The interventional cardiovascular laboratory is equipped with the most advanced Siemens Artis Zee system providing high-quality imaging records and allowing the performance of interventional radiology procedures with minimal radiation doses.
The constant technological progress expanded a range of clinical conditions that can be treated by applying the interventional radiology procedures, offering many benefits to patients: improving the diagnostic process, eliminating a need for some surgical procedures, reducing risk and faster patients recovery.
Percutaneous dilatation of the pelvic and leg arteries (PTA—percutaneous transluminal angioplasty)
Percutaneous dilatation of the pelvic and leg arteries (PTA—percutaneous transluminal angioplasty)
The procedure is also known as the PTA - Artery balloon dilatation / Artery stent implantation – “opening up” blocked arteriesWhy would you need the intervention?
Stenosis or complete occlusion of the pelvic and leg arteries is caused by the formation of (atherosclerosis) fatty plaques inside an artery. A width of an artery gradually narrows and when a degree of the narrowing becomes extremely high, patients start to experience discomforts where other symptoms develop as well. The main symptom is the pain in the gluteal muscles, upper leg or calf muscle which occurs during a 100 to 200 step walk, or even earlier. It is caused by the reduced oxygenated blood flow in the leg muscles. This pain reduces patient’s walking distance so they are limited in their daily routine. The leg muscles gradually decrease in size (atrophy) due to the lack of oxygen accompanied by the atrophy of other leg structures in case of a long-term oxygen insufficiency. In the worst cases, the affected leg requires a surgical removal (amputation). All previously described problems indicate the intervention.When would you need the intervention?
Angioplasty of the leg and pelvic arteries is indicated in patients diagnosed with an arterial stenosis or complete occlusion, verified by the AB index test, ultrasound, color flow Doppler ultrasound examination of the pelvic and leg arteries or abdominal, pelvic and leg MSCT angiography examination, who have clear symptoms e.g. muscle pains, significantly reduced walking distance which limits the patient's everyday activities (< 250 m).Which radiological examination is required before indicating an intervention?
Ankle-brachial pressure index test (AB index). Ultrasound examination and Color flow Doppler of arteries. Abdominal, pelvic and leg MSCT angiography.What does the intervention include?
Angioplasty of the pelvic and leg arteries is performed under local anesthesia and a patient is sedated. The intervention starts with a small needle stick in the inguinal artery. A thin catheter and guide wires are threaded to the targeted narrowed or completely occluded artery. The stenotic or occluded area of the artery must be threaded by a thin wire. A physician will afterwards decide whether the artery should only be dilated by a balloon (PTA, “opened up”) or a stent should be additionally implanted (metal sheath). The physician‘s decision depends on the degree of the arterial stenosis or occlusion. The intervention is performed though one or two insertions. All significantly narrowed arteries are treated. The duration of the intervention is usually around 60-120 minutes. The intervention ends by pressuring the catheter insertion site with hands or by using an additional agent to close the insertion site.Should a patient expect some discomforts during and after the intervention?
The only discomfort is usually a mild pain and discomfort in the inguinal insertion site, but a hematoma may occur due to spilled blood under the skin. A very rare complication of the artery insertion site is the formation of a sac-like collection with blood flow (pseudoaneurysm) which is treated by applying additional pressure or infusing a sclerosing agent. A patient can return to his daily routine 24 to 48 hours after the performed angioplasty.What result should a patient expect from the intervention?
After the angioplasty of the pelvic and leg arteries, a patient can expect significant improvements including symptom reliefs and normalization of the walking distance, which will become unlimited. A muscle blood supply improves and the atrophy of the leg structures will stop. The intervention prevents the development of the highest degree of the disease and the need for amputation.How to get prepared?
A patient is to come on an empty stomach and shall not smoke before the intervention (at least for 6 hours). A patient should have his groins shaved.Related tests and examinations:
A patient should bring laboratory test results (creatinine blood and prothrombin time are obligatory).Cijene/Price:
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM:
Uterine fibroid embolization (UFE)
Uterine fibroid embolization (UFE)
The procedure is also known as the UFE – blocking the patency of the artery supplying a myoma.Why would you need the intervention?
In case of prolonged and heavy menstrual bleeding or pelvic pain which may be associated with myomas, in case of a pronounced pressure on the urinary bladder or colon by myomas and discomforts associated with the pressure.When would you need the intervention?
The intervention would be indicated if the medications prescribed by a gynecologist do not help to reduce or relieve symptoms or if the traditional gynecological surgery to remove myoma or uterus proves to be impossible to be performed or a patient refuses to undergo the traditional surgical procedure.Which radiological examination is required before indicating an intervention?
Magnetic resonance imaging – Pelvic MRI and MRI angiography of uterine arteriesWhat does the intervention include?
Uterine artery embolization is performed under local anesthesia while a patient is sedated. A thin catheter is inserted through the femoral or radial artery and is threaded to the targeted artery (the uterine artery). The injection containing 300-900 µm of small polyvynil particles is infused to achieve embolization i.e. oclussion of the smallest blood vessels which supply a myoma. Embolization causes the devascularization and hyalinization of a myoma, which consequently reduces. The procedure is performed bilaterally and usually takes approximately 60-90 minutes. The intervention ends by pressuring the catheter insertion site with hands or by using an additional agent to close the insertion site.Should a patient expect some discomforts during and after the intervention?
The only significant discomfort is usually the pain caused by a blood flow blockage in the uterine artery, which occurs due to a temporary insufficient oxygenated blood supply. The pain starts after these small particles block the blood flow of the small uterine arteries and usually lasts for 24 to 48 hours. Since the pain is expected in all patients, an anesthesiologist helps to take all therapeutic measures in order to significantly reduce or eliminate the pain before, during and after the intervention. A patient can return to his daily routine 5 days after the intervention.What result should a patient expect from the intervention?
After the uterine artery and myoma embolization, a patient can expect a significant improvement regarding abnormal vaginal bleeding, pain relief and the relief of the pressure in the pelvis. These improvements are caused by the reduction of a myoma and its blood supply.How to get prepared?
A patient is to come on an empty stomach and shall not smoke before the intervention (at least for 6 hours). A patient should have his groins shaved.Related tests and examinations:
A patient should bring laboratory test results (creatinine blood and prothrombin time are obligatory).Cijene/Price:
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM:
Varicocele embolization in men
Varicocele embolization in men
The procedure is also known as the devascularization of the dilated veins in the scrotum.Why would you need the intervention?
Dilated veins in the scrotum around the testes (varicocele) are caused by a disease of testicular vein junctions and valves causing blood to return and remain around the testis while significantly dilating the veins. A patient starts experiencing symptoms when the veins in the scrotum reach a high degree of dilatation, causing an increased testicular heat. The “bag of worms" structures (dilated veins) are usually palpable around the testes. Other symptoms include pains, discomforts, itching and increased sweating of the scrotal skin. Men with varicocele usually have fertility problems and a poor spermiogram result. All previously described problems indicate the intervention. Alternatively, a varicocele could be treated by the urological varicocele ligation procedure.When would you need the intervention?
Embolization is indicated in male patients diagnosed with the dilation of the scrotal veins (varicocele), verified by a color flow Doppler ultrasound examination of the scrotum and testis or abdominal and pelvic MRI venography, and in patients who have clear symptoms e.g. discomforts, pains, itching, increased sweating of the scrotal skin or infertility problems with a poor spermiogram result.Which radiological examination is required before indicating an intervention?
Ultrasound and Color flow Doppler of the scrotum Magnetic resonance – Abdominal and pelvic MRI venographyWhat does the intervention include?
Testicular vein embolization is performed in local anesthesia and a patient is sedated. The intervention starts with a small needle stick in the inguinal vein. A thin catheter is threaded to the targeted dilated testicular vein. Various embolization materials are applied to achieve blockage of the blood flow in order to exclude the vein from the venous circulation. The intervention is performed though one insertion. All dilated testicular veins are embolized. The duration of the intervention is usually around 60-90 minutes. The intervention ends by pressuring the catheter insertion site with hands or by using an additional agent to close the insertion site.Should a patient expect some discomforts during and after the intervention?
The only discomfort is usually a mild pain or discomfort in the abdomen and scrotum during a few days after the intervention. A slightly higher body temperature occurs very rarely. A patient can return to his daily routing 24 to 48 hours after the embolization performed.What result should a patient expect from the intervention?
After the testicular vein embolization, a patient can expect a relief of the symptoms and improvement of the spermiogram result.How to get prepared?
A patient is to come on an empty stomach and shall not smoke before the intervention (at least for 6 hours). A patient should have his groins shaved.Related tests and examinations:
A patient should bring laboratory test results (creatinine blood and prothrombin time are obligatory).Cijene/Price:
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM:
Vein embolization for pelvic congestion syndrome in women
Vein embolization for pelvic congestion syndrome in women
The procedure is also known as the PCS embolization – occluding dilated veins in the pelvisWhy would you need the intervention?
Dilated veins in the pelvis and around the uterus are caused by valvular diseases of the ovarian and pelvic veins. A lot of blood returns and remains in the pelvic veins so they pronouncedly expand. A female patient starts experiencing discomforts when the uterine veins reach a high degree of dilatation. The most common discomfort is the pain which lasts over 6 months and which cannot be associated with other causes. Other symptoms and signs are dilated veins on the skin of the genital area, in the groin (inguinal area) and on the legs. A pain in the legs occurs rarely, as a result of a pressure on the pelvic nerves, caused by dilated veins. All previously described problems indicate the intervention.When would you need the intervention?
Embolization is indicated in female patients diagnosed with the dilation of the uterine veins and significant dilatation of the ovarian vein, verified by the color flow Doppler ultrasound examination of the abdomen and pelvis or abdominal and pelvic MRI venography, and in female patients who have clear symptoms including chronic pelvic pains and dilated veins on the skin of the genital area and legs.Which radiological examination is required before indicating an intervention?
Magnetic resonance – Abdominal and pelvic MRI venographyWhat does the intervention include?
Pelvic vein embolization is performed under local anesthesia and a patient is sedated. The intervention starts with a small needle stick in the inguinal vein. A thin catheter is threaded to the targeted dilated pelvic vein. Various embolization materials are applied to achieve blockage of the blood flow in order to exclude the vein from the venous circulation. The intervention is performed though one insertion. All dilated pelvic veins are embolized. The duration of the intervention is usually around 60-90 minutes. The intervention ends by pressuring the catheter insertion site with hands or by using an additional agent to close the insertion site.Should a patient expect some discomforts during and after the intervention?
The only discomfort is usually a mild pain or discomfort in the pelvis a few days after the intervention. A slightly higher body temperature occurs very rarely. A patient can return to his daily routine 24 to 48 hours after the embolization performed.What result should a patient expect from the intervention?
After the uterine vein embolization, a patient can expect significant improvements including the pelvic pain and pressure relief. Dilated veins on the skin of the genital area and legs can party or completely disappear as the result of the dilated pelvic vein occlusion.How to get prepared?
A patient is to come on an empty stomach and shall not smoke before the intervention (for at least 6 hours). A patient should have his groins shaved.Related tests and examinations:
A patient should bring laboratory test results (creatinine blood and prothrombin time are obligatory).Cijene/Price:
- Zagreb
Ovu uslugu možete obaviti u Specijalnoj bolnici AGRAM:
You can do this service at Special Hospital AGRAM: