Innovative technique for performance of complex catheterizations

For the first time, the Cardiology Division at Hillel Yaffe Medical Center performed a complex catheterization using an innovative technique that allows calcified arteries to be opened through “filing” and crushing of the plaque layer in the inner wall of the artery, while using a fine diamond tip.

Dr. Rami Abu Fanne, Acting Director of the Cardiac Division's Catheterization Unit, who performed the procedure together with Prof. Aaron Frimmerman and Dr. Yaniv Levi, stated, “This is a highly innovative technique that is used in complex catheterizations where the patients have calcified lesions that cannot be opened using standard techniques. With the help of a special device that is similar to a drill, we enter the artery with a rapid rotating movement, while filing the plaque layer and crushing the layer of calcium on the artery wall. In fact, this makes it possible to expand the blocked segment with a balloon and insert a stent optimally. The major advantage of this method is that it can make bypass surgery unnecessary. The method replaces the use of other drilling techniques that are less “controlled,” with all the risks they entail.”

Dr. Rami Abu Fanne in the catheterization room at Hillel Yaffe Medical Center

The procedure was performed on a patient in his 60s, with poor heart function who always used oxygen at home. The patient had significant stenosis in the primary coronary artery, which was highly calcified and could not be opened through standard methods. With the new technique, the artery was prepared in advance and was successfully opened, so bypass surgery was not required. The improvement in the patient’s condition was significant and immediate. A few days later, the patient was discharged home in good condition and no longer needed oxygen.

The HYMC Cardiology Division Director Prof. Ariel Roguin, said, “Our Cardiology Division is equipped with the world's most advanced medical equipment so that we can provide our patients with the most innovative and best treatments, including innovative catheterization techniques that address the needs of patients with calcified arteries and other concomitant problems such as in this case.”