Erebouni Medical Center
Medical Journal Erebouni

Vascular and Laser Surgery Department

General characteristics

In the vascular and laser surgery department the treatment of the patients with various diseases of the aorta, the great arteries and veins is performed. One of the priorities of department activity is the treatment of atherosclerotic lesions of the aorta, its branches, and arteries. Huge technological facilities of Erebouni MC enables the most advanced to date diagnostic examination and surgical intervention.


Erebouni Medical Center: Vascular and Laser Surgery DepartmentOne of the most threatening diseases of the aorta is an aortic aneurysm. It is a local extension of the wall of aorta or diffuse enlargement of the entire aorta. According to various authors, up to 60% non-operated patients die in the first 1-2 years after the diagnosis of abdominal aortic aneurysm from its rupture.


The most characteristic symptom of the abdominal aortic aneurysm is dull or aching pain in the abdomen. The pain may be continuous or intermittent and be localized mainly in the navel region or in the left half of the abdomen. It is often described irradiation of pain in the lumbar region. The most affordable, safe and reliable method for the diagnosis of this pathology is the ultrasonic method. The final diagnosis is made by CT contrast angiography. In patients with diagnosed abdominal aorta aneurysm the surgical treatment with resection of aortal aneurism and its prosthetics with synthetic prosthesis are performed. Age is not a contraindication for surgical treatment.

 

The Department successfully performs the intervention on the stenotic carotid arteries  - so called carotid or eversion endarterectomy with consequent plastics of the artery due to which significantly reduced the risk of stroke in these patients.


Erebouni Medical Center: Vascular and Laser Surgery Department


Obliterating atherosclerosis of the arteries of the lower limbs is manifested by the symptoms of "intermittent claudication", i.e. the occurrence of pain in the calf muscles when walking, and the disappearance at rest. This is the characteristic symptoms of stenosis or occlusion (blockage) at the level of the arteries of the legs or aortic bifurcation. Similar pain in the hands indicates that arterial lesions of the pectoral arch are present.


Gradually progressing, the disease can lead to gangrene of the limb. Therefore, it is necessary to provide the timely diagnostics and treatment these patients. Surgical treatment of this disease are includes various reconstructive surgical intervention on the aorta, iliac and leg arteries.


In case of thrombosis of the venous system of legs and presence of high risk of a blood clot migration the implantation of temporary or permanent cava filters are used at the department. This technique allows successfully prevent such life threatening complication of this disease as pulmonary embolism.


Erebouni Medical Center: Vascular and Laser Surgery DepartmentVaricose veins disease is one of the most common diseases of the venous system of the people. In 15-20% of patients in the late stages of varicose veins disease the trophic ulcers, varicose eczema, thrombophlebitis are developing. The radical treatment of varicose veins disease is surgical with usage of cosmetic skin sutures.


As an alternative method of treatment of varicose veins disease is often considered phlebosclerosing therapy and percutaneous laser coagulation, which are conducted on vessels of small caliber. These methods are less traumatic, performed on an outpatient basis and usually provide a good cosmetic result.


The department also uses the endovenous laser coagulation of subcutaneal veins, which allows performing complete correction alongside with the maximum cosmetic effect. A judicious combination of both methods allows the most of their positive aspects.

 

In addition, in the early stages of varicose veins disease in the department widely used the method of puncturing laser coagulation of perforated veins.

 

In addition, in the early stages of varicose veins disease in the department widely used the method of puncturing laser coagulation of perforated veins.

 

Erebouni Medical Center: Vascular and Laser Surgery Department

Main activities

The range of surgical interventions performed at the Department:

  Surgery on the aorta:

  • aorto-femoral bypass / prosthetics of bifurcation,
  • linear prosthetic of the aorta
  • thrombectomy of the aorta


  Surgery on the carotid arteries:

  • carotid endarterectomy,
  • correction of deformation of the carotid arteries,
  • chemodectoma removing


  Surgery in arteries diseases:

  • thrombendarterectomy,
  • embolectomy,
  • iliac / aorto-femoral bypass,
  • femoro-popliteal bypass,
  • extra-anatomic bypass
  • surgery on peripheral and visceral arteries aneurysms
  • sympathectomy


  Surgery for permanent vascular access:

  • arteriovenous anastomosis of patients undergo to dialysis
  • arterio-venous shunts / prosthetic of patients undergo to dialysis


  Surgery in venous thrombosis:

  • cava filter implantation,
  • thrombectomy,
  • venectomy,


  Interventions in venous pathology:

  • endovenous laser coagulation,
  • percutaneous laser coagulation,
  • venectomy,
  • miniphlebectomy,
  • sclerotherapy
  • surgery in chronic pelvic pain that developed due to venous hypertension.

 

Staff
Aram Badalyan MD Aram Badalyan MD Write a letter Head of Vascular and Laser Surgery Department angiologist PH.D.
Price list

 

16.04.2020 թ.

 

Examinations

Արժեքը (դրամով)

 

Examination by head of the Department (head of service)

10,000

 

Examination by doctor

5,000

 

Conservative treatment of vascular diseases

170,000

 

 

 

 

Service

Արժեքը (դրամով)

 

Vascular small interventions / local anesthesia

150,000

 

Vascular small interventions / general anesthesia

185,000

 

Phlebectomy (unilateral)

360,000

 

Phlebectomy (bilateral)

460,000

 

Crossectomy ,endovenous laser coagulation Mini-phlebectomy /1 extremity/

390,000

 

Crossectomy ,endovenous laser coagulation Mini-phlebectomy /2 extremities/

510,000

 

Thrombectomy, endarterectomy, sympathectomy

400,000

 

Surgeries for peripheral and magistral arteries

800,000

 

Prosthetics/bypass of abdominal aortic aneurysm /  (the cost of prosthesis not included)

800,000

 

Surgeries for magistral arteries, thoracic and lumbar sympathectomies, Linton operation (Government involvement)

170,000

 

Femoral-femoral, Femoral popliteal and Peripheral Arteries bypass (Government involvement)

212,500

 

Surgery for abdominal aortic aneurysm, Leriche Syndrome (without prosthesis) (Government involvement)

340,000

 

In case of concomitant somatic chronic diseases of the I degree, to the cost of surgery, treatment is added

40,000

 

In case of concomitant somatic chronic diseases of the II degree, to the cost of surgery, treatment is added

80,000

 

In case of concomitant somatic chronic diseases of the III degree, to the cost of surgery, treatment is added

120,000

 

In case of concomitant somatic chronic diseases of the IV degree, to the cost of surgery, treatment is added

160,000

 

Reimbursement of additional medicine, based on the actual costs incurred

1,000

 

Reimbursement of additional medicine, based on the actual costs incurred 1

5,000

 

Reimbursement of additional medicine, based on the actual costs incurred 2

10,000

 

Various types of minor surgical procedures in bandage room

15,000

 

Medium degree surgical procedures in bandage room under local anesthesia

45,000

Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011**

 

Acute vascular thrombosis and thromboembolism (except hemorrhoids)/ only cases completed by surgery/

120,000

 

Limb Surgeries, their segmnets, with complete and incomplete amputation of separate organs

120,000

 

Limb Surgeries, their segmnets, with complete and incomplete amputation of separate organs (with complications and/or concomitant diseases)

160,000

 

Acute vascular thrombosis and thromboembolism (except hemorrhoids)/ only cases completed by surgery/ (with complications and/or concomitant diseases)

160,000

 

surgeries for ruptured and exfoliated aneurysms (the cost of prosthesis is not included)

300,000

 

 

 

Cost of paid hospital rooms

 

Hospital room

Price (AMD)

 

801

12,000

 

802

12,000

 

803

12,000

 

806

12,000

 

807

12,000

 

808

7,000

 

809

7,000

 

810

7,000

 

811

7,000

 

812

7,000

 

813

7,000

 

In accordance with the "Law of Copyright and Related Rights" when copying or reproduction of materials posted on this site, specify the source - the Web site of the Erebouni Medical Center - erebunimed.com is highly requested.
Back to top