Vascular and Laser Surgery Department
General characteristics
In the vascular and laser surgery department the treatment of the patients with various diseases of the aorta, the great arteries and veins is performed. One of the priorities of department activity is the treatment of atherosclerotic lesions of the aorta, its branches, and arteries. Huge technological facilities of Erebouni MC enables the most advanced to date diagnostic examination and surgical intervention.
One of the most threatening diseases of the aorta is an aortic aneurysm. It is a local extension of the wall of aorta or diffuse enlargement of the entire aorta. According to various authors, up to 60% non-operated patients die in the first 1-2 years after the diagnosis of abdominal aortic aneurysm from its rupture.
The most characteristic symptom of the abdominal aortic aneurysm is dull or aching pain in the abdomen. The pain may be continuous or intermittent and be localized mainly in the navel region or in the left half of the abdomen. It is often described irradiation of pain in the lumbar region. The most affordable, safe and reliable method for the diagnosis of this pathology is the ultrasonic method. The final diagnosis is made by CT contrast angiography. In patients with diagnosed abdominal aorta aneurysm the surgical treatment with resection of aortal aneurism and its prosthetics with synthetic prosthesis are performed. Age is not a contraindication for surgical treatment.
The Department successfully performs the intervention on the stenotic carotid arteries - so called carotid or eversion endarterectomy with consequent plastics of the artery due to which significantly reduced the risk of stroke in these patients.
Obliterating atherosclerosis of the arteries of the lower limbs is manifested by the symptoms of "intermittent claudication", i.e. the occurrence of pain in the calf muscles when walking, and the disappearance at rest. This is the characteristic symptoms of stenosis or occlusion (blockage) at the level of the arteries of the legs or aortic bifurcation. Similar pain in the hands indicates that arterial lesions of the pectoral arch are present.
Gradually progressing, the disease can lead to gangrene of the limb. Therefore, it is necessary to provide the timely diagnostics and treatment these patients. Surgical treatment of this disease are includes various reconstructive surgical intervention on the aorta, iliac and leg arteries.
In case of thrombosis of the venous system of legs and presence of high risk of a blood clot migration the implantation of temporary or permanent cava filters are used at the department. This technique allows successfully prevent such life threatening complication of this disease as pulmonary embolism.
Varicose veins disease is one of the most common diseases of the venous system of the people. In 15-20% of patients in the late stages of varicose veins disease the trophic ulcers, varicose eczema, thrombophlebitis are developing. The radical treatment of varicose veins disease is surgical with usage of cosmetic skin sutures.
As an alternative method of treatment of varicose veins disease is often considered phlebosclerosing therapy and percutaneous laser coagulation, which are conducted on vessels of small caliber. These methods are less traumatic, performed on an outpatient basis and usually provide a good cosmetic result.
The department also uses the endovenous laser coagulation of subcutaneal veins, which allows performing complete correction alongside with the maximum cosmetic effect. A judicious combination of both methods allows the most of their positive aspects.
In addition, in the early stages of varicose veins disease in the department widely used the method of puncturing laser coagulation of perforated veins.
In addition, in the early stages of varicose veins disease in the department widely used the method of puncturing laser coagulation of perforated veins.
The range of surgical interventions performed at the Department: Surgery on the aorta:
- aorto-femoral bypass / prosthetics of bifurcation,
- linear prosthetic of the aorta
- thrombectomy of the aorta
Surgery on the carotid arteries:
- carotid endarterectomy,
- correction of deformation of the carotid arteries,
- chemodectoma removing
Surgery in arteries diseases:
- thrombendarterectomy,
- embolectomy,
- iliac / aorto-femoral bypass,
- femoro-popliteal bypass,
- extra-anatomic bypass
- surgery on peripheral and visceral arteries aneurysms
- sympathectomy
Surgery for permanent vascular access:
- arteriovenous anastomosis of patients undergo to dialysis
- arterio-venous shunts / prosthetic of patients undergo to dialysis
Surgery in venous thrombosis:
- cava filter implantation,
- thrombectomy,
- venectomy,
Interventions in venous pathology:
- endovenous laser coagulation,
- percutaneous laser coagulation,
- venectomy,
- miniphlebectomy,
- sclerotherapy
- surgery in chronic pelvic pain that developed due to venous hypertension.
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- 10.09.2015 - Simultaneous operation for the treatment of the carotid arteries stenosis and the blockage of the aorta
- 27.10.2014 -
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16.04.2020 թ. |
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Examinations |
Արժեքը (դրամով) |
|
Examination by head of the Department (head of service) |
10,000 |
|
Examination by doctor |
5,000 |
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Conservative treatment of vascular diseases |
170,000 |
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Service |
Արժեքը (դրամով) |
|
Vascular small interventions / local anesthesia |
150,000 |
|
Vascular small interventions / general anesthesia |
185,000 |
|
Phlebectomy (unilateral) |
360,000 |
|
Phlebectomy (bilateral) |
460,000 |
|
Crossectomy ,endovenous laser coagulation Mini-phlebectomy /1 extremity/ |
390,000 |
|
Crossectomy ,endovenous laser coagulation Mini-phlebectomy /2 extremities/ |
510,000 |
|
Thrombectomy, endarterectomy, sympathectomy |
400,000 |
|
Surgeries for peripheral and magistral arteries |
800,000 |
|
Prosthetics/bypass of abdominal aortic aneurysm / (the cost of prosthesis not included) |
800,000 |
|
Surgeries for magistral arteries, thoracic and lumbar sympathectomies, Linton operation (Government involvement) |
170,000 |
|
Femoral-femoral, Femoral popliteal and Peripheral Arteries bypass (Government involvement) |
212,500 |
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Surgery for abdominal aortic aneurysm, Leriche Syndrome (without prosthesis) (Government involvement) |
340,000 |
|
In case of concomitant somatic chronic diseases of the I degree, to the cost of surgery, treatment is added |
40,000 |
|
In case of concomitant somatic chronic diseases of the II degree, to the cost of surgery, treatment is added |
80,000 |
|
In case of concomitant somatic chronic diseases of the III degree, to the cost of surgery, treatment is added |
120,000 |
|
In case of concomitant somatic chronic diseases of the IV degree, to the cost of surgery, treatment is added |
160,000 |
|
Reimbursement of additional medicine, based on the actual costs incurred |
1,000 |
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Reimbursement of additional medicine, based on the actual costs incurred 1 |
5,000 |
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Reimbursement of additional medicine, based on the actual costs incurred 2 |
10,000 |
|
Various types of minor surgical procedures in bandage room |
15,000 |
|
Medium degree surgical procedures in bandage room under local anesthesia |
45,000 |
Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011** |
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Acute vascular thrombosis and thromboembolism (except hemorrhoids)/ only cases completed by surgery/ |
120,000 |
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Limb Surgeries, their segmnets, with complete and incomplete amputation of separate organs |
120,000 |
|
Limb Surgeries, their segmnets, with complete and incomplete amputation of separate organs (with complications and/or concomitant diseases) |
160,000 |
|
Acute vascular thrombosis and thromboembolism (except hemorrhoids)/ only cases completed by surgery/ (with complications and/or concomitant diseases) |
160,000 |
|
surgeries for ruptured and exfoliated aneurysms (the cost of prosthesis is not included) |
300,000 |
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Cost of paid hospital rooms |
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Hospital room |
Price (AMD) |
|
801 |
12,000 |
|
802 |
12,000 |
|
803 |
12,000 |
|
806 |
12,000 |
|
807 |
12,000 |
|
808 |
7,000 |
|
809 |
7,000 |
|
810 |
7,000 |
|
811 |
7,000 |
|
812 |
7,000 |
|
813 |
7,000 |