Contact of the
cardiovascular center:

Hospital Immenstadt

Im Stillen 3
87509 Immenstadt
Phone: +49(0)8323/910-8950

Hospital Kempten

Robert-Weixler-Straße 50
87439 Kempten/Allgäu
Phone: +49(0)831/530-2217

Interventional procedures of cardiology

  • Outpatient heart catheter examination (right-/left heart catheterization) including display of the coronary artery

    During the examination of a heart catheter, the heart and the coronary vessels are examined by means of the X-ray method. In this procedure, a tiny plastic tube is inserted into an arm or groin area artery and guided to the left ventricle. Furthermore, a contrast agent is administered to make the vessels become visible on the X-ray monitor.
    By doing so, the coronary vessels and the activity of the valves can be visualized. Thus, the heart specialist can spot possible constrictions and repair them if necessary.

  • Inpatient cardiac catheter examination (right-/left catheterization) including display of the coronary artery

    The Cardiovascular Center Oberallgäu-Kempten carries out inpatient heart catheter examinations, too. A conversation with the patient will show whether an inpatient heart catheterization is appropriate or not. This might be necessary in case of concomitant diseases such as kidney or lung diseases and when there is a high risk of complications during the heart catheterization.

  • Expanding narrowed coronary vessels (PTCA) and the implantation of vessel supports (Stents)

    The Percutaneous Transluminal Coronary Angioplasty (PTCA) is a therapeutic procedure used to expand narrowed coronary arteries by placing a balloon catheter at the constriction in the vessel. A balloon catheter is a thin, flexible plastic tube with an inflatable balloon at its end. There is no major surgery needed for the implantation of the vessel supports (stents). A cut into a groin or wrist artery is sufficient. From there, a fine wire is used to push forward the stent to the constriction expanded by the balloon in the blood vessel. The stent helps preventing the artery from narrowing again.
  • FFR measurement

    In the event of what are termed intermediate stenoses, that is, borderline significant narrowing of the coronary blood vessels for the supply of blood to the heart muscle, FFR measurement in the course of heart catheter investigation is the gold standard for ischemia diagnostics (assessment of the corresponding relevance of the stenosis). This involves using a pressure wire to measure a pressure differential between the vascular section in front of and behind the stenosis at maximum dilation of the blood vessel. If a haemodynamically relevant stenosis is apparent, this can be immediately treated via the pressure wire with a balloon dilatation and/or stent implantation.
  • Myocardial biopsies for a differential diagnosis of myocardial insufficiency

    A new approach to further examine unclear disorders of the cardiac function is the so-called myocardial biopsy. During this procedure, small samples are taken out of the heart muscle at the top of the right ventricle. These samples enable differential histological and molecular-biological examinations. The diagnosis of a chronic virus infection of the heart is of special importance because then, antiviral treatments with Beta-Interferon 1B for example can be taken into consideration.
  • Pacemakers and defibrillator implantation

    The pacemaker can repair various disorders in the electric conduction system of the heart by sending an electric impulse in case of deceleration of the heart rhythm or temporary cardiac arrest. The impulse causes the heart muscle to resume regular contractions. A defibrillator is some kind of pacemaker which is able to terminate ventricular tachycardia as well as ventricular fibrillation. This is done by sending a quick impulse to the ventricles or, if necessary, by using electroshocks.
  • Interventional occlusion of the patent foramen ovale (PFO) and the atrial septal defect (ASD)

    A residual slit-like opening between the atria (PFO = patent foramen ovale) can be a possible cause of a stroke. If permanent thinning of the blood required for this reason (oral anti-coagulation e.g. with Marcumar) is not possible or wanted, the PFO can be closed with a kind of small umbrella (PFO occluder) in the heart catheter laboratory. This process can also be performed to occlude an atrial septal defect (ASD) which, if untreated, can result in right-sided heart failure with corresponding shortness of breath at rest and during exertion.
  • Heart valve replacements through the groin in collaboration with SANA Cardiac Center Stuttgart

    This is a catheter based procedure during which a new aortic valve is transported through the groin to its intended position in the heart. The biological valve (porcine or bovine) is placed on a stent which is unfolded when expanding the narrowed aortic valve. Then, the new valve is in the stent on its original position.
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