Establishing the “Chest Pain Centre” we enabled early recognition and rapid diagnostic of cardiac disease for high-risk patients. Using the high-quality coronary CT angiography, a non-invasive diagnostic method, we select patients indicated for a pharmacological therapy combined with the change of lifestyle habits, and also recognize the patients who should be referred to further invasive diagnostic procedures. The newly equipped catheterization laboratory or “Cath lab” allows symptomatic patient to undergo interventional procedures, such as the percutaneous transluminal coronary angioplasty with stent implantation. The minimal radiation doses and high-quality imaging are performed by the most advanced Siemens Artis Zee system.
Special Hospital Agram formed the multidisciplinary “Heart Team” assembled of an invasive cardiologist, non-invasive cardiologist, cardiac surgeon, anaesthesiologist and other medical specialists in order to find the best solution for every patient having coronary disease.
Cryoablation of pulmonary veins
The procedure for ablation of paroxysmal atrial fibrillation. The procedure is the latest method and has evolved as an alternative to radiofrequency ablation. It results in fewer complications than radiofrequency ablation, better tolerated by patients, superior to medication therapy, and at least as successful as radiofrequency ablation.Why would you need the procedure?
The pulmonary vein cryoablation is performed to terminate the onset of cardiac arrhythmia, paroxysmal atrial fibrillation.When would you need the procedure?
The procedure is indicated in patients who have symptomatic paroxysmal atrial fibrillation that does not respond to drug therapy.What does the procedure include?
The procedure is performed at cardiac catheterization laboratory. Under local anesthesia, a blood vessel is punctured to place a balloon catheter. The catheter is pushed to the pulmonary veins and the tissue around the pulmonary veins is cooled to about -80 Celsius in order to destroy (ablate) the source of the arrhythmia and establish a normal heart rhythm.How to get prepared?
It is necessary to be on empty stomach and with a shaved groin. Bring your complete medical records, daily drug therapy, and personal hygiene accessories. The expected hospital stay is two days (the day of the procedure and the morning after the procedure). Prior to hospitalization, basic laboratory tests should be performed on an outpatient basis: blood type, CBC, CRP, K, Na, urea, creatinine, bilirubin, AST, ALT, GGT, glucose, total cholesterol, HDL, LDL, triglycerides, PT or INR, APTT. These findings should not be older than 14 days. Persons suffering from diabetes or chronic renal failure should have increased hydration for several days before the procedure. If you are taking medicines that prevent blood clotting (Martefarin, Pradaxa, Eliquis, Xarelto, etc.) you should notify the interventional cardiologist one week before the scheduled surgery to agree about the time of discontinuation of therapy. In case of acute inflammatory events (pneumonia, urinary tract inflammation, influenza, etc.) or in case of an allergy to iodine contrast, the interventional cardiologist should be informed on time.Cijene/Price:
Krioablacija plućnih venana upit
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM:
Invasive coronary angiography
Why would you need the procedure?
The procedure is performed in patients with chest pain (angina pectoris), who have clearly positive non-invasive diagnostic test results (ergometry, heart scintigraphy, ECG holter, cardiac ultrasound) with symptoms indicating the coronary heart disease. The procedure is urgent in patients presented with an acute coronary syndrome or unstable angina pectoris (progression of symptoms in the last 2 months and/or at minimal physical activity and/or at rest).When would you need the procedure?
Invasive coronary angiography is required upon the recommendation of a cardiologist.What does the procedure include?
Invasive coronary angiography is performed at the cardiac catheterization laboratory. A needle is inserted (punctured) in the femoral artery, which is located in the groin (inguinal) area or in the radial artery, located above the wrist. In our laboratory, more than 90% of procedures are performed using a transradial approach that is in accordance with the highest world standards. An insertion site is disinfected before the puncture. A local anaesthetic is administered. The puncture is followed by insertion of the guidewire in the artery, which allows easier catheter manipulation. A catheter (long thin tube, 2mm wide) is threaded through the aorta to the heart i.e. coronary arteries. A contrast agent is then infused which allows imaging of the coronary arteries at the X-ray screen showing clearly the potential arterial narrowing i.e. During the procedure, the patient is constantly awake.How to get prepared?
It is necessary to be on empty stomach and with a shaved groin. Bring your complete medical records, daily drug therapy, and personal hygiene accessories. In the case of interventions on the coronary arteries, the patient stays in the hospital one day, and in the case of diagnostic coronary angiography, is discharged home the same day. Prior to hospitalization, basic laboratory tests should be performed on an outpatient basis: blood type, CBC, CRP, K, Na, urea, creatinine, bilirubin, AST, ALT, GGT, glucose, total cholesterol, HDL, LDL, triglycerides, PT or INR, APTT. These findings should not be older than 14 days. Persons suffering from diabetes or chronic renal failure should have increased hydration for several days before the procedure. If you are taking medicines that prevent blood clotting (Martefarin, Pradaxa, Eliquis, Xarelto, etc.), you should notify the interventional cardiologist one week before the scheduled surgery to agree about the time of discontinuation of therapy. In case of acute inflammatory events (pneumonia, urinary tract inflammation, influenza, etc.) or in case of an allergy to iodine contrast, the interventional cardiologist should be informed on time.Cijene/Price:
Invazivna koronarografijana upit
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM:
Percutaneous coronary intervention (PCI)
Percutaneous coronary intervention (PCI)
A procedure that consists of a balloon intervention and/or implantation of a stent into the coronary artery. The procedure continues to diagnostic coronary angiography when it is necessary to repair a narrowed or closed coronary artery. Depending on the extent and position of the coronary disease, several stents can be implanted. Stents are endovascular prostheses (metal supports) that are implanted into the heart artery to keep it maximum opened. There are older stents generations that are not covered with the drug (bare metal stent, or BMS) and newer stents generations that carry the drug and significantly reduce the ability to close the artery ("drug-eluting stent" or DES). In our lab, all the stents are the latest generation DESs.Why would you need the procedure?
The primary indications for the procedure are the treatment of angina (stable or unstable), acute myocardial infarction, and "silent" cardiac muscle ischemia, which are typical for patients with diabetes. Such patients do not have chest pain but an intolerance of exertion, shortness of breath, or frequent heart rhythm disorders.What does the procedure include?
The intervention is a follow-up to diagnostic coronary angiography and can be performed in the same act in the case of emergency patients and in patients who have a high-grade, sub-occlusive narrowing (narrowing over 90%) or more often in another act (second hospitalization) after adequate medical preparation of the patient. During the 30-60 minutes lasting procedure, the narrowing of the coronary arteries are restored with wires, balloons and stents. Arteries that are up to a few millimeters in diameter can be expanded with a miniature balloon, but for the long-term maintenance of their patency, an endovascular support (stent) is implanted.How to get prepared?
It is necessary to be on empty stomach and with a shaved groin. Bring your complete medical records, daily drug therapy, and personal hygiene accessories. In the case of interventions on the coronary arteries, the patient stays in the hospital one day, and in the case of diagnostic coronary angiography, is discharged home the same day. Prior to hospitalization, basic laboratory tests should be performed on an outpatient basis: blood type, CBC, CRP, K, Na, urea, creatinine, bilirubin, AST, ALT, GGT, glucose, total cholesterol, HDL, LDL, triglycerides, PT or INR, APTT. These findings should not be older than 14 days. Persons suffering from diabetes or chronic renal failure should have increased hydration for several days before the procedure. If you are taking medicines that prevent blood clotting (Martefarin, Pradaxa, Eliquis, Xarelto, etc.), you should notify the interventional cardiologist one week before the scheduled surgery to agree about the time of discontinuation of therapy. In case of acute inflammatory events (pneumonia, urinary tract inflammation, influenza, etc.) or in case of an allergy to iodine contrast, the interventional cardiologist should be informed on time.Cijene/Price:
Perkutana koronarna intervencija (PCI) - 1 stentna upit
Perkutana koronarna intervencija (PCI) - 2 stentana upit
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM: