INNOVATIVE CARDIOLOGY AND CARDIAC SURGERY IN LVIV

Abstract

In modern medical care, there is an urgent need for the use of innovative technological medicine that expends the horizon for cardiovascular treatment. The introduction of innovations requires successful solutions and should be based on the experience of classical treatment of heart and vessels pathologies. For the development of interventional cardiology and cardiac surgery in Lviv, doctors of the cardiac surgery department of the Lviv Regional Clinical Hospital initiated the involvement of Polish colleagues to found a joint Ukraine-Polish heart center "Lviv" on the basis of the Lviv Regional Clinical Hospital. The purpose of the article is to inform the medical community about the availability of modern methods of diagnosis and treatment of heart and blood vessel diseases in Lviv and Western Ukraine. New diagnostic methods are being introduced that optimize the results of coronary endovascular revascularization. In particular, assessment of coronary physiology - instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR) and intravascular ultrasound (IVUS) to determine the morphology of the affected coronary vessels. The wider use of endoprostheses for the descending thoracic aorta (EVAR) makes it possible to adequately stent the hard-to-reach segment of the aorta in its aneurysms or stratification, as well as to avoid complex traumatic open surgeries. Transcatheter aortic valve implantation (TAVI) was performed at this medical center on October 12, 2020 for the first time in Lviv and Western Ukraine.