IstHealth Hospital Heart Health Center provides services with world-class equipment and infrastructure to protect heart health, diagnose and treat heart diseases. At IstHealth Hospital, diagnosis and treatment is provided to all types of heart patients, from newborn babies to adults of the most advanced age. In the “Fetal Cardiology Unit”, where heart disease is diagnosed during pregnancy, heart diseases can be diagnosed in the womb. The center serves its patients in the field of examination, diagnosis, treatment, rehabilitation and coronary intensive care in heart diseases.

Cardiological examinations at IstHealth Hospital Heart Health Center
Electrocardiography (ECG):
It is the recording of electrical activity that occurs in the heart to study the work of the heart muscle and the neural conduction system. Voltages raised by a current amplifier (amplifier) are usually recorded on heat sensitive paper. Potential changes that occur with the electrical activity of the heart spread simultaneously throughout the body with the help of tissues around the heart and, in particular, blood. Electrical changes that occur through conductive ends (electrodes) placed in various parts of the body are recorded by raising. ECG helps in the diagnosis of heart disease when it is evaluated together with the land and symptoms found by the doctor during the examination, while other tests and films are also taken into account.

Exercise (Treadmill) test:
Exercise stress test, cardiac disease to investigate the presence of known determination of the effectiveness of treatment in cardiovascular disease, heart rhythm abnormalities arrhythmia has occurred, it is determined that the mean of effort together with, in the investigation of various heart diseases to make the effort capacity of the patient and, ultimately, hypertension effect on blood pressure is a test of effort of the survey to be referenced. During the exertion test, the patient walks on a treadmill. The heart rate is increased by adjusting the speed and slope of the walk by the doctor. A Treadmill test is a test performed by taking EKGs in series and measuring blood pressure when a person walks on a walking band at certain speeds. It allows the detection of abnormal findings that cannot be detected on the ECG at rest after exertion. The exertion test requires the accompaniment of a specialist doctor from beginning to end. Exertion testing provides great convenience in early diagnosis and diagnosis of heart disease.

On the way to the exercise (Treadmill) test appointment;

Eat a light meal 3 hours before the test, and then drink a small amount of water if you need it, but do not take food.
Bring your previously taken ECG with you.
Male patients should have a chest shave.
It is more convenient for female patients to wear clothes consisting of 2 parts.
Before the exertion test, your doctor may ask you to stop some medications.Consult your doctor who follows this topic.
Transthoracic echocardiography (superficial echocardiography), Fetal-pediatric echocardiography
Echocardiography is the study of heart structure and performance through sound waves (ultrasound). It can be applied to everyone, including pregnant women and newborn babies, without any risk or pain, thanks to the absence of a radiation-containing method and the absence of any medications during the procedure. During the procedure, the patient is asked to lie on a stretcher. A water-based gel with an insulating property is applied on it and a device that sends a sound wave called a probe is held by the doctor in various positions in the chest area, allowing the heart to be displayed. Very detailed measurements and analyses are performed on these images. Structural diagnosis of all diseases of the heart, (enlargement of the heart, heart muscle diseases, valvular heart disease, hypertensive heart disease, heart failure, diseases of pericardium, heart to the masses, clots, congestive heart failure, congenital heart anomalies, and even called the aorta, the vessels of largest diameter in the body diseases) echocardiography is the process of. No preparation is required for echocardiography. However, it is appropriate to wear a comfortable outfit when coming to your echocardiography appointment. In addition, the doctor of the patient who has decided to perform echocardiography should be sent to the doctor who will perform echocardiography, taking the request paper containing the medical information of the patient and the purpose for which the procedure will be performed.

Stress Echocardiography
Stress echocardiography the blood vessels that supply the heart ( coronary arteries) to investigate whether there is a blockage or narrowing of a heart attack ( myocardial infarction) patients who have had a non-drug in deciding whether you need treatment and heart valve diseases is used to evaluate the severity of the disease. It is a secure and easy-to-apply technique that provides very important information.

Stress echocardiography is performed by simply examining the heart with sound waves before and after the “stress to be created”. No pain is felt during this procedure. The stress method to be used is to make an effort on the treadmill device, that is, to increase the heart workload by walking in a brisk way. Stress echocardiography is also done with medication that will be given through the arm vein.

Stress before echocardiography;

Come to your appointment 4 hours hungry
Consult your doctor about whether we will cut the medications you are using before the procedure
Bring comfortable shoes and comfortable clothes when coming to processing
Bring other heart-related tests with you
TEE Test
TEE measurement is a method applied when the patient’s chest structure ( for reasons of lung disease, deformity, etc.) does not give adequate quality echocardiographic images or when evaluation is required by seeing intra-heart formations more closely. TEE is an endoscopic examination. A thin tube (probe) lowered from the mouth to the esophagus reaches the back neighborhood of the heart and a very clear, detailed image is taken. It takes 30 minutes with the preparation before the procedure.

Before the inspection;

Come 4-6 hours hungry and without drinking water
Consult your doctor if you have diabetes
If you have a prosthesis in your mouth, remove it before examination
If you have difficulty swallowing or have an esophageal disease, inform your doctor in advance
Before arriving at the hospital, always bring with you pre-performed tests and medications that you use
Post-examination;

Do not eat for 2 hours
Do not drive for several hours, as sleep and dizziness will continue
Holter
An ECG Holter is a device that connects to a belt, such as a mobile phone. 3-4 pieces of cable are attached to the chest through electrodes (3-4 cm diameter adhesive material made of soft plastic). The device loses its heart electricity during the scheduled time, while the person continues his normal daily life. At the end of the period, the records obtained by removing the device are analyzed on the computer. Thanks to this tool, all rhythm disorders caused by the heart, such as palpitations, chest pains, feeling of fainting, which are not seen during the examination but are short-term during the day, can be detected. Before the Holter examination, the doctor should be consulted whether the drugs used should be discontinued. After the Holter device is installed, the events that make up the complaints should be repeated. Coffee consumption, climbing stairs, etc.s.

Event recorder; these devices are similar to the ECG Holter device and are especially used to detect rhythm disorders that are not repeated frequently. The device can remain in the patient for 14 days. It has the ability to receive records only when the patient has a complaint ( the registration time can be adjusted to the desired extent).

Blood pressure Holter is a measure of patients ‘ blood pressure throughout the day at frequent intervals, recording blood pressure and pulse. Early detection can be achieved in patients without prior hypertension with measurements made between 24-72 hours. Blood pressure is measured at frequent intervals throughout the day by Holter patients, during their activities during the day, during sleep, during rest, blood pressure and pulse count are recorded. In this way, patients with long-term hypertension, at what time of day the blood pressure values increase by determining the treatment is regulated. It helps guide treatment by early detection in patients who have not previously had hypertension.

Tilt Table Test Tilt Table Test):
It is a test used to diagnose fainting (syncope) caused by a sudden drop in blood pressure and/or heart rate in sudden departures after standing still for a long time or sitting for a long time. It is used for differential diagnosis of fainting. The Tilt Table test is performed in an outpatient clinic on a tilt table. The patient is laid on the table, then the table is placed in an upright position. Excessive blood pressure drop and / or pulse drop indicate abnormal response.

Interventional procedures performed at IstHealth Hospital Heart Health Center
Treatment Of Aortic Valve Stenosis – Tavi Method
With age, calcification can be seen in the aortic valve, and the valve cannot open or Close well. Aortic valve narrowing, which occurs due to advanced age, is more common in men. By the TAVI method, which can be considered as a revolutionary in cardiology, a new valve is placed inside the aortic valve with the help of a non-surgical catheter. With this method, valve replacement is provided without opening the chest. TAVI, the process of expanding the valve that reaches the heart through a catheter intravenously without stopping the heart and opening the chest, and placing a new valve in this expanded area, is a method used in patients where open surgery cannot be performed or is at high risk.

Transient Pacemakers
If the heart rate slows down excessively due to the inability of the Warning Center in the heart to create an alert at a sufficient speed, or the resulting stimulus cannot be transmitted to the lower centers, pacemakers placed in the body are needed to ensure the heart rate so that the patient can live a normal life. The procedure is usually performed with local anesthesia in the neck, chest or groin in the form of placing thin wires called electrodes inside the heart through large veins leading to the heart and connecting them to a generator outside the body. This procedure can be done at the bedside or under an X-ray machine. The procedure usually takes 20-30 minutes. When the temporary battery requirement is eliminated, the wire placed inside the heart is removed.

Pacemakers
Millions of people around the world carry pacemakers. These high-tech small devices are used for many purposes, from preventing the slowdown of the heart rate to treating heart failure, from pumping the heart to preventing sudden death. The device, which eliminates complaints experienced after installation, helps the patient return to normal life by improving the quality of life. Basically, there are 3 types of pacemakers: single-wire and 2-wire batteries that prevent heart rate slowing, 3-wire batteries used to treat heart failure, and defibrillators that save lives by giving electroshock if the heart due to a high rhythm in the heart cannot perform the pump function. A pacemaker is attached to people who have heart rhythm disorders and cannot live their lives normally. These patients can return to normal life patterns with the help of a pacemaker. These people can go back to work, do household chores, drive, travel, swim, continue their hobbies and sex lives. People carrying pacemakers should always carry their pacemaker ID card with them. As they travel, they must learn about the nearest clinics where they go. After installing a pacemaker, it is necessary to monitor its performance. In fact, the pacemaker, which is itself a small computer, can be read from the outside by a method called telemetric method with the help of another computer. In this way, information such as how the patient’s heart rate was monitored, how much the pacemaker worked, whether its own rhythm appeared from time to time, whether it was always connected to the pacemaker, whether there were other rhythm disorders is reached. In addition, it is possible to program the pacemaker from the outside how many volts the battery should work at, or the values that should hold the heart rate. The patient has to come for a check-up every 6 months for 7 years, which is the average duration of the battery’s endurance. These controls are very important, as it can be determined in advance that the battery will run out.

Electrophysiological Study
Electrophysiological study is an interventional diagnosis and treatment method performed by inserting thin cables called electrode catheters into the heart by passing through thin sheaths placed in the inguinal vessels in the electrophysiology/angiography laboratory. Electrical signals received directly from the heart are evaluated through advanced computers and deviations from normal are investigated. In this way, it can be understood whether the main central warning system of the heart is working well and whether the system that transmits the warnings safely sees its function. In patients who often complain of palpitations in the form of fast beats, the causes of rapid beats, which are the cause of the patient’s complaint, are created by warnings given from these cables inserted into the heart by special methods, and the causes of their occurrence are investigated. Tachycardia can be completely treated by applying a special current Point Energy consisting of radio waves when the presence of short circuits is detected. In this way, permanent treatments for most rapid heartbeat palpitations (tachycardia) have become possible today. Electrophysiological examinations performed for diagnostic purposes take 30-60 minutes. If a therapeutic intervention is required, this is a procedure that can take up to 1-4 hours.

Catheter Ablation
Catheter ablation is the treatment of arrhythmia performed by giving radio waves. This method is applied in rhythm disorders that cannot be controlled by medications, or if patients do not want to take medications for life. In some cases, a rhythm disorder can be so important that it can be life-threatening. In such cases, it may be necessary to apply a direct catheter ablation method. The procedure is basically performed by numbing the needle entry points with local anesthesia, and in some cases under general anesthesia. During the procedure, a tranquilizer can be made so that the patient can feel comfortable. The probability of success of treatment of rhythm disorders in the form of rapid heartbeat with catheter ablation varies between 70-100% depending on the type of palpitations targeted for treatment, the location of the short circuit. From success, the treatment of palpitations is understood, so as not to happen again. After successful application, the probability that the Flutter will recur varies depending on the type of rhythm disorder. For example, in heart palpitations due to short circuits, this probability is between 3-5%. Mitral Valvuloplasty

Mitral stenosis; ‘Acute Rheumatic Fever’, a childhood disease, is a disease that gives symptoms in the Advanced period due to retention of the heart valves. Mitral stenosis is the narrowing of blood in a way that makes it difficult to pass from one of the chambers in the heart to the other. Therefore, blood accumulates in the lungs in the form of water. This, in turn, causes the person to feel shortness of breath. In mild strictures, drug therapy is sufficient, but in moderate and advanced strictures, Mitral valvuloplasty or open heart surgery is performed. Mitral valvuloplasty is an interventional procedure performed by inserting a catheter from the groin. A special needle sent through a sheath is passed from the right atrium of the heart to the left atrium by puncturing the curtain between them. The needle is removed from the sheath and the guide wire is advanced to the left atrium through the same sheath. The movements of the wire are monitored on the screen. After the wire is placed in the correct place, the balloon is placed inside the cover, which is narrowed by advancing through the wire. The balloon is inflated where the cap is narrow. So the cover is expanded as much as possible. Mitral balloon treatment results, when performed to appropriate patients, are as successful as in patients undergoing heart surgery.

Advantages of Mitral valvuloplasty:

Since it is performed with local anesthesia, the patient remains conscious during the procedure. The right or left groin area is numbed, and the balloon is advanced to the heart through a small hole that opens here.

In this way, the need to open the rib cage, stop the heart and use the heart-lung machine is eliminated

After the procedure, patients are monitored in the service instead of intensive care

Patients can get up the next day

The vast majority of patients can be discharged the next day

In patients whose lid is opened with a Mitral balloon and there is no rhythm disorder, there is no need to use blood thinners continuously after the procedure.

With balloon mitral valvuloplasty, a decline in complaints is recorded in up to 90% of patients. This improvement can continue for up to 20 years. Most patients experience relief for at least 5 to 10 years.

Coronary Angiography:
Coronary angiography is a method used to detect disease of the arteries that feed the heart. It is caused by cardiovascular disease. Coronary angiography also determines which area of the arteries that supply the heart is narrowed or blocked. By identifying strictures or blockages in the heart vessels, it allows treatment to be directed as needed. In coronor angiography, the inguinal or arm arteries are used as the place of interference. A sheath is first placed in the artery at the site of the intervention, using different catheters through this sheath, the vessel structure is displayed with opaque substance (painted substance) delivered to the initial part of the heart vessels. Coronary angiography is performed in specially deployed Angio halls. After the process is finished, the sheath placed on the artery at the interference site is removed, pressing on this area ensures that the bleeding stops. After a tight bandage is made, the patient is taken to his bed. Coronary angiography is completed 20 to 30 minutes after the patient is admitted to the Angio room. In some cases (patients with bypass surgery, patients who have previously undergone various heart operations, patients with blockage of the groin or arm vessels, etc.s.) this time may extend. For coronary angiography, hospitalization of the patient is necessary. After the procedure is completed, the patient is rested for 6 hours and then allowed to stand up. He is discharged if his general condition is appropriate and his doctor approves. In some cases, the sewing system can be used after the sheath is pulled. These patients can be discharged by getting up earlier. A few days before arriving for angiography, you should contact the angiography secteter and get information about what needs to be done.

Percutaneous Transluminal Coronary Angioplasty (Ptka) – Stent:
PTKA and / or stent are methods used to treat narrowing or complete blockages in the vessels that feed the heart that are detected after coronary angiography. In the angiography laboratory, such as PTKA and / or stent coronary angiography, the patient is sedated, using local anesthesia instead of admission. Processing time is variable. At the end of the procedure, the patient is taken to the appropriate service according to the recommendation of his doctor. Coronary balloon angioplasty is performed using specially designed materials. First, a catheter is placed through a sheath placed in place of interference, and the vein is passed through the narrow area with a very thin guide wire that moves through this catheter. By sliding the balloon through this guide wire, the patient is delivered to the area. Then this balloon is inflated by giving liquid from the outside and opening the narrowness is provided. After checking, the process is terminated when it is determined that opening is sufficient. . Ensuring proper opening is rare. In addition, stents are preferred in 95% of patients to reduce the risk of re-constriction in the future. At first, only bare, special, stainless metal stents are used, while new and different stents of drug-releasing nature are also used today due to technological progress. In which case, the doctor decides which stent to use by talking to the patient is a way to choose for the right treatment. PTCA stent is a practice that requires a patient to be hospitalized for one day. The patient is discharged if the doctor deems it appropriate. 2 days of home, 15 days of work rest together with 15 days of stressful environments, sexual intercourse is very important to stay away. The patient’s ability to travel by plane and long land after rest is also determined according to the recommendation of his doctor.

Cardiac Catheterization
Heart catheterization is a method that is performed using the inguinal and arm arteries, similar to coronary angiography, but often requires simultaneous vascular intervention. Structure of cardiac catheterization congenital or subsequent heart-related diseases, anomalies, or later born again of the holes in the diagnosis and treatment of the heart a diagnostic about whether you should utilized a different method. The cardiac catheterization process takes about 30 minutes. After the procedure, the sheaths placed in the artery and balls are pulled and the bleeding is stopped by external pressure. A tight bandage is made to this area and the patient is taken to the bed. After the procedure, usually 6 hours of rest is enough. At the end of the rest, the patient can be discharged if the doctor deems it appropriate. In cardiac catheterization and coronary angiography, the risk of life is extremely low. A few days before the heart catheterization process, you should contact the angioedema secteter and get information about what needs to be done.

E.E.C.P is a method that will be applied to patients who are technically not able to open veins using balloon angioplasty and who need bypass surgery but cannot handle open heart surgery due to advanced age, insufficient lung or kidney capacity. E.E.C.No pre-preparation is required for P and there is no pain during the procedure. No needle (injection) or processing-specific drug is used in any way. During the procedure, the patient is laid on his back at the table, during which air bags are attached to his legs and around his hips. E. with the help of a heart electrocution.E.C.Device P is timed with the patient’s heartbeat, and with the help of a computer inside the device, air bags are inflated and extinguished in accordance with the heart. During the treatment session, patients do not feel any discomfort, while they can read newspapers, watch television, or listen to music with headphones. One session, E.E.C.P the treatment process takes one hour and the entire treatment period requires 35 sessions. Immediately after the end of the procedure, the patient can return to work or home and start his daily normal life.

E. E. C.P. for whom is its treatment inconvenient?
People who have had bypass surgery or a heart attack in the last three months

Patients with clots in leg balls

Those with non-healing wounds on the legs

Patients with severe leakage of the aortic valve of the heart (aortic failure)

Department of Nuclear Medicine at IstHealth Heart Health Center
Myocardial Perfusion Scintigraphy (Thallium Test) :
This test examines the blood flow (or nutrition) of the heart muscle during rest and during stress. If there is any stenosis in the veins that feed the heart, and if there is stenosis, it is investigated whether the current stenosis creates a disorder in the nutrition of the heart. It is a more sensitive method than the effort test. First, the patient is given radioactive intravenously and resting images are taken on a device called a gamma camera, then a stress test is performed by walking on tape or taking drugs, and the radioactive substance is injected again. Again, the image is taken on the gamma camera. Radioactive material goes all the way to the heart and reaches the heart muscle. In places with vascular obstruction, this substance is kept less. Gamma camera is the name of the device that allows us to capture images. It rotates around the heart at regular intervals, transmitting radioactive signals from the heart to a computer. The computer converts the signals obtained into a color image and analyzes the blood and nutrition of all areas of the heart.

In what cases is myocardial perfusion scintigraphy requested; In determining the interest of chest pain with heart disease, in determining the viability of the heart muscle after myocardial infarction in diagnosing cardiovascular diseases, in determining the benefit and necessity of application before and after coronary balloon angioplasty, in determining the importance of vascular disease in people with cardiovascular disease as a disease screening test, in determining the effectiveness of treatment after coronary bypass surgery or drug therapy, in determining whether patients have had infarction, determining the width and severity of the heart attack

Operations at the heart health center of IstHealth Hospital, Department of Radiology
Coronary CT Angiography
CT coronary angiography can be performed with a 64-section “Multi-detector-multislice-multi-section CT” device without any prior preparation, without a catheter and only for a period of breath involvement. CT coronary angiography is a groundbreaking new method in the field of imaging, as it can be performed easier and faster than conventional angiography and can be performed without blood and pain. Eliminates the need for hospitalization. After the procedure, the patient continues his daily life. Coronary angiography of people with risk factors is easily performed thanks to this system. It has been observed that patients who have undergone classical coronary angiography prefer this method and that many patients have been intervened and treated early thanks to CT angiography.

Interventional procedures performed at IstHealth
Interventional Methods In Cardiology
Currently, interventional Cardiological methods are rapidly prominent in the treatment of heart diseases. Many heart conditions that cannot be treated without surgery in recent years can be treated comfortably for the patient without the need for surgery. Interventional Cardiological treatment provides patients with many advantages, such as protection from the risks associated with surgery, reduced hospital stay times and no scars. All interventional procedures performed in cardiology are successfully performed in our hospital.

1. TAVI

2. Mitra Clip

3. Complex Coronary Interventions

4. Balloon Mitral Valvuloplasty

5. Pulmonary Balloon Valvuloplasty

6. Septal Ablation

7. ASD/VSD / PDA shutdown

8. Closure Of Coronary Arteriovenous Fistula

9. Paravalvular Leakage Closure

10. Ablation Methods For Tachycardia
– Supraventricular tachycardia (RF or cryoablation)
– Ventricular tachycardia (with 3-D mapping )
– Atrial fibrillation (Cryoablation, ablation with 3-D mapping )
– Epicardial Ablation

11. Lead Extraction

12. Device Implantation
– Pacemaker / ICD
– CRT / CRT-D implantation

13. Renal denervation (in resistant hypertension)

14. Non-surgical treatment of aortic vessel dilations and ballooning

1) TAVI

This process can be defined as a non-surgical aortic valve replacement. The aortic valve is the valve in the mouth of the main vein that exits the heart. Calcification can be seen in this lid with age, and the lid cannot be opened and closed well. A new valve is inserted into the aortic valve of patients with no chance of surgery or high risk with the help of a non-surgical catheter using the TAVI method, which can be considered revolutionary in cardiology. With this method, valve replacement is provided without opening the chest. A new valve is inserted by passing through thick layers of lime in the aortic valve with wire, and this valve opens on its own. The patient can return to work and social life after 2-3 days of rest.

Thanks to this proven reliability method, the problem of deterioration of non-metal caps used in past surgical methods is prevented. The non-surgical aortic valve replacement method can be applied to high-risk patients who have no chance of surgery, as well as to patients who have previously had bypass surgery and are at moderate risk. The results from the procedures are extremely successful. Because the rib cage is not opened, the life expectancy of patients is extended thanks to this procedure, which is very comfortable for patients.

2) Mitra Clip:

This procedure is intended to treat the insufficiency of the mitral valve located between the left atrium and the left ventricle in the heart. In case of blood leakage from the Mitral valve, a catheter is inserted into the heart, such as angiography, and a latch is inserted into the lid. Thus, the cap is reduced and blood leakage is eliminated. In patients who do not have a chance of surgery, blood leakage continues when this procedure is not performed, and the patient’s condition can deteriorate. After this procedure, which lasts 1-1 and a half hours, patients can return to their daily activities in a short time.

3) Complex Coronary Interventions:

In recent years, most patients with narrowing or blockage of the coronary vessels that feed the heart were referred to bypass surgery. Today, thanks to the developing technology and advanced technology products, it can interfere with the blockages of coronary vessels that could not be intervened 10 years ago, that is, the vessels that feed the heart. Patients can be treated without opening the chest with the help of wires, balloons and stents that can pass through very narrow vessels used in complex coronary interventions.

4) Balloon Mitral Valvuloplasty:

This procedure, like mitra clip, is applied in valve disorders between the lower left atrium and the left ventricle. Many years ago, rheumatism and rheumatic valve diseases were very common. The most common valve disease due to rheumatism is mitral valve stenosis. Rheumatism, when the cap holds the leaves, the leaves stick and thicken and calcify. In this process, covers that are not too heavy and chalky, which can be easily opened with a balloon are selected. During the procedure, the left atrium of the heart is entered through the vein of the leg balls, reaching the left atrium of the heart like an angiogram, and the valve between the left atrium and the left ventricle is expanded with a special balloon. In this method, it is possible to achieve long-term and successful results by selecting the appropriate patient.

5) Pulmonary Balloon Valvuloplasty:

In this method, patients with stenosis in the cap at the head of the artery leading to the lung from birth enter the cap through the leg balls and the valve is reached and the balloon is inflated in that area and the valve is opened. In this way, long-term and successful results can be obtained.

6) Septal Ablation:

“Hypertrophic Obstructive Cardiomyopathy”, a heart condition that often occurs in recent years and often progresses in the form of thickening of the division between the ventricles of the heart, which is often genetic, can also be treated without surgery with this procedure. Thanks to the procedure, a special substance is introduced into the thin vein that feeds the area that narrows the output of the heart, and the compartment of the heart, which is thickened by blocking this vein, is extinguished, and the way out of the heart is opened. After the procedure, the patient can continue his life with health.

7) ASD/VSD / PDA shutdown:

ASD/VSD / PDA are congenital holes that are between the compartments of the heart. In the past, patients with congenital heart holes were necessarily operated on. Currently, the heart holes of patients who are suitable for the procedure can be closed without the need for surgery with the help of plug-like devices.

8) Closure Of Coronary Arteriovenous Fistula:

Because the heart constantly contracts and relaxes, the veins that feed the heart move above the heart. The arteries bring blood to the heart, after giving oxygen to the tissue, these blood collects and returns back through the veins. This relationship is sometimes very complex, and the blood that comes without the capillary relationship between them returns to the vascular system in the balls. This condition is called “arteriovenous fistula”. This discomfort, which is quite difficult to detect and resolve surgically, disrupts the nutrition of the heart and causes rhythm disorders. After determining the location with angiography in non-surgical treatment of arteriovenous fistula, the area of the relationship between the artery and the balls is reached and the vein is blocked with different materials such as steel wires, drugs or balloons, and the problem is solved.

9) Paravalvular Leakage Closure:

After the heart lids are surgically replaced with metal lids, sometimes there may be detachments from the edges of the places where the lids are sewn, and blood escapes backwards from the separated places. In order to prevent this situation, the leaks are closed by paravalvull closure process for the last 3-4 years. During the procedure, the heart is entered without surgery, after finding the location of the hole with a three-dimensional echo, the hole is passed through the wire and sent to a stopper through the wire, and the gap on the edge of the lid is closed with the help of 4-dimensional echocardiography. In this way, the leak in the valve disappears and the patient returns to normal life.

10) ablation methods for tachycardia:

These methods eliminate the factors that cause palpitations. Radio frequency energy or freezing method is used to remove palpitations from there, whose origin is in different parts of the heart. The location of palpitations that occur in the form of a point of fire or loops associated with short circuits is found using various three-dimensional mapping methods with the help of computers, and the palpitations are eliminated.

11) Lead Extraction:

Batteries attached to the heart by various methods are connected to the heart by wires placed inside the heart. These wires can break over time or cause infection because they are infected with germs. In these cases, surgical removal of wires by opening the heart is quite difficult and risky. In the non-surgical procedure, wires are removed with the help of special devices by entering the balls in order to eliminate the risk. After the procedure, the patient can return to his daily life after a short-term rest.

12) Device Implantation:

In all conditions that disrupt the function of the heart, it is possible to install all kinds of pacemakers. Batteries that eliminate the slow functioning of the heart, shock devices that shock and activate the heart when the heart stops, and CRT devices that restore the heart’s contraction pattern in patients with heart failure have recently been inserted into the heart, extending the life of patients and improving their quality of life.

Cardiologist