According to the Vietnam Heart Institute, the case of intervention for a particularly complicated coronary artery disease was an 80-year-old female patient with many underlying diseases (hypertension, diabetes, kidney failure). The patient only had one kidney left (one kidney had been removed due to kidney stones). The intervention was performed yesterday afternoon, January 26.
Previously, the patient was hospitalized at the Vietnam Heart Institute (Hanoi) for treatment due to acute coronary artery disease. Previously, at the provincial hospital, the results of percutaneous coronary angiography showed that the patient had very complicated coronary artery damage and needed to be transferred to a higher level.
The complex cardiovascular intervention performed by Professor Pham Manh Hung and doctors at the Vietnam Heart Institute was broadcast live at an international scientific conference in Singapore.
At the Vietnam Heart Institute, doctors consulted and determined that this was a difficult case, due to coronary artery damage with many narrowings and the patient having many accompanying diseases.
In particular, the patient had calcification of all three coronary artery branches, and damage to the common trunk of the left coronary artery (this is a key location, the origin of the left coronary artery branches). The coronary artery is a blood vessel system whose main function is to supply oxygen-rich blood to the heart muscle, maintaining the heart's activity. With the patient's injury, previously only open heart surgery was possible.
However, the patient's health condition did not allow for open heart surgery, so the doctors decided to choose the intervention method of dilation and stent placement for the patient, through 2 interventions.
Coronary artery image with calcification and numerous lesions successfully treated
The first time, the patient had right coronary artery intervention 1 week before.
Professor Pham Manh Hung, Director of the Vietnam Heart Institute, said that in the second intervention, doctors directly intervened in the very severe stenosis of the common trunk of the left coronary artery along with two main branches on the left (the system of branches of the left coronary artery is important to the heart, originating from a root called the common trunk).
This intervention was performed on the afternoon of January 26 and was broadcast live to the World Scientific Conference on Interventional Cardiology, held in Singapore.
The intervention team led by Professor Pham Manh Hung and the hospital's doctors successfully performed the surgery in about 1 hour.
During the intervention, many difficult techniques and operations were performed by the doctors. Doctors used intravascular ultrasound to guide the intervention accurately; used "tricks" with 2 guide wires to slide the stent through winding corners, or bent the guide wire to "steer" into difficult positions, ensuring patient safety.
In particular, in this intervention, the authors also used the "hybrid" technique to place stents in the large main branches. For the side branches and long narrowed vessels, the drug-coated balloon technology to prevent restenosis and angioplasty was used. The intervention techniques help patients not have to place too many stents; reducing the risk of restenosis or stent re-occlusion.
According to Professor Hung, in the past, patients with common trunk injuries were considered contraindicated for intervention. However, with the advancement of technology and many modern means, especially the experience and skills of doctors, it has been possible to intervene in these injuries.
During the implementation, the intervention team answered "questions" from the chair and international colleagues attending the conference in Singapore. The intervention techniques and professional experience of the doctors at the Vietnam Heart Institute were highly appreciated by their friends.
This morning, January 27, regarding the patient's health after the complex intervention, a member of the intervention team said that the patient's difficulty breathing and chest pain had improved, and vital signs and basic tests had stabilized and returned to normal.
Interventional cardiology is a specialized field in cardiology, using catheter-based devices to intervene and cure cardiovascular diseases without surgery or sometimes surgery is not possible. For example, coronary artery angioplasty, stent placement, transcatheter heart valve replacement, catheter-based treatment of congenital heart disease, and ablation of arrhythmias.
Currently, the country has more than 120 cardiovascular intervention centers and has intervened in most common cardiovascular cases in a timely manner, especially with acute myocardial infarction.
Many doctors of the Vietnam Heart Institute are leading experts domestically and internationally, and have transferred techniques to many cardiovascular centers in other countries.
Cardiovascular patients in the country do not need to go abroad for treatment, but can still receive timely treatment (a particularly important factor for cardiovascular disease) and save a lot of money.
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