Coronary artery bypass grafting in Israel

Coronary artery bypass grafting

Coronary artery bypass grafting is one of the main surgical methods of treatment of atherosclerosis, which causes such serious pathologies as coronary artery disease, heart attack, angina pectoris. The essence of the operation is to create a bypass path for blood flow, bypassing the affected area of the coronary artery.

Despite the fact that CABG has become a routine procedure, it cannot be called simple. The operation is difficult to perform, it requires high skill of the surgeon. Therefore, patients are trying to do coronary artery bypass grafting in Israel, which is one of the countries leading in the treatment of diseases of the cardiovascular system.

Israeli doctors use the latest technologies, which include CABG on a beating heart and minimally invasive techniques. These interventions are less traumatic and allow the patient to recover in the shortest possible time.

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What is coronary artery bypass grafting?

CABG is a procedure aimed at creating a new pathway for the supply of blood to the heart, bypassing the part of the coronary vessel that has narrowed. Its purpose is to restore the delivery of oxygenated blood to the heart muscle. The resumption of normal blood supply is achieved by connecting the oxygen-deprived region of the heart to the aorta.

The restoration of blood circulation is performed by installing a shunt, which is a fragment of a large vessel taken from another part of the patient's body. Often surgeons use thoracic or radial arteries, as well as the great saphenous vein of the thigh. But Israeli surgeons in coronary artery bypass grafting in most cases use arteries and their natural branches. That simplifies the procedure and makes it less traumatic.

Reference! The patient does not always have one shunt. Sometimes there can be more of them - it all depends on how many narrowed areas are found.

What types of coronary artery bypass grafting are used in Israel?

The choice of the method of cardiac bypass surgery in Israel depends on the clinical picture, examination data and the general condition of the patient.

Modern cardiac surgery uses the following techniques:

  • With the use of cardiopulmonary bypass machine - the intervention is performed on a non-beating heart with a connection to the CPB to ensure breathing and blood supply. Surgical access is performed through the sternum. During the operation, shunting is performed: one end of the shunt is sewn into the aorta, and the other into the affected artery, below the narrowing site. After that, the heart starts to beat;
  • Without cardiac arrest - performed in about 20% of the total number of CABG. Most often, such interventions are performed at the initial stages of ischemic manifestations or in severe concomitant diseases, when the use of CPB poses a threat to the patient's life. The procedure is the same as for a non-beating heart. During the intervention, the organ continues to function, but the heart contractions are regulated and reduced by a special technique;
  • Minimally invasive CABG is performed using computerized fiber optic technology. When using the method, opening the chest is not performed, all manipulations are performed through a small incision between the ribs. The use of a unique technique allows you to reduce the invasiveness of the procedure, reduce the risk of complications and shorten the rehabilitation period;
  • Hybrid operations are an innovative method that has recently been introduced into practice. When using it, stenting and coronary artery bypass grafting are combined, which makes it possible for many patients to avoid additional intervention;
  • CABG with the DaVinci Xi robotic surgeon is another new method. During the procedure, the opening of the chest is not performed and there is no need to use AIK. The intervention is performed with endoscopic instruments, which are inserted through several small incisions between the ribs.
Reference! The duration of the surgical intervention depends on the method chosen by the surgeon. Depending on the complexity of the intervention and the number of shunts, open-heart CABG can take from three to six hours. The duration of minimally invasive surgery is usually approximately two hours.

Benefits of heart bypass surgery in Israel

Heart bypass surgery in Israeli clinics

CABG is one of the most complex surgical interventions. Therefore, only real professionals can be trusted with this method.

Many cardiac surgeons performing coronary artery bypass grafting in Israel are members of international associations. Their knowledge, skills and experience are recognized all over the world. But doing CABG in Israel has other important advantages.

The main ones are:

  • In most cases, arteries are selected for bypass surgery. Thrombosis is much less common in arteries, then in veins and their service life is 10 years or more;
  • Specialists extensively use innate arteries, which reduces the invasiveness of the intervention;
  • Israeli surgeons perform about 30 thousand operations a year. Many of them are performed on beating heart and using minimally invasive methods;
  • Israeli cardiac surgeons have sufficient experience and knowledge to operate through a small incision up to 10 cm. This low-traumatic intervention reduces the risk of complications and reduces the patient's stay in the clinic by 2 times;
  • The use of minimally invasive techniques allows to perform coronary artery bypass grafting for patients who is not suitable for surgery with CPB;
  • There are high safety standards in Israeli clinics, strict adherence to all medical standards accepted in the world. The work of all centers is controlled by the Israeli Ministry of Health;
  • The attentive attitude of the staff, creating the most comfortable treatment conditions for the patient.
Attention! Almost all Israeli clinics have Russian-speaking staff, which is of great importance for full communication and psychological support for the patient.

Which Israeli clinics perform coronary artery bypass grafting?

Cardiac surgery is considered one of the priority areas of Israeli medicine. Coronary artery bypass surgery in Israeli clinics annually saves the lives of thousands of patients from around the world. Let's name the most famous medical centers.

Israeli clinic Ichilov

Clinic Ichilov

Up to 4 thousand CABG operations are performed here annually. Many interventions are performed urgently. Operations are carried out by the leading cardiac surgeons of the clinic, who are proficient in all modern surgical methods. Specialists successfully perform both complex open-heart surgeries and minimally invasive procedures. Long-term results are improved by the use of the thoracic arteries rather than the veins.

Rehabilitation is of great importance for the patient's condition after the intervention. Therefore, the clinic has a specialized department, which deals with the recovery of patients.

Assuta clinic

Assuta clinic

It is one of the largest clinics in Israel. Its specialists successfully cope with the most complex cardiovascular pathologies. The high level of treatment is ensured by the rapid introduction of advanced technologies and the latest developments. The surgical method is chosen depending on the patient's health condition. Operations are performed by world-renowned cardiac surgeons.

Haim Sheba Medical Center

Sheba Clinic

The clinic's specialists rarely use open-heart surgery. Even in difficult cases, surgeons try to use gentle techniques. Due to the high professionalism of doctors, the complication rate does not exceed 3%.

For the recovery of postoperative patients, a special program developed by the clinic staff is used. Strict observance of all medical recommendations will help the patient to quickly return to their usual way of life and not to feel further physical discomfort.

Rambam clinic

Rambam Medical Center

The medical institution ranks first in the country in the field of emergency medical care, including heart disease.

The main specialization of the cardiology department of the clinic is minimally invasive operations. Most often, bypass surgery is performed here for patients after a heart attack, as well as for those who have been diagnosed with heart failure.

Cost of coronary artery bypass grafting in Israel

In many ways, the cost of treatment is influenced by the degree of vascular damage. The exact price can be announced only after a full survey. The choice of the method of surgical intervention and the peculiarities of its implementation (the need to connect to the CPB, the method of surgical access and a number of other important points) will depend on its results.

The price of coronary artery bypass grafting in Israel may differ in different clinics. But on average, medical services in the country have the following cost:

  • Cardiologist's consultation - from $ 500;
  • Electrocardiography - from $ 50;
  • Angiography - from $ 1000;
  • Coronary artery bypass surgery - from $ 17,000.

For patients from the CIS countries, these prices are not low. But compared to the prices for similar services in the USA and Western Europe, the savings can reach 30-40%.

Violetta Yanyshevska
Violetta YanyshevskaAuthor and medical editor