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Endovascular And Vascular Surgery

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Emergency Center

Endovascular And Vascular Surgery

The Department of Endovascular and Vascular Surgery covers minimally invasive (endovascular), surgical and hybrid (combined) treatment of all blood vessels in the human body (arteries, veins and lymphatics), except for the heart and brain vessels.  

These procedures have been performed by a team led by a vascular surgeon, in close collaboration with an interventional radiologist and excellent coordination with other hospital departments such as Cardiac Surgery, Cardiology, Neurology, Pulmonology and Endocrinology, as well as in very close cooperation with experienced anesthesiologists, ensuring the best possible outcome for patients.
 
Department activities include complete patients’ monitoring, starting from diagnostics: examination, indices, color ultrasound/Doppler, CT and magnetic angiograms (arteriograms and venograms), while angiography (DSA) has been performed using an angiograph.
 
DISEASES TREATED:
  • Aortic diseases (aneurysms, dissections, PAU, IMH, coarctations)
  • Carotid diseases (stenosis, aneurysms, carotid body tumors)
  • Diseases of other supra-aortic vessels (innominate, subclavian, axillary, brachial, radial, ulnar)
  • Stenosing-occlusive diseases of major leg arteries (aortoiliac segment, femoral, popliteal and crural arteries)
  • Peripheral and visceral vessel aneurysms
  • Thoracic outlet syndrome
  • Acute ischemia of extremities
  • Chronic and acute mesenteric ischemia
  • Diseases of visceral vessels (celiac trunk, mesenteric arteries and veins, renal arteries and veins)
  • Wounds, necrosis and gangrene of extremities
  • Diabetic foot
  • Diseases of superficial venous system (varicose veins, thrombophlebitis)
  • Diseases of deep venous system (common femoral vein, iliac veins and superior and inferior vena cava)
  • Lymphatic system diseases
  • Vascular injuries
  • Vascular malformations (AV fistulas)
  • Regional pain syndrome
  • Erectile dysfunction of vascular character
  • Tumors related to blood vessels
  • Procedures performed at the Department:
ENDOPROSTHESIS (STENTING) OR COMBINED AORTIC TREATMENTS
  • Endovascular treatment of abdominal aortic and iliac artery aneurysms (including juxta and pararenal and paravisceral (FEVAR, BEVAR, PMEG...), hybrid (endovascular and open) treatment of abdominal aortic and iliac artery aneurysms (including juxta and pararenal and paravisceral (FEVAR, BEVAR, PMEG...). Open surgical treatment of abdominal aortic and iliac artery aneurysms.
  • Endovascular treatment of aneurysms and dissections of descending thoracic aorta and thoracoabdominal aortic aneurysms (FEVAR, BEVAR, PMEG...), hybrid (endovascular and open) treatment of aneurysms and dissections of descending thoracic aorta and thoracoabdominal aortic aneurysms (FEVAR, BEVAR, PMEG...). Open surgical treatment of aneurysms and dissections of descending thoracic aorta and thoracoabdominal aortic aneurysms.
  • Endovascular and hybrid treatment of aortic arch diseases.
  • Endovascular and open surgical treatment of other aortic diseases (PAA, IMH, coarctation...).
 
CAROTID DISEASE AND SUPRA-AORTIC VESSEL DISEASE
  • Endovascular treatment and surgical treatment of carotid and vertebral artery diseases in stenosing or other anatomical indications and dissections.
  • Open surgical treatment of carotid artery aneurysms and carotid body tumors.
  • TCAR - Transcarotid Artery Revascularization.
  • Endovascular, open and hybrid treatment of brachiocephalic artery disease.
  • Endovascular (stenting), hybrid or surgical treatment of arm vessels (subclavian, axillary, brachial, radial and ulnar).
PERIPHERAL BLOOD VESSELS
  • Endovascular (stenting), hybrid or open treatment of aortic aneurysms in arms and legs as well as visceral vessel aneurysms.
  • Endovascular and surgical treatment of acute limb ischemia.
  • Treatment of compartment syndrome.
  • Treatment of atheroembolism.
  • Endovascular, open and hybrid treatment of stenosing-occlusive disease of aortoiliac segment or/and infrainguinal arterial segment.
  • Amputations of lower and upper extremities or parts.
  • Diabetic foot treatment (combination of techniques).
  • Treatment of wounds.
 
OTHER ARTERIOVENOUS MALFORMATIONS
  • Treatment of thoracic outlet syndrome.
  • Endovascular and surgical treatment of renovascular disease.
  • Endovascular, surgical and hybrid treatment of acute and chronic mesenteric artery disease and medial arcuate ligament syndrome.
  • Conservative, endovascular and surgical treatment of non-atherosclerotic arterial disease.
 
VENOUS AND LYMPHATIC DISEASES
  • Conservative, endovascular, surgical and hybrid treatment of acute and chronic venous thromboembolism and venous obstruction.
  • Treatment of chronic venous disease - varicose veins (sclerosis, stripping, RF ablation).
  • Conservative, endovascular and surgical treatment of other venous diseases (venous aneurysms, nutcracker syndrome, portal hypertension, occlusion of the superior vena cava and inferior vena cava).
  • Treatment of lymphedema, lymphangitis, recurrent cellulite.
 
OTHER TREATMENTS
  • Surgical and endovascular treatment of vascular malformations.
  • Creating hemodialysis approaches.
  • Endovascular, surgical and hybrid treatment of vascular trauma in all human body regions as well as conditions of repetitive trauma and occupational diseases.
  • Endovascular treatment of erectile dysfunction and regional pain syndrome.
  • Surgical and hybrid treatment of vascular and nonvascular tumors.
  • Reoperations.
  • Treatment of surgery complications or endovascular vessel treatment.
  • Embolization procedures.  

Doctors at the Department

Ljubisha Spasevski, MD

General Practitioner

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Nikola Lazovski, MD

Specialist in Vascular Surgery

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Zlatko  Palchevski, MD

General Practitioner

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Mishel  Andov, Asst. Prof. Dr.

Specialist in General Surgery, Subspecialist in Vascular Surgery

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Contact information

Address: Skupi 5A, Skopje 1000 Macedonija

E-mail: callcenter@acibademsistina.mk

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