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Interventional Cardiology

Imagine our lives in a dance like Valsa, where every movement is perfectly synchronized with the song if we lose the pace, we fall behind. The way our heart works is remarkably similar, the perfect synchronicity of our valves and muscle contractions makes us what we are but what if we lose it?

Currently, cardiovascular diseases are the main causes of death worldwide.

These diseases can be distinguished as:

  1. Coronary heart disease

    1. angina – chest pain caused by restricted blood flow to the heart muscle

    2. heart attacks – where the blood flow to the heart muscle is suddenly blocked

    3. heart failure – where the heart is unable to pump blood around the body properly

  2. Strokes and TIAs: where the blood supply to part of the brain is cut off

  3. Peripheral arterial disease: blockage in the arteries to the limbs

  4. Aortic disease

Heart surgery is still incredibly challenging to the patient, putting a lot of stress on the body, leading to the constant necessity to improve and develop new forms of non-surgical interventions.

Interventional cardiology is a non-surgical procedure that employs a thin, flexible tube known as a catheter to repair damaged or weakened vessels, restricted arteries, or other problems with the heart structure.

There is an extensive list of such procedures, but we will talk about four of them.

Complex coronary angioplasty and stenting

Intervention that enables repair of a narrowing (stenosis) or occlusion of a coronary artery due to fat (cholesterol) deposition(atheroma) in the arterial wall.

A stent is a prosthesis made of a metal platform coated with a specific drug. Coronary stents are used to allow proper healing of an artery and to avoid the rapid appearance of a new stenosis.


Inferior Vena Cava (IVC) Filter Implant and Extraction

The inferior vena cava is a large vein that transports blood from the lower extremities back to the heart. IVC filters are small umbrella-shaped wire devices designed to trap blood clots from travelling from your legs to the lungs.

this procedure is used in patients who are unable to take blood-thinning medications or have a higher chance of thrombosis.

Transcatheter aortic valve replacement (TAVR)

The procedure is to replace an aortic valve that doesn't open fully or is stenotic (is narrowed). These blocks or slows blood flow from the heart to the body.

A deflated balloon is inserted in the position after it's inflated leaving the replacing valve in place. The balloon is deflated, and the catheter is removed.

Primary Percutaneous Coronary Intervention (PCI) for myocardial infarction

When arteries in your heart cannot deliver enough oxygen-rich blood to the tissue of the heart.

A deflated balloon is inserted into the coronary artery via a catheter. Once the balloon is inserted on the side of the blockage. The balloon is inflated, and a stent is left in place. The balloon is then deflated and removed.

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