Types of endovascular surgery. Features, indications, benefits

Types of endovascular surgery. Features, indications, benefits

Types of endovascular surgery

Endovascular surgery is an operation on blood vessels in which instruments are inserted through small incisions or punctures in the walls of blood vessels. The direction is one of the most effective and promising in medicine.

Gist

This is a relatively young medical field. Its creation was conceived for the purpose of diagnosis, but the results of the first surgical interventions, thanks to various types of endovascular surgery, exceeded all expectations. Direct techniques are brilliant alternatives to many surgical operations on vessels - coronary bypass surgery, aneurysm clipping, and so on.

The main difference between the methods of endovascular surgery is that the operation is performed without traditional long incisions - instead, punctures are made in the vascular walls, through which all intraoperative manipulations are performed.

Endovascular operations are performed in a special X-ray operating room under the control of equipment. The operating physician must simultaneously possess the skills of a surgeon and a radiologist.

Most often, during such operations, general anesthesia is not required - local anesthesia at the place of puncture of the blood vessel is sufficient.

Also, the advantages of ectovascular surgery include:

  • quick recovery of the patient after surgery;
  • possibility of performing surgical intervention in patients who are contraindicated for anesthesia;
  • absence of postoperative pain;
  • absence of postoperative scars.

Types of endovascular surgery

At this moment, the following endovascular interventions are successfully performed:

  • balloon angioplasty;
  • stenting;
  • embolization;
  • introduction of intravascular filters;
  • removal of blood clots

and some others.

The techniques used in endovascular heart surgery are particularly popular. Thanks to them, doctors manage to effectively eliminate pathologies of heart vessels.

Balloon angioplasty and stenting restore the impaired patency of arterial and venous vessels - narrowed or blocked due to some pathologies. Therefore, these two methods are successfully used in treatment:

  • ischemic heart disease;
  • obliterating atherosclerosis of the vessels of the lower extremities

and so on.

The essence of embolization is a little different - it is an artificially created occlusion (clogging) of one or another vessel. It is used in the treatment of patients diagnosed with:

  • bleeding;
  • pelvic varicose veins;
  • myoma and fibromyoma of the uterus;
  • portal hypertension;
  • oncopathology.

Testimony

Where is endovascular surgery used? Indications for carrying out such operations are most often:

  • ischemic heart disease;
  • acute myocardial infarction;
  • various aneurysms;
  • atherosclerosis;
  • vascular thrombosis.

In addition, endovascular operations are tested in the treatment of blood diseases, renal hypertension, uterine fibroids, prostate adenoma and many other pathologies.

Features of the postoperative period

There are no specifics as such - the patient can become active already on the first day, and he is discharged from the hospital on the 2nd or 3rd day. The activity regime in the first few days after surgery is gentle, then normal.

After a certain time, determined by the attending physician, a control contrast X-ray is performed to evaluate the results of the operation.

Patients unfamiliar with new techniques may ask, “Endovascular surgery? What is it?". We invite them to familiarize themselves with the essence of this method. On the website https://dobrobut.com/ you can make an appointment with our specialists, who will provide more practical information about this direction in medicine.

Updated: 03.04.2025
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