HEMODYNAMICS AND INTERVENTIONAL CARDIOLOGY UNIT

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Controller:  Dr. Jorge Palazuelos Molinero

Our Unit is responsible for the diagnosis, treatment and monitoring of patients suffering from various heart diseases, especially ischemic and/or structural. To achieve this, we have medical and nursing personnel accredited at the highest level by both the Spanish Society of Cardiology and the European Society of Cardiology, as well as the technology necessary to offer optimal solutions to our patients.

Hemodynamics is that part of cardiology that is responsible for the anatomical and functional study of the heart through the introduction of fine catheters through the arteries and veins of the groin or arm. This technique known as cardiac catheterization allows us to accurately know the state of the heart arteries, the pressures within each cardiac chamber, the functioning of the heart muscle (ventricles), the presence of congenital anomalies and the functioning of the heart valves.

  • Cardiac catheterization
  • Coronary angiography and coronary angioplasty
  • Percutaneous closure of atrial septal defect
  • Percutaneous closure of patent foramen ovale
  • Percutaneous left atrial appendage closure
  • Percutaneous aortic prosthesis implantation (TAVI)
  • Percutaneous tricuspid prosthesis implantation
  • Mitral valvuloplasty
  • Aortic valvuloplasty
  • Placement of mitral clips (Mitra-Clip)
  • Pericardiocentesis and percutaneous pericardiotomy
  • Renal denervation
  • Rotational atherectomy
  • Functional study with pressure guide
  • Study with imaging techniques: intracoronary ultrasound (IVUS)
  • Study with imaging techniques: optical coherence tomography (OCT)
  • Intracoronary lithoplasty (Shockwave)
Percutaneous aortic valve prosthesis implantation (TAVI)

The procedure is performed via a femoral percutaneous route, without the need for general anesthesia. It is usually performed by doctors Jorge Palazuelos Molinero, responsible for structural heart disease, and Javier Martín Moreiras, both members of the Cardiology Team led by Dr. Roberto Martín Reyes.

Until now, replacement of the aortic valve through percutaneous aortic prosthesis implantation has been performed only in patients at high surgical risk as an alternative to cardiac surgery. A new study recently published in New England Journal of Medicine (PARTNER 2) demonstrated that, even in patients with moderate surgical risk, percutaneous aortic prosthesis implantation is at least as effective as standard cardiac surgery, without presenting a higher rate of complications.

This fact expands the spectrum of patients who can benefit from this technique without having to undergo cardiac surgery.

APPOINTMENT