that uses a laser or high-frequency radio waves to create intense local heat in the varicose vein or incompetent vein. Heat is directed through a catheter to close up the targeted vessel. This treatment closes off the problem veins but leaves them in place so there is minimal bleeding and bruising. Compared with ligation and stripping, many patients find that endovenous thermal ablation results in less pain and a faster return to normal activities, with similar cosmetic results. The goals of treatment are to reduce symptoms and reduce the risk of complications from venous disease, including blood clots. Patients who have large, symptomatic varicose veins and those with incompetent saphenous veins are candidates for this procedure. This procedure is essentially taking the place of “varicose surgeries”.
Besides the Endovenous Laser Ablationmethod, varicose veins can be cauterized by laser through the skin surface . Recovery period is relatively shorter than surgical methods and the patient goes back to daily life on the same day of the procedure.

RADIOFREQUENCY TREATMENT FOR VARICOSE VEINS
Radiofrequency ablation is a minimally invasive treatment for varicose veins. This technique uses radiofrequency energy (instead of laser energy) to heat up and damage the wall inside a vein. This usually closes off a varicose vein in the leg. You will be able to walk following the treatment and recovery typically is short.

SCLEROTHERAPY( FOAM THERAPY)
Sclerotherapy effectively treats varicose and spider veins. It's often considered the treatment of choice for small varicose veins. Sclerotherapy involves injecting a solution directly into the vein. The sclerotherapy solution causes the vein to scar and collapse, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.

VARICUS VEIN SURGERY
Surgery may be used to treat varicose veins if:
The varicose veins have not responded to home treatment and your symptoms are bothering you.
You are concerned about the way varicose veins look, and laser treatment, radiofrequency treatment, or sclerotherapy is not likely to improve their appearance to your satisfaction. >Surgical methods are still kept to be effective on varicose vein treatment although there are some limitations to application areas. Microsurgical varicose surgery is a minimally invasive surgery which does not require suture so the patient’s aesthetic does not deteriorate.

VEIN SEALING WITH VARICLOSE
It is the latest outcome of technology in varicose vein treatment. Varicose veins are injected a biologically compatible liquid medication with the guidance of an ultrasound. The procedure may last around 5-10 minutes and the patient gets ready to go home in 30 minutes. No anesthesia is required. Variclose sealing procedure has relatively shorter recovery time compared to other methods and decrease the need for wearing compression socks for longer time.

PREVENTIVE & PROTECTIVE TREATMENT AND EDUCATING PATIENTS
At Irmet Varicose Center, we put great emphasis on patient education programs & seminars so as to create awareness, prevent the progression of the diseases of our patients and ensure the correct implementation of their current treatment plans.

OTHER VEIN TREATMENTS
Deep vein thrombosis (DVT) is usually the formation of a thrombus in the deep veins of the leg.
Rotational thrombectomy refers to catheter-directed administration of a fibrinolytic drug directly into the venous thrombus with concomitant use of catheter-based devices to macerate the thrombus and speed thrombus removal. The rotational thrombectomy procedure can enable complete on-table removal of a thrombus in a single, one- to three-hour procedure, reducing the overall thrombolysis infusion time, dosage and length of stay.