Cardiology

Cardiology In Israel: In Brief

Cardiac disease is a major cause of mortality in the world. Coronary atherosclerosis, heart attacks, arrhythmia, high blood pressure, heart failure – these disorders are considered as a consequence of the conditions in which a person lives or complications after diseases that affect patients worldwide. As acknowledged by the European Society of Cardiology, over the past decade cardiology in Israel has achieved one of the highest levels in the world. The mortality rate of hospitalized patients with heart attack in Israel country less than in 29 European countries.

Cardiac diagnostics in Israel

Arrhythmia, aortic aneurysm, stenosis of large artery atherosclerosis, valve disorders, cardiomyopathy and other disorders are successfully diagnosed in many cardiac centers in the state. There are following methods for detecting disorders of heart and its treatment:

– Diagnosis of cardiovascular diseases of adults;

– Diagnosis of heart disease of children;

– Children’s heart surgery;

– Heart surgery for adults.

Diagnostics takes place with the use of advanced medical technology and modern diagnostic equipment. Israeli cardiology uses following methods:

  • Electrophysiological studies;
  • Spiral positron emission tomography;
  • Doppler of large blood vessels;
  • Ultrasound of heart at rest and under stress;
  • Coronary angiography;
  • Angiographic cardiac catheterization.

 

Treatment of heart disease in Israeli hospitals

Treatment of cardiac disease in Israel is arranged to be as traumatic as possible to a patient. When possible, heart surgery is performed with endoscopic methods that cause no visible scars and reduce a recovery period. Following methods are used for treatment of cardiovascular diseases most often:

  • surgical heart valves replacement;
  • coronary artery bypass surgery;
  • coronary catheterization;
  • radiofrequency ablation;
  • installation of pacemakers;
  • endoscopic treatment of cardiac aneurysm and heart tumors;
  • heart transplantation.

Operations such as coronary artery bypass surgery, heart valve replacement, and many others has become common in Israeli surgical practice long ago, that is why they are performed in a minimally invasive mode, ie the least traumatic method of treatment.

Treatment of thoracic aorta aneurysms in Israel involves surgery with a special stent (sometimes a few) directly to the area of aneurysm. During diagnostics, a radiologist examines a patient, which determines an amount and length of a stent. The operation lasts about three hours. Postoperative rehabilitation offers one day in an intensive care unit for several days in a ward for cardiac patients.

Сoronary artery bypass grafting is preceded by Intensive Coronary Care on the basis of a treatment center, and after an operation – neurophysiological monitoring and postoperative monitoring of cardiac surgeon and cardiologist.

While operating in veins or arteries, a patient’s body is grafted with coronary arteries bypassing atherosclerotic narrowings which improves blood flow of coronary circulation.

It should be noted that treatment of heart disease in Israel means not only use the most modern methods, but also the high quality of all associated services, including pre-operative and post-operative care.

Triguard protects brain from stroke

TriGuard Cerebral Protection Device

Normal brain activity is the main key to human livelihoods, so its preservation is main task of medical staff during necessary medical procedures. The newest and by far the world’s only device which is able to provide protection of vessels in a brain during surgical intervention in cardiac vascular system was developed by the Israeli Company – Keystone, they named it Trigard.

The first tests of a new device were carried out by experts – researchers from Yale University (USA). 83 patients participated in the test. Test showed record increase (55% of total number of participants) of patients without ischemic brain damages which increase a risk of stroke and dementia on many times.

This unique device is being tested clinically in health centers and hospitals in Israel, as well as in European clinics. Ongoing research is needed to develop common standards of Trigard preset during operations on valves of a heart and its vessels.

During stenting operation the device is mounted at desired location of an aorta by a catheter with a diameter of 3 mm. Stenting is performed by accessing the femoral artery through only one port of the two. Thus a need for additional, third puncture is eliminated.

Studying the results, it was found that a scale of brain lesions when applying Trigard decreased on 90% compared with a modern conventional  – unprotected procedure.

Unique method of cetheterization

Portico Transcatheter Valve System

Among all the achievements of modern medicine there are several, the introduction of which not only supports human health, but also prolongs his life. Smooth running our main “engine” guarantees a support of all life systems, and coordinated work of the whole organism.

For a long time, cardiology was associated with many hours of open heart surgery under general anesthesia for restoration of normal heart functioning. However 100% success of its outcome was not guaranteed. During an operation a surgeon has to install a valve in its right place with a jeweler’s precision. If it was installed incorrectly, a specialist was not able to correct it any more, the operation wouldn’t give the expected effect, rehabilitation process instead of an expected positive result could get out of control and cause complications.

Israeli doctors worked hard for several years to find an optimal alternative for heart valve replacement, and most recently, their efforts were successful.

A few years ago Israely surgeons and scientist presented Portico  transcatheter valve system.

The first operation using valve “Portico” was held in Tel – Aviv in February 2014, in a Medical Center Ichilov, by the head of catheterization department – Dr. Ariel Finkelstein.

INNOVATIVE METHOD OF BYPASS WITH SOLUBE STENT

 

The pride of the Israeli cardiologists is their ability to carry out bypass surgery using a special soluble stent.

At first such a revolutionary surgery was conducted by surgeons of the hospital “Kaplan”, located in Rehovot, in order to save the life of 58-year-old patient.

The stent used for surgery promotes proper functioning of an artery. Once artery work will be adjusted, the stent completely dissolves without a trace, and without causing any side effects.

As the country’s leading cardiologists say, this method is a true revolution in the world of treating heart diseases. Operation made in this way ensures a quick and painless recovery.

HISTORY OF INNOVATIVE METHODS

In 2011, this technology was not an idea only. Professor Bier, the director of the Rambam Hospital in Haifa, noted that we need more time to bring this idea to life. But in less than three years, cardiac surgeons managed to carry out all necessary tests and started applying the procedure with soluble stent grafting in Israeli hospitals, including such well-known ones as “Sheba” and “Hadassah”.

Heart surgeon had to make painstaking and complex work. It was necessary to achieve the required endurance of a stent so that it can withstand the pressure inside an artery, and to pick up the materials that can be safely dissolved after fulfilling its function to prevent the inflammatory process.