Hospital procedures

Cardiology clinic

Scope of procedures

  • Heart sounds measurement
  • Blood pressure measurement
  • Electrocardiography (ECG):
  • Echocardiography (Echo)
  • ECG stress test (stress test of the heart)
  • Pacemakers control

Intensive cardiology care department

Scope of procedures

  • Postoperative respiratory rehabilitation: oxygen therapy, inhalation of mucolytics, de-obstructive therapy
  • Treatment of respiratory failure: invasive and non-invasive mechanical ventilation, inhalation of prostaglandins
  • Treatment of acute heart failure: medical and mechanical circulatory support
  • Functional evaluation of the circulation: catheterization of the pulmonary artery, measurement of the cardiac index
  • Treatment of the renal failure: continuous and intermittent hemofiltration or dialysis, therapeutic apheresis
  • Functional evaluation of the central and peripheral nervous system; trans-cranial Doppler, saturation of the blood in the jugular vein, electroencephalogram and close to the body spectroscopy
  • Evaluation of the nutritional balance: enteral and parenteral nutrition

Cardiac surgery clinic

Scope of procedures

  • Coronary Artery Bypass Surgery: myocardial revascularization with or without extracorporeal circulation
  • Minimally invasive surgery of Aortic valve and ascending aorta with mini sternotomy (6-7 cm cutaneous cut). This approach allows faster patients’ recovery
  • Surgery of the ascending Aorta and Aortic arc
  • Minimally invasive surgery for Mitral and Tricuspid valve, as well as for some congenital conditions as Atrial Septal Defect
  • Innovative reconstructions of Aortic, Mitral and Tricuspid valves
  • Cardiac surgery for Marfan syndrome for preventing life- threatening dissection of the ascending aorta
  • Surgery of Cardiac tumors
  • Surgery for conduction and rhythm disorders, surgical implantation of pacemaker lead, Cardiac Resynchronisation Therapy in Heart Failure Patients
  • Surgical implantation of continuous intracardiac catheter
  • Surgery for Pericardial disease
  • Surgery for Massive Pulmonary embolism
  • Surgery for congenital cardiac disease in patients over 18
  • Surgical treatment of Dehiscence of the sternum

Intensive cardiac surgery care department

Scope of procedures

  • Active postoperative rehabilitation
  • Mechanical ventilation
  • Medical therapy
  • Circulatory support
  • Treatment of renal failure with continuous or intermittent hemofiltration of dialysis

Non-invasive diagnostic departement

Scope of procedures

  • ECG
  • Echocardiography
  • 24- Hours ECG monitoring
  • 24- Hours blood pressure monitoring
  • Fetal echocardiography
  • ECG stress test
  • Vascular Doppler Ultrasound

Vascular surgery clinic

Scope of procedures

  • Surgery for aneurysms of the aorta and peripheral vessels
  • Complex surgery and prophylaxis of cerebral vascular disease
  • Surgery for occlusive peripheral disease
  • Urgent surgical treatment of embolism, thrombosis, rupture, etc.
  • Surgery for varicose veins, veins thrombosis, laser ablation, minimally invasive vascular procedures (Venablock), sclerotherapy
  • Complex treatment of vascular related tumors and malformations like hemangioma, congenital vascular abnormalities, fistulas, anatomical compression of blood vessels
  • Percutaneous transluminal angioplasty for carotid and peripheral arteries
  • Embolisation of blood vessels, related with diseases and conditions like cerebral aneurysm, arteriovenous malformations, carotid cavernous fistula and different types of tumors
  • Surgical treatment of diabetic foot
  • Placement of long-term dialysis catheters and port-a-cath for chemotherapy

Clinic for anesthesiology, reanimation and intensive care

Scope of procedures

  • Anesthesia for cardiac surgery
  • Anesthesia for vascular surgery
  • Anesthesia for upper and lower endoscopy
  • Anesthesia for interventional procedures
  • Preanesthesia consultations
  • Postoperative pain relief

Invasive cardiology and cardiostimulation department

Scope of procedures

  • Permanent Pacemakers implantation
  • Diagnostic Percutaneous Cardiac catheterization
  • Invasive venous or arterial procedures with high-tech equipment
  • Coronary angiography
  • Angioplasty and stent implantation
  • FFR
  • Renal denervation
  • Endoprosthesis of the thoracic and abdominal aorta

Radiology department

Scope of procedures

  • X-Ray examination
  • Computed Tomography (CT) scan including imaging of the cerebrum, chest and lungs, abdominal organs, pelvis and skeletal system
  • CT angiography of the coronary arteries, peripheral arteries of upper and lower extremities, cerebrum angiography and carotidography

The department is equipped with Magnetic Resonance Imaging (MRI), including the unique, for Bulgaria, intraoperative software for imaging of the cerebrum, spinal cord and musculoskeletal system

Neurosurgery clinic

Scope of procedures

  • Neuronavigated limited surgical interventions for brain tumors
  • Hybrid surgery for vascular diseases of the brain
  • Miniinvasive percutaneuos surgical interventions for treatment of the spinal cord: spinal disc herniation, tumors of the spinal cord, decompression and stabilization in different types of fractures of the spine
  • Surgery of peripheral nerves
  • Endovascular treatment of brain aneurysms and artriovenous malformations
  • Endoscopic assisted neurosurgery
  • Plastic reconstructive surgical interventions of skull defects
  • Congenital malformations of the central nervous system
  • Diagnostic of all types of diseases of the central nervous system
  • Percutaneous  pain treatment through cryoablation

Neurology department

Scope of procedures

  • Neurological diagnostic procedures
  • X-ray of the spinal cord
  • CT scan and MRI of the cerebrum and spinal cord
  • CT angiography of the brain vessels
  • (EEG) Electroencephalography
  • (EMG) Electromyography
  • Doppler sonography
  • Diagnostic of the spinal cord liquid
  • Diagnostic and treatment of strokes
  • Diagnostic and treatment of disorders of the cranial nerves, radiculopathy, polyneuropathy and pain syndromes
  • Diagnostic and treatment of neuromuscular diseases
  • Diagnostic and treatment of multiple sclerosis
  • Diagnostic and treatment of epilepsy and epilepsy seizures
  • Diagnostic and treatment of mediastenia gravis
  • Diagnostic and treatment of  Parkinsons disease
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