[Catheterization roentgenosurgery in cardiology and angiology]

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Medical Imaging

Background:

• Congenital and acquired heart diseases and vascular disorders pose significant clinical challenges.
• Traditional surgical approaches may involve substantial invasiveness and associated risks.
• Minimally invasive catheterization techniques offer potential alternatives for managing complex cardiovascular conditions.

Observation:

• A total of 897 patients underwent intracardiac and intravascular catheterization roentgenosurgical procedures.
• Specific interventions included balloon and knife atrioseptostomy, embolization closure of coronary fistulas, percutaneous transluminal angioplasty, and foreign body retrieval.
• These procedures were applied to diverse patient cohorts with critical cardiac and vascular pathologies.

Findings:

• The study demonstrates the effectiveness of balloon and knife atrioseptostomy in treating complete transposition of major vessels and tricuspid valve atresia.
• Novel catheterization-based embolization techniques were successfully employed for the first time to close congenital coronary arterial fistulas.
• Percutaneous transluminal angioplasty proved beneficial for 99 patients with combined vascular lesions, and foreign bodies were safely removed from cardiac and vascular structures in 49 patients.

Implications:

• Catheterization roentgenosurgical techniques represent a valuable, less invasive therapeutic option for complex congenital and acquired cardiovascular diseases.
• The reported novel procedures expand the interventional armamentarium for previously challenging or untreatable conditions.
• These findings support the continued development and application of interventional cardiology for improved patient management and outcomes.