This is a relatively young area of modern medicine.
Initially, the endovascular technique was created exclusively for diagnostic purposes. However, obtaining phenomenal treatment results allowed this direction to occupy a separate niche in modern medical technologies.
The main feature of endovascular surgery is that all interventions are performed without incisions – through puncturing, small punctures on the skin (by the instrument which has 1-4 mm in diameter) under x-ray (angiographic) control in a special x-ray operation room.
Interventions are performed by x-ray surgeons or endovascular surgeons — specialists with the qualifications of surgeons and radiologists at the same time who able to work with complex medical equipment.
In most cases, an endovascular intervention does not require anesthesia, only local anesthesia is performed at the puncture point (vascular puncture). This aspect allows interventions even to patients with severe concomitant diseases for whom traditional surgical treatment is contraindicated. Since there is no postoperative wound and sutures after the intervention, in most cases patients can be discharged from the hospital in 1-3 days after surgery.
Surgical risk, pain syndrome, recovery time are significantly reduced in comparing with traditional surgery.
Unique methods of endovascular surgery are used in:
- Cardiology (coronary heart disease, acute myocardial infarction);
- Neurosurgery (Aneurysm, Malformation, Fistula, Atherosclerosis, Thrombosis);
- Vascular surgery (atherosclerosis obliterans, peripheral artery occlusion, pulmonary artery thromboembolia, abdominal ischemic syndrome)