Erebouni Medical Center
Medical Journal Erebouni

Department of Angiography and Intervention cardiology

General characteristics

Department of Angiography and Interventional Cardiology of Erebouni Medical Center was founded in February 2003 and named after academician Bagrat Alekyan, who had a methodological assistance in the formation of this department.

 

This is constructed in accordance with international standard a modern high equipped department that performs twenty-four-hour patient’s reception, diagnostic and treatment on routine and emergency base. The department has all facilities for performance of non-invasive and invasive diagnostics and intervention procedures for patients with cardiovascular diseases.


Angiography of the heart is a method of contrast X-ray examination of the heart and blood vessels, produced for diagnostic of vessels thrombosis as well as for the endovascular correction of the existing pathology.

Erebouni Medical Center: Cardiology & Cardiac Surgery Clinic: Department of Angiography and Intervention cardiology

 

During diagnostic heart and vessels catheterization is performed:

 

 

Determination of chest pain reasons and location of vessels' thrombosis if there is,

  Measurement of the oxygen concentration in intracardiac vessels blood - oximetry (assessment of hemodynamics),
  Measurement of intracardiac blood pressure,
  Cardiac tissue biopsy,
  Diagnostics of congenital anomalies (defects) of the heart
  Assessment of the contractile function of the heart;
  Evaluation of the heart valves;
  Contrast visualization of the aorta and peripheral vessels
  • angiography of the aorta and its branches,
  • angiography of carotid and intracranial arteries,
  • angiography of renal arteries,
  • angiography of the arteries of the uterus,
  • angiography of the arteries of the upper and lower extremities.

 

 

During intervention catheterization of heart and blood vessels in the department, the following therapeutic interventions are performed:

 

  • Balloon dilatation and stenting of coronary arteries,
  • Ablation in cardiac arrhythmias,
  • Stenting of stenotic peripheral artery, including renal artery,
  • Embolization of arteries feeding the tumor,
  • Embolization of the uterine arteries in myoma,
  • Closing of the defects in the septum of the heart and in great vessels.

 

Erebouni Medical Center: Cardiology & Cardiac Surgery Clinic: Department of Angiography and Intervention cardiology

 

Endovascular interventions are carried out with the use of sedation and they are painless. The main approach using in department is transradial access  - through the radial artery, which not only reduces the rate of local complications after interventions, but also more comfortable for the patient for recovery, self-services and performance point of views as well as for reducing the time of hospitalization.

 

The process of rehabilitation after cardiac catheterization usually takes a few hours. In case of endovascular interventions (angioplasty, stenting) the hospital stay may be extended up to 2-3 days, depending on the patient's condition.

Equipping

In the diagnosis and treatment of cardiovascular diseases of the patients the high quality medical equipment are used:

 

 

Clinical laboratory diagnosis with cardiac markers,

  Functional cardiovascular diagnostics.
  • Electrocardiography
  • Echocardiography
  • Doppler
  • Duplex scanning of vessels
  • X-ray diagnostics
  • Test with dosed physical load
  • 24 hour monitoring of heart rhythm
  Invasive diagnostic methods
  • Catheterization of heart and vascular
  • Contrast angiography, ventriculography
  • Electrophysiological studies of heart rhythm


Department is equipped with the latest generation of the Angiography Artis Biplane, Siemens. A technical facility of the equipment allows performing of complex intracardiac and intravascular interventions - angiography, stenting not only cardiac but also peripheral vessels and vessels of other organ systems.

Erebouni Medical Center: Cardiology & Cardiac Surgery Clinic: Department of Angiography and Intervention cardiology Erebouni Medical Center: Cardiology & Cardiac Surgery Clinic: Department of Angiography and Intervention cardiology


The entire set of cardio-monitor allows precise control of the patient's condition and the doctor's action.
The center recently acquired special cardio-reanimobile ambulances, which have no analogues in the country and which allows performing of diagnosis and provide medical care to patients with acute heart problems from the first minutes.

Main activities

The main priorities and activities of the Department of angiography and interventional cardiology are acute coronary disease. However, recently it is also introduced the practice of revascularisation of chronically occluded vessels and retrograd (through the collaterals) stenting of the vessels.

 

  • Acute coronary syndrome
  • Chronic obstruction of the coronary arteries
  • Embolization of various organs' artery in oncological patients

 

Staff
Merujan Saghatelyan, MD Merujan Saghatelyan, MD Write a letter Head of Department of Angiography and Intervention Cardiology interventional cardiologist
Shahen Torozyan Shahen Torozyan Write a letter cardiologist
Arsen Tsaturyan Arsen Tsaturyan Write a letter cardiologist
Education

 

Education material for specialists

 

Education material for Patients

 

  Uterine artery embolization is the optimal decision in myoma management
  Coronary artery stenting
  Carotid artery stenting
Price list

 

 

Types of medical care services

 Price

(AMD)

 

 

Coronary angiography (incl. complex examination)

175,000

 

Coronary angiography (without examination)

140,000

 

 CAG and angiography of other vessels

250,000

 

Peripheral or renal angiography

150,000

 

Pericardiocentesis

65,000

 

 

 

Stenting 1 with not drug-eluting stents

700,000

 

Stenting 1 with drug-eluting stents

900,000

 

Balloon dilatation by 1 balloon

600,000

 

Balloon dilatation by 1 drug-eluting balloon

1,000,000

 

For each additional non-drug eluting stent out of the price list during stenting

220,000

 

For each additional drug eluting stent out of the price- list during stenting

400,000

 

For each additional non drug- eluting balloon out of the price- list during stenting

100,000

 

For each additional drug -eluting balloon out of the price- list during stenting

450,000

 

1 absorbable drug eluting stent

2,000,000

 

The use of aspiration catheter (added to the price of manipulation)

200,000

 

Stent deployment failure

500,000

 

Using a micro-catheter (added to the price of manipulation)

300,000

 

Opening a closed vessel – severe case (added to the price of manipulation)

1,500,000

 

Opening a closed vessel (added to the price of manipulation)

1,000,000

 

 Severe case with using the Rotablator (added to the price of manipulation)

1,500,000

 

Using the Rotablator (added to the price of manipulation)

1,000,000

 

Stenting with drug eluting stent -severe complexity, by special indication of angiographist

1,200,000

 

 

 

Temporary IVC filters placement

650,000

 

Permanent IVC filters placement

620,000

 

IVC filters placement (the price of which is not added)

190,000

 

Endovascular obliteration of the aneurysm - ГАУЗ (price of the instrument is not included)

1,500,000

 

Endovascular obliteration of the aneurysm by 1 micro spiral (mild complexity)

3,000,000

 

Endovascular obliteration of the aneurysm by 1 micro spiral (moderate complexity cases)

3,200,000

 

Endovascular obliteration of the aneurysm by 1 micro spiral (severe complex. case)

3,400,000

 

When applying each additional micro spiral, it is added to the price

350,000

 

Diagnostic Cerebral Angiography of cerebral blood vessels with general anesthesia

350,000

 

Diagnostic Cerebral Angiography of cerebral blood vessels without anesthesia

300,000

 

Superselective angiography of cerebral vessels

1,100,000

 

Thrombus aspiration of cerebral vessels

2,000,000

 

Lumbar super selective nerve root blocks

30,000

 

Intracranial Stenting  LVIS

1,600,000

 

Intracranial Stenting  LEO

850,000

 

Intracranial balloon catheter

800,000

 

External ventricular drain (incl. drainage, drainage systems and set of cranial entrance)

500,000

 

External ventricular drain (without drainage, drainage systems and set of cranial entrance)

200,000

 

Onyx embolization of arteriovenous malformation (1 onyx)

4,000,000

 

When using each additional onyx, it is added to the price

650,000

 

When using each additional squid, it is added to the price

320,000

 

IV injection of alteplase in the acute stage of ACA stroke

1,500,000

 

IV injection of alteplase in the acute stage of ACA stroke (cost of Alteplase is not included)

700,000

 

Intraarterial injection of antispasmodics

1,600,000

 

Peripheral artery stenting with 1 stent

1,500,000

 

Peripheral artery stenting with 1 stent in chronic total occlusions

2,000,000

 

Peripheral artery stenting with 1 stent in chronic total occlusions (severe case)

2,500,000

 

Balloon dilation of peripheral vessels

1,000,000

 

Balloon dilation of closed peripheral vessels

1,500,000

 

For each additional applied peripheral 1 stent, it is added to price

1,000,000

 

Prostatic artery embolization

1,200,000

 

Blockage of peripheral arteries with coilers, incl. 10 coilers

1,000,000

 

 Carotid Artery Stenting (mild case)

2,000,000

 

Carotid Artery Stenting (severe case)

2,500,000

 

Chemoembolization of liver cancer without drugs

1,200,000

 

Uterine Artery Embolization, incl. 3 embolization material

1,100,000

 

Embolization in hemangioma, incl. 3 embolization material

1,200,000

 

For additional embolization material, used in embolization, it is added to the price of surgery.

150,000

 

Thrombectomy (without aspiration catheter and cost of system)

1,550,000

 

Renal artery stenting 1 stent

1,100,000

 

Balloon dilation of peripheral vessels (mild case)

900,000

 

 

 

Stenting by 1 non drug-eluting stent (government order, military service)

350,000

 

Stenting by 2 non drug-eluting stent (government order, military service)

460,000

 

Stenting by 3 non drug-eluting stent (government order, military service)

585,000

 

Stenting by 4 non drug-eluting stent (government order, military service)

710,000

 

Stenting by 1 drug-eluting stent (government order, military service)

375,000

 

Stenting by 2 non drug-eluting stent (government order, military service)

500,000

 

Stenting by 3 drug-eluting stent (government order, military service)

640,000

 

Stenting by 4 non drug-eluting stent (government order, military service)

780,000

 

Stenting by 1 drug-eluting stent and 1 non drug-eluting stent (government order, military service)

485,000

 

Stenting by 1 drug-eluting stent and 2 non drug-eluting stent (government order, military service)

610,000

 

Stenting by 1 drug-eluting stent and 3 non drug-eluting stent (government order, military service)

735,000

 

Stenting by 2 drug-eluting stent and 1 non drug-eluting stent (government order, military service)

625,000

 

Stenting by 3 drug-eluting stent and 1 non drug-eluting stent (government order, military service)

765,000

 

Stenting by 2 drug-eluting stent and 2 non drug-eluting stent (government order, military service)

750,000

 

Balloon dilation of large vessels by using 1 balloon (government order, military service)

175,000

 

Balloon dilation of large vessels by using 2 balloons (government order, military service)

250,000

 

Endovascular treatment of cerebrovascular diseases (incl. 1 micro catheter, 1micro spiral or cost for 1 onyx) (government order, military service)

1,350,000

 

The price for each additional, more than1, micro spiral, used in endovascular treatment of cerebrovascular diseases (government order, military service)

175,000   

 

 

 

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