Triple-vessel coronary artery disease

Triple-vessel coronary artery disease

Complex cardiovascular intervention case

Alexander Aladashvili Clinic has been operating its cardiology department for decades, successfully performing both cardiothoracic and interventional cardiology procedures.

A 51-year-old male patient was admitted to the regional hospital with a diagnosis of acute coronary syndrome. Coronary angiography revealed multiple lesions of complex anatomical localization. Due to the life-threatening, unstable condition of the patient, he was transferred to our institution for open-heart surgery - coronary artery bypass grafting.

The patient was admitted to the cardiology department in a critical and unstable condition. A multidisciplinary team of physicians (Cardiac Team) - cardiologists, cardiothoracic surgeons, interventional cardiologists, and internal medicine specialists - thoroughly assessed the patient's condition. It became clear that open-heart surgery posed an extremely high-risk intervention, which the patient would find very difficult to tolerate, and the rehabilitation process might be incomplete.

Since improving the patient's condition without radical intervention was impossible, according to the clinic's internal protocol based on international recommendations, it was decided to restore heart circulation using a less traumatic method - coronary angioplasty (stenting).

The minimally invasive procedure was performed by the head of the interventional cardiology department at our clinic, Dr. Levan Amaghlobeli, an interventional cardiologist with many years of experience. The patency of all heart vessels, namely the left main coronary artery, the circumflex artery, and the right coronary artery, was restored through stenting. During the procedure, blood circulation in the cardiac muscle was completely restored. The patient's condition stabilized, and treatment continued in the cardiology department. After several days, the patient was discharged from the hospital without any complaints.

Coronary angiography and coronary intervention are minimally invasive procedures. During this manipulation, catheters-guides can be used to access the heart-feeding vessels, inspect them, and expand the damaged vessel by balloon angioplasty and stent implantation. The stent is a thin, flexible metallic framework that is inserted into the artery lumen in a compressed state and then expanded, acting like a spring.

Tbilisi, Dmitry Uznadze St. No. 103

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