One of the most effective and popular ways of endovascular revascularization , available in the arsenal of modern interventional cardiology is transluminal coronary angioplasty (balloon dilatation of coronary ) , which developed and introduced into practice in 1977 by German physician Andreas Gryunttsig .

This technique literally immediately found a huge number of his followers and eventually was repeatedly modified and improved. By the mid- 80s of the last century , many leading cardiac centers around the globe began to use angioplasty as an alternative to bypass surgery , often combining it with stenting - a special metal prosthesis implantation in the form of a spiral , which plays the role of a supporting framework for the vascular wall.

Currently transluminal balloon angioplasty plays a very important role in solving two problems at Glan management of patients with coronary heart disease .

First, it helps to improve the long-term prognosis , helping to prevent sudden cardiac death and prevent the development of myocardial infarction , and, secondly , provides a reduction in the frequency and / or a reduction in the intensity of angina attacks .

Indications for balloon angioplasty is the availability of the results of instrumental diagnosis confirmed severe myocardial ischemia , conjugated with coronary artery narrowing on ¾ and more . In fact, in this condition it can be performed to any patient ( without any age restrictions ) with clinical signs of angina in the absence of contraindications.

Contraindications

- Acute infectious diseases ,

- Chronic renal failure,

- Heart failure decompensation ,

- Pulmonary edema

- Uncontrolled hypertension ,

- Significant abnormalities in blood coagulation system ,

- The active phase of endocarditis ,

- Allergic reactions to radiopaque substance applied ,

- Severe noncardiac comorbidities profile

- Intoxication with cardiac glycosides

- Sharp hypokalemia .

Рrocedure

Patient under local anesthesia through a blood vessel on the hip , forearm or shoulder on a flexible conductor is introduced under fluoroscopic control of the balloon catheter and guide it to the place of coronary stenosis . Then, high-pressure balloon , whose dimensions are strictly selected individually in accordance with the diameter of the affected coronary vessel and the length of the stenotic area it is inflated , thereby expanding the narrowed portion of the vessel , thus pushing the atherosclerotic plaque in its wall.

According to official statistics , the world's annual production of about two and a half million coronary balloon angioplasty.

At a very high level of exercise in Germany. Cardio Service of Germany almost unmatched worldwide. To carry out coronary interventions in Germany patients come literally from all over the globe.