Tokuda Hospital Sofia

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Innovative Endovascular and Hybrid Treatments

A leading modern treatment approach is to implement minimally invasive endovascular interventions. These methods are often an excellent solution for a majority of arterial narrowing (stenosis) conditions and for some cases of arterial blockages. The advantages of endovascular techniques are reduced recovery times and a more rapid quality of life improvements (no need to rest or take breaks when walking long distances), and in some cases these methods can be used to save limbs and prevent amputations.  

The key benefit of endovascular interventions is their minimized invasiveness most often only requiring local anesthesia and small puncture to access the vascular system to insert endovascular treatment instruments.  The classical method to correct arterial blockages is conventional open surgical techniques in which larger access incisions are made to perform bypasses, thrombo-arterioectomies, and arterioplasties.  These conventional techniques are most often medically indicated for cases in which arteries are damaged along large sections of vessel systems causing extensive blockages, and endovascular techniques are most often applied for cases localized arterial narrowing or stenosis.

A recent breakthrough in international good medical vascular surgical practice are hybrid procedures. These innovative procedures involve implementing open surgical and endovascular techniques to take full advantage of the benefits offered by each technique allowing surgeons to treat both types of lesions best treated by either technique in one operation.

For example using a surgical access to the common femoral artery, we perform thrombo-endoarterioectomies  in which is the diseased inner intimae layer of the iliac and / or superficial femoral artery is removed and a fixation stent is implanted to secure the area.  This minimally invasive hybrid technique can replace or at least postpone the need for the traditional open surgical Iliac-femoral and /or femoral-Popliteal bypasses, which are much more invasive procedures requiring long recovery times and cause increased surgical trauma to the body.

Implementing hybrid procedures require very specifically equipped operating rooms with mobile x-ray equipment and specifically trained professionals able to apply both methods in a team.

Our experience and clinical outcomes from hybrid procedures to improve blood flow to the extremities has been very positive and has been become rapidly integrated into our routine practice, currently over 30% of our arterial reconstructive operations are performed via hybrid techniques.  To support the implementation of hybrid practices, we are actively tracking our short and medium clinical outcomes to continuously evaluate and improve our results.

Prof. Dr. Vassil Chervenkoff PhD

Department

Vascular Surgery

Consultations

In-patient Treatment

Operation Theatres

Specialized Examinations

Innovative Eudovascular a…

Atherosclerosis & Vascula…

Team

News

Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.

Map 

From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.