INNOVATIVE CARDIOLOGY AND CARDIAC SURGERY IN LVIV

Keywords: Transcatheter aortic valve implantation, intravascular ultrasound, fractional flow reserve, Lviv Regional Clinical Hospital, Ukrainian-Polish Heart Center

Abstract

In modern medical care, there is an urgent need for the use of innovative technological medicine that  expends the horizon for cardiovascular treatment. The introduction of innovations requires successful solutions and should be based on the experience of classical treatment of heart and vessels pathologies. For the development of interventional cardiology and cardiac surgery in Lviv, doctors of the cardiac surgery department of the Lviv Regional Clinical Hospital initiated the involvement of Polish colleagues to found a joint Ukraine-Polish heart center "Lviv" on the basis of the Lviv Regional Clinical Hospital.

The purpose of the article is to inform the medical community about the availability of modern methods of diagnosis and treatment of heart and blood vessel diseases in Lviv and Western Ukraine.

New diagnostic methods are being introduced that optimize the results of coronary endovascular revascularization. In particular, assessment of coronary physiology - instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR) and intravascular ultrasound (IVUS) to determine the morphology of the affected coronary vessels. The wider use of endoprostheses for the descending thoracic aorta (EVAR) makes it possible to adequately stent the hard-to-reach segment of the aorta in its aneurysms or stratification, as well as to avoid complex traumatic open surgeries. Transcatheter aortic valve implantation (TAVI) was performed at this medical center on October 12, 2020 for the first time in Lviv and Western Ukraine.

Downloads

Download data is not yet available.

References

Kelly K. The Inevitable: Understanding the 12 Technological Forces That Will Shape Our Future. Viking. Penguin; 2017.

Herzlinger RE. Why Innovation in Health Care Is So Hard. Har Bus Rev. 2006;84:58-66.Accessed 10 October 2020. https://hbr.org/2006/05/why-innovation-in-health-care-is-so-hard

Кулик ЛВ. Золотий ювілей Львівської серцевої хірургії. Вісник серцево-судинної хірургії. 2016;2:13-7.

Бешлей Д, Аверчук В, Процик І, et al. Протезування аортального клапана з міні-стернотомного доступу: особливості хірургічної техніки та аналіз результатів перших 35 операцій. Вісник серцево-судинної хірургії. 2016;1(24):30-2.

Nijjer SS, Sen S, Petraco R, Davies JE. Advances in coronary physiology. Circ J. 2015;79(6):1172-84.

https://doi.org/10.1253/circj.CJ-15-0044

Barbato E, Toth GG, Johnson NP, et al. A prospective natural history study of coronary atherosclerosis using fractional flow reserve. J Am Coll Card. 2016;68(21):2247-55.

https://doi.org/10.1016/j.jacc.2016.08.055

Ciccarelli G, Barbato E, Toth GG, et al. Angiography versus hemodynamics to predict the natural history of coronary stenoses: fractional flow reserve versus angiography in multivessel evaluation 2 substudy. Circ. 2018;137(14):1475-85.

https://doi.org/10.1161/CIRCULATIONAHA.117.028782

Zhang J, Gao X, Kan J, et al. Intravascular ultrasound versus angiography-guided drug-eluting stent implantation: the ULTIMATE trial. J Am Coll Card. 2018;72(24):3126-37.

https://doi.org/10.1016/j.jacc.2018.09.013

Gao XF, Wang ZM, Wang F, et al. Intravascular ultrasound guidance reduces cardiac death and coronary revascularization in patients undergoing drug-eluting stent implantation: results from a meta-analysis of 9 randomized trials and 4724 patients. Int J Cardiovasc Imaging. 2019;35(2):239-47.

https://doi.org/10.1007/s10554-019-01555-3

Ivancev K, Vogelzang R. A 35 Year History of Stent Grafting, and How EVAR Conquered the World. Eur J Vasc Endovasc Surg. 2020;59(5):685-94.

https://doi.org/10.1016/j.ejvs.2020.03.017

Gloviczki P. ESVS Volodos lecture: innovations and the hippocratic oath. Eur J Vasc Endovasc Surg. 2018;55(5):605-13.

https://doi.org/10.1016/j.ejvs.2018.02.006

Figulla HR, Franz M, Lauten A. The history of transcatheter aortic valve implantation (TAVI)-a personal view over 25 years of development. Cardiovasc Revascular Med. 2020;21(3):398-403.

https://doi.org/10.1016/j.carrev.2019.05.024


Abstract views: 231
PDF Downloads: 84
Published
2020-09-27
How to Cite
1.
Beshley D, Dudek D, Wojdyla R, Pidvalna U, Averchuk V, Kulyk L. INNOVATIVE CARDIOLOGY AND CARDIAC SURGERY IN LVIV. Proc Shevchenko Sci Soc Med Sci [Internet]. 2020Sep.27 [cited 2021Sep.18];62(2). Available from: https://mspsss.org.ua/index.php/journal/article/view/340