Department of Cardiovascular Pathology. Vascular Surgery Hospitals

Wide use cordially- vascular diseases dictates the need for rapid development effective methods their treatment. Vascular surgery is engaged in the development of diagnosis, treatment and prevention of vascular diseases. That is why there are many clinics, centers, departments and hospitals vascular surgery to provide highly qualified medical care for vascular diseases, equipped with the most modern diagnostic equipment and operational technologies.

What can make you turn to a vascular surgeon

1. Rapid freezing of the legs;

2. Pain in the legs and feet when walking and at rest;

3. Cramps of the calf muscles;

4. Change in skin color and structure lower extremities(pallor, cyanosis, brown spots);

5. Varicose veins veins and enhanced vascular pattern;

6. Edema of the lower extremities (especially one);

7. Trophic disorders of the skin in the form of ulcers, darkening of the fingers;

8. Violations cerebral circulation in history;

9. Pain and coldness of the upper hands;

What diseases are treated in the vascular surgery hospital

Diseases of the arteries and aorta

- Occlusal lesions - these include obliterating atherosclerosis aorta and vessels of the lower extremities, thromboangiitis obliterans, thrombosis and thromboembolism of the aorta and main arteries. The essence of this group of diseases is the blocking of the lumen of the vessel by a thrombus or atherosclerotic plaque, which leads to a decrease in arterial blood flow and ischemia of the affected limb.

Aneurysms of the aorta and arterial trunks. They are bag-like expansions of the vessel. The danger lies in the possibility of their rupture and the formation of blood clots.

Diseases accompanied by circulatory disorders in the carotid and cerebral arteries.

Obliterating diseases of the vessels of the intestines and kidneys. In this case, a violation of digestion and the development of gangrene of the intestines or kidney infarction are possible.

Diseases of the lymph-venous system

- Defeat of superficial veins. They include varicose disease veins of the lower extremities, acute and chronic thrombophlebitis. The basis of the disease is an abnormal expansion of the veins with the formation of blood clots in their lumen.

The defeat of deep veins - phlebothrombosis, post-thrombophlebitic syndrome. This group of diseases is accompanied by inflammation of the deep veins with the formation of blood clots. As a result, a narrowing of the vessel with a violation of the outflow of blood.

Chronic lympho-venous insufficiency and trophic ulcers shins. It is the final stage of all venous diseases.

Thromboembolism pulmonary artery. it serious condition caused by blockage of the pulmonary artery by a thrombus. Sources of such thrombi - deep veins shins and pelvis.

Diagnostic base of the hospital of vascular surgery

Each modern clinic or vascular surgery hospital has a powerful diagnostic base for the most accurate identification of vascular pathology.

- Laboratory diagnostics. General clinical examination of blood and urine, prothrombin index(PTI), biochemical analyzes blood activated partial thromboplastin time (APTT), coagulogram, clotting time and duration of bleeding blood fibrinogen, international normalization ratio, blood platelets;

Instrumental diagnostics. Rheovasography, ultrasound of vessels using Doppler and duplex angioscanning, radiopaque aortoarteriography, phlebography; capillaroscopy;

Medical base

Modern methods of treatment of vascular diseases- an invariable attribute of the hospital of vascular surgery.

- Operations on the arteries. Endarterectomy, thromboembolectomy, bypass surgery (aortofemoral, femoral-popliteal bypass), arterioplasty (autovenous, profundoplasty), lumbar sympathectomy, aortic replacement, endovascular stenting of the vessels of the heart, brain and limbs.

Venous operations. Phlebectomy, miniphlebectomy, laser ablation of lower extremity veins, phlebosclerosing surgeries, endoscopic dissection of perforating veins, extravasal deep vein replacement.

The department provides specialized surgical care planned patients with vascular pathology. A full range of non-invasive and invasive examinations is carried out to examine patients with vascular pathology. The entire volume of surgical interventions for thoracic pathology is performed, abdominal aorta, brachiocephalic arteries, arteries of the lower extremities, diseases of the veins.

At the same time, hybrid surgical interventions (combination of open surgical interventions with endovascular interventions) and aortic arthroplasty and peripheral arteries with aneurysms.

The number of personnel of the department is 23 people, among them - 7 doctors, including 1 candidate medical sciences, 2 doctors have higher qualification category. The doctors of the department are members of the European Society vascular surgeons, as well as Russian Society angiologists and vascular surgeons.

The elder sister of the department is Gerasimova Irina Vladimirovna.

The department performs all types of vascular operations, including surgery of both peripheral arteries and aorta of various localization:

• Operations for lesions of the vessels of the head and neck, the most common of which is carotid endarterectomy;
• Operations for aneurysms of the thoracic and abdominal aorta;
• Operations for aneurysms of peripheral arteries;
• Operations for vasorenal hypertension;
• Operations for chronic abdominal ischemia syndrome;
• Operations for stenosing and occlusive lesions of the aorta, iliac arteries and arteries of the lower extremities;
• Operations for varicose veins;
• Endoprosthetics for abdominal aortic aneurysm;
• Radiofrequency ablation for varicose veins.

Examination of patients before surgery includes ultrasound, including duplex scanning, aortoarteriography, research coronary circulation(coronary angiography), computed and magnetic resonance imaging.

In the x-ray department surgical methods diagnosis and treatment, in addition to vascular studies with diagnostic purpose(angiography and coronary angiography) medical measures to restore impaired blood circulation in the peripheral and coronary arteries (stenting and angioplasty).

The choice of the method of surgical intervention (open or endovascular) is always determined after a comprehensive examination and expert assessment of the degree of arterial damage. In some cases, the combined use of methods is possible, for example, with a “two-story” lesion, when stenting of the aortoiliac segment is performed first, and then femoropopliteal bypass.

The department is deployed with 30 beds. About 2.5 thousand patients are consulted annually, more than a thousand of them are hospitalized in the department if they have indications.

Created in the department comfortable conditions significantly improve the effectiveness of medical care and provide optimal conditions for recovery. All rooms are equipped with TVs, individual showers, consoles with the possibility of continuous ECG monitoring, blood pressure, breathing functions, body temperature control, calling medical personnel.

Treatment and diagnostic measures are carried out in the building of the building, which greatly speeds up and facilitates examination and treatment.

The specialized department of vascular surgery as part of the MONIKI named after M.F. Vladimirsky was organized in 1990, and in 2003, due to a change in the nature of the activity of the unit, it was renamed the department of vascular surgery and ischemic heart disease. The founder and first head of the department was Doctor of Medical Sciences, Professor, Honored Doctor of Russia Kazanchyan Perch Oganesovich. Department of Vascular and IHD Surgery - 40-bed specialized unit with an office ultrasound diagnostics. The main objectives of the department are to provide quality specialized care patients with vascular diseases; close interaction and methodological guidance of medical institutions of the Moscow region in relation to vascular diseases B this moment the department occupies a leading position in the country in terms of the number of reconstructive interventions on the brachiocephalic arteries and the abdominal aorta. More than 600 operations are performed annually in the department, 90% of which are arterial reconstructions. The employees of the department regularly carry out advisory visits to medical and preventive institutions of the Moscow region.

The main scientific directions of the department are:

1. Surgery for occlusive lesions of the brachiocephalic branches of the aorta. 2. Minimally invasive surgery for coronary artery disease. 3. Surgery for aneurysms abdominal region aorta. 4. Prevention of pulmonary embolism in ileofemoral venous thrombosis. 5. Development of tactics for surgical treatment of patients with circulatory disorders in several arterial basins. 6. Optimization of treatment methods for patients with critical ischemia of the lower extremities.

The department constantly develops and introduces advanced medical technology. The work of the department is based on close cooperation with many clinical departments of the MONIKI named after M.F. Vladimirsky - Department of Cardiology, Department radiodiagnosis, department of neurology, departments of anesthesiology and resuscitation, as well as many others.

4. Services provided by the department:

1) Surgery diseases of the brachiocephalic arteries; 2) Surgical treatment of aortic aneurysms; 3) Surgical treatment of ischemia of the lower extremities; 4) Surgical treatment of vasorenal hypertension; 5) Surgical treatment of angiodysplasia; 6) Surgical treatment of chronic and acute diseases veins.

Types of surgical interventions performed in the department:

1) On the brachiocephalic arteries (arteries of the head and neck):

1. Carotid endarterectomy; 2. Prosthetics of the carotid artery; 3. Resection with redressing of the internal carotid artery; 4. Carotid-subclavian bypass; 5. Subclavian-carotid transposition; 6. Subclavian carotid bypass; 7. Prosthetics of the brachiocephalic trunk; 8. Arterial reconstruction upper limbs; 9. Removal of chemodectoma (paraganglioma) of the neck. 10. Anigoplasty and stenting of brachiocephalic arteries

2) On the coronary arteries:

1. Coronary artery bypass grafting on a beating heart 2. Coronary artery bypass grafting under conditions cardiopulmonary bypass 3. Coronary artery bypass grafting from minithoracotomy 4. Angioplasty with stenting coronary arteries

3) On the abdominal aorta:

1. Endoprosthetics of an aneurysm of the abdominal aorta; 2. Stenting of the abdominal aorta in case of stenosis; 3. Resection of abdominal aortic aneurysm with prosthesis; 4. Aortoiliac/femoral bypass/prosthesis;

4) On the iliac arteries:

1. Endoprosthetics of an iliac artery aneurysm; 2. Resection of an aneurysm of the iliac artery with prosthetics; 3. Ileofemoral bypass/prosthesis; 4. Cross femoral-femoral bypass; 5. Subclavian-femoral bypass; 6. Angioplasty and stenting of the iliac arteries 7. Hybrid operations: stenting of the iliac arteries with reconstruction of the arteries below the inguinal ligament.

5) On the arteries below the inguinal ligament:

1. Femoral-popliteal bypass; 2. Femoral-tibial bypass; 3. Profundoplasty; 4. Resection of arterial aneurysm with prosthesis; 5. Angioplasty and stenting of arteries below the inguinal fold

6) Operations for angiodysplasia:

1. X-ray endovascular occlusion; 2. Excision of angiomatous tissues;

7) Operations at chronic disease veins:

1. Miniphlebectomy 2. Endovasal laser coagulation veins 3. Sclerotherapy

8) Operations for acute venous pathology:

1. Thrombectomy with femoral vein ligation 2. Crossectomy 3. Cava filter implantation (if necessary, preliminary endovascular catheter thrombectomy from the inferior vena cava is performed) 4. Removal of the cava filter

The Department of Vascular Surgery of the FSCC FMBA of Russia was opened on October 14, 1988. The department is headed by Doctor of Medical Sciences, Gennady Vasilyevich Govorunov, one of the most respected vascular surgeons in Russia. G.V. Govorunov is the creator of an original highly professional school of vascular surgery, a brilliant surgeon and a talented scientist. Gennady Vasilievich author of more than 70 scientific articles and 2 monographs devoted to the most topical issues vascular surgery: repeated operations on the main arteries and questions surgical infection in patients with obliterating diseases aorta and limb arteries

Distinctive features

The Department of Vascular Surgery is a powerful medical and diagnostic unit, in which more than 800 operations are performed annually on various vascular beds, the operating room is equipped with the most modern equipment, and the department includes a consultative and methodological room.

Priority directions

• X-ray endovascular arthroplasty of abdominal aortic aneurysms.
• Surgical treatment of cerebrovascular insufficiency caused by atherosclerotic lesions or tortuosity of the carotid and vertebral arteries.
• X-ray endovascular and hybrid operations for lesions of the aorta and arteries of the extremities.
• Treatment of critical ischemia of the lower extremities (including " diabetic foot»).
• Treatment of rare forms of vascular diseases (Buerger's disease).
• Thrombolytic therapy for pulmonary embolism.
• Radiofrequency obliteration of varicose veins, sclerotherapy.

Description detailed:

The Department of Vascular Surgery provides diagnostics, prevention and treatment of vascular diseases:

• Diagnosis of the pathology of the arteries supplying the brain (atherosclerotic stenosis, pathological tortuosity, aneurysmal expansion, nonspecific aorto-arteritis).
• Chemodectomas of the neck - diagnostics, surgical interventions.
• Diagnosis and treatment of arteries of the upper extremities (stenosis, Buerger's thromboangiitis).
• Diagnosis and treatment (including arthroplasty) of the thoracic and abdominal aorta.
• Diagnosis and treatment of stenotic lesions visceral branches aorta.
• Operational interventions(including endovascular) in renal (renovascular) hypertension.
• Comprehensive examination and treatment of patients with nonspecific aorto-arteritis (Takayasu's disease).
• Diagnosis and surgical interventions (including endovascular) for atherosclerotic lesions of the iliac, femoral arteries.
• Operative interventions for aneurysms of the main vessels.
• Treatment of patients with critical limb ischemia, arterialization operations venous blood flow feet.
• Varicose veins - diagnostics, minimally invasive surgery, sclerotherapy.
• Diagnosis and treatment (operative, surgical) of lymphedema of the extremities.
• Formation of vascular access for hemodialysis.

Turns out urgent care at following states: