Endovascular surgery

Innovative methods of treatment of cardiovascular diseases.
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The whole range of endovascular diagnostics and treatment for diseases of the heart and blood vessels
Qualified doctors with extensive experience
Round-the-clock hospital and the presence of related doctors of any profile
Endovascular surgery K+31

Endovascular surgery is a section of innovative methods for the treatment of cardiovascular diseases, which consists in a therapeutic effect from the inside of the affected vessel. Such interventions are performed under local anesthesia in an X-ray operating room, but without the need to turn off consciousness and transfer to artificial ventilation.

The general principle of the operation is as follows: a puncture is made in the vessel through the skin in the groin or wrist area, through which a vascular port with a valve is installed inside the vessel. Conductors, catheters, balloons, stents, coils, occluders and other instruments are inserted into the vessel through the port.

After the operation, the patient recovers very quickly without the need for a long stay in the hospital and in most situations can be discharged the next day after the intervention. During all procedures, heart rate, blood pressure, blood oxygen saturation are necessarily monitored.

Endovascular surgery

Endovascular Surgery Techniques

Balloon angioplasty and stenting. The narrowed vessel is expanded from the inside with a balloon catheter, after the expansion of the vessel, a stent is installed in it - a special design that looks like a spring from a ballpoint pen, which prevents re-narrowing of the lumen and detachment of the inner shell of the vessel. This is the most common technique of endovascular surgery, used both for the treatment of lesions of the arteries of the heart, and for the treatment of lesions of the peripheral arteries. Balloon catheters and stents come in different diameters and lengths, as well as with different physical properties, depending on the parameters of the vessel for which they are intended. Stents are made of various materials - high-tech polymers and metal alloys, they can have a special drug coating that prevents reverse vasoconstriction (restenosis).

Embolization. Inside the vessel, spherical emboli or spirals closing the lumen of the vessel are inserted. The diameter of the injected particles is fractions of a millimeter, and is usually measured in nanometers. Spirals also come in different thicknesses and lengths, and have different coatings necessary to completely stop the blood flow in the vessel. This technique is applicable in the treatment of tumors (including uterine fibroids), varicocele, internal bleeding. Also, the particles can be a carrier of a chemotherapy drug that is used in the treatment of malignant tumors.

Endoprosthetics. Installation of a stent-graft inside the affected vessel. A stent graft is a stent covered with an artificial or natural (from an animal vessel) sheath. This method of treatment has shown high efficiency in the fight against vascular aneurysms - for example, an aneurysm of the abdominal aorta, or an aneurysm of the splenic artery, and is also used in emergency care for ruptured arteries.

Mechanical catheter thrombectomy and thrombolysis - methods of physical removal of blood clots from the lumen of the vessel using special catheters or dissolution of blood clots using enzymes (thrombolytics). Unlike open vascular surgery, the methods are less invasive, have a much lower number of complications, and are more effective, especially in complicated cases (for example, with shunt thrombosis, when access to them is difficult due to cicatricial deformity).

Catheter atherectomy is a method of removing atherosclerotic plaques from arteries using special catheters. It is used for endovascular interventions on the arteries of the lower extremities, which, in combination with other methods of restoring the lumen of the vessels, makes it possible to obtain the most long-term result of the intervention.

Carboxangiography is a technology that involves the introduction of carbon dioxide into a vessel using special equipment instead of the usual iodine-containing contrast agent for diagnostics or surgery. It is used in patients with significant impairment of kidney function or with an allergic reaction to iodine-containing contrast agent.

Before endovascular interventions, the patient must undergo a preoperative examination.

Endovascular Surgery Techniques

Benefits of Endovascular Surgery at K+31 Clinic

  • Advanced diagnostic and therapeutic options - endovascular surgery techniques allow interventions on vessels of very small diameter (2-3 mm), which are often inaccessible to open surgery, as well as restoring the lumen of their own vessels.
  • Low invasiveness of the operation - there is no need to make large skin incisions, there are no scars after the operation, the likelihood of infectious complications (suppuration of the wound) is minimal.
  • Short postoperative period - discharge from the hospital is possible the next day after the operation.
  • Specialists-experts - at the K + 31 clinic, endovascular operations are performed by specialists who are highly qualified in cardiovascular surgery, who are experts in every field of minimally invasive endovascular interventions.
  • Latest generation professional European and American equipment
Benefits

How is an abdominal aortic replacement performed?

Our doctors
Eroshenko
Andrew Vladimirovich
Cardiovascular surgeon, specialist in endovascular diagnostics and treatment
Merkulov
Eugene Vladimirovich
X-ray endovascular diagnosis and treatment doctor
Mironov
Vsevolod Mikhailovich
X-ray endovascular diagnosis and treatment doctor
Polyakov
Roman Sergeevich
Specialist in X-ray endovascular interventions
Sysoev
Vitaliy Mikhailovich
Cardiovascular surgeon, specialist in endovascular diagnostics and treatment
Moroz
Olga Vladimirovna
Ultrasound diagnosis doctor, endovascular diagnostic and treatment doctor
Adjiev
Renad Nadzhievich
Doctor-cardiologist, doctor of X-ray surgical methods of diagnosis and treatment
Khachaturov
Alexander Alexandrovich
Doctor for endovascular diagnostics and treatment
All specialists
2GIS Award

2GIS Award

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«Good place» according to Yandex

«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award

Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Why K+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Reviews 10

My husband and I visited Vladimir Nikolaevich for the second time. And again, as the first time, we truly enjoyed communicating with this interesting person. He is a brilliant specialist and an amazing psychologist. My husband has oncology and in connection with this we constantly meet with various specialists in different areas, including the cardiovascular system. The difference between Vladimir Nikolaevich and doctors from other clinics is very big. He instantly determines the treatment strategy and creates confidence in the patient that everything will be fine!
06.08.2024
Angelina Viktorovna
My mother is 91 years old. Before the New Year, she was admitted to the district hospital with critical ischemia of the lower extremities. They did not do the operation, they discharged me, they said that they could not help. That the hospital does not have such facilities. We didn't know what to do. By some miracle, I found the coordinates of Dr. Eroshenko on the Internet and wrote him a letter. It was New Year's Eve. Andrey Vladimirovich immediately responded, after 5 days he operated on his mother. Saved her leg. Six months passed, the wounds almost healed and my mother began to walk. The deepest respect and gratitude to the doctor and the whole team, the K + 31 hospital for the great work, for professionalism, for a sensitive attitude towards each patient. Thank you all very much.
24.07.2023
Ozerova Nadezhda Nikolaevna
I was treated in the cardiology department of the K+31 Clinic. I have never met a more attentive and responsive doctor than Adzhiev Renad Nadzhievich in my life. Heartfelt gratitude to him and the best wishes in his life. The doctor not only treats, but also inspires confidence that everything will be fine. Thank you!
02.02.2023
Akhmyarova Larisa Akhmetovna
Very attentive doctor
28.07.2022
Mishchenko Alexander
Good day everyone! Dad has thrombosis of the artery of the lower extremity, it was necessary to consult a vascular surgeon and possibly come for a consultation. On the recommendations on the Internet, I turned to the vascular surgeon Eroshenko Andrey Vladimirovich. I wrote to him in vatsap, he quickly answered, threw him all my father's extracts, then we talked, the doctor clearly answered all my questions, sent a detailed description of the training walking that helps with this ailment, and also strongly recommended to do an ecg, said that it is possible send him and if he sees something there, then you may need an in-person consultation with a doctor. Naturally, I am now only to him. When I asked him how much I owe for a consultation on the phone, Andrei Vladimirovich replied that it was free, but the feedback from patients was important to him. That is why I am writing here. I can confidently recommend this doctor !!! I got free fast qualified help! And now I am very proud of myself that I found him! Oh, more. In the course of communication, it turned out that he works in the clinic k + 31. Then everything fell into place. The clinic is excellent, the doctors are superb, but, unfortunately, very expensive for me. When I become famous and rich I will buy here annual subscriptions for the whole family!
12.10.2021
Vasilisa
I would like to thank a wonderful specialist in his field and a wonderful, sympathetic person - Renad Nadzhievich Ajiev. Uncomfortable sensations in the chest and back when walking, forced to see the doctors of the clinic K31. Attention to detail helped identify and prevent an impending heart attack. During the examination, the doctor identified the need and immediately performed stenting using high-quality equipment and instruments. It seemed to me that everything went quickly, easily, as if by notes, but we all understand that high professionalism and responsibility are behind this. The back pain stopped immediately and after a few days I was able to return to active life. Thank you, dear doctor!
31.12.2020
Dmitriy
We want the whole family to express our immense gratitude to Andrey Vladimirovich Eroshenko! My father was diagnosed with grade 4 wet gangrene, with a weak heart, which does not allow surgical intervention. Since we live in Ukraine, we turned to all specialized clinics in Kiev, but everyone kept repeating only one thing - amputation of the leg, to which it was agreed, with this heart condition, is a big threat. The rest of the doctors simply refused to even take up treatment. There were a lot of electronic requests to clinics in Moscow, where, recognizing the complexity of the situation, refusals were immediately received. Andrei Vladimirovich, having read the letter, immediately agreed to help by offering to restore blood flow, which made it possible to preserve the limb. Giving real hope to what seemed like a hopelessness. Despite the distance and different countries, he was always in touch, consulted and accompanied every day. Together with cardiologist Zubova Ekaterina Andreevna, we remotely and very competently adjusted the treatment, which in the future brought noticeable improvements in the condition. This is not just a doctor - he is a person of great soul, an absolute professional in his field !!!
13.08.2020
Victoria
I still need time to realize that a month ago I easily rode a bicycle for 40-50 km, and a week later, as it turned out, a heart attack occurred, which I perceived for myself as unpleasant incomprehensible pains and, nevertheless, less, going on vacation to the mountains. But the unexpectedness of the pains still forced me to see a doctor. Thanks to Renad Nadzhievich, for all the implicit symptoms he did not give up, convinced him to give up the vacation, go through all the diagnostics, and got to the bottom of the problem. The operation was easy and delicate. We start a new life. Smart, competent, sympathetic, humane doctor - low bow!
08.08.2020
Igor
I want to share my feedback. I will write a little about my father, 64 years old, type 2 diabetes mellitus, diabetic foot syndrome (two fingers were no longer cut off at the regional hospital and even part of the bone was not removed). It all started suddenly and even in a pandemic. We consulted clinics but to no avail. But the decision was to fight to the end. By calling the clinic we were connected with A.V. Eroshenko. Andrey Vladimirovich, clearly, harmoniously, competently, professionally examined his father. After the consultation, hospitalization, operation, three stands on the heart and two stands on the leg were installed, and then a well-chosen treatment. Thanks to this professional approach, my father began to recover and the wound began to heal. I'm not afraid of this word Andrey Vladimirovich, a genius and a professional in his field. Our family is very grateful for everything that Andrey Vladimirovich has done for us. Even now, during the rehabilitation period, Andrei Vladimirovich advises us and this is worthy of respect! Andrey Vladimirovich, with all my heart I want to tell you "THANKS". You are a doctor from God. You are a professional in your field. Thank you for your hard work, may it always be appreciated and bring you pleasure. I wish you good health, great luck, happiness and prosperity! Best regards, the Ryzhov family.
15.07.2020
Novel
In the conditions of a pandemic, Andrei Vladimirovich consulted and adjusted the treatment of my dad, who is at risk at the moment. Thank you very much for your sensitive attitude and high professionalism! Treatment is selected taking into account all health characteristics, a care algorithm has been developed.
10.05.2020
Bushmanova M.N.
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Our clinics
K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
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Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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K+31 Petrovskie Vorota

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74999993131

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Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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