Pre-surgical diagnostics

Pre-surgical diagnostics is performed in our clinic on the first day of the patient's stay in hospital. It includes laboratory tests, chest X-ray, ECG of the heart, neurological examination and pre-surgical consultation. Magnetic resonance of the vascular system (angio-MRI) is performed in our clinic before joining the program.

1. Laboratory tests.

A full package of laboratory tests typical for procedures under general anaesthesia.

2. Chest X-ray (CXR).

It is a radiological examination, that in a non-invasive way shows the heart, lungs, respiratory tracts, and also checks efficiency of the cardiovascular system.

The examination lasts about 30 minutes.

3. ECG (electrocardiogram of the heart).

The examination lasts about 30 minutes.

4. Neurological examination.

This examination is carried out to accurately determine the neurological condition of the patient before surgery. The doctor conducts a medical history, checks the functioning of the locomotor system, surface and deep sensation, gait, muscle strength and tension, reflexes, autonomic nervous system functions.

The examination lasts about 60 minutes.

5. Pre-surgical consultation.

Consultation with the doctor performing the angioplasty procedure. During the consultation, the doctor describes the patient's ultrasound and magnetic resonance examination results and explains the details of the procedure.

The consultation lasts about 60 minutes.

6. Angio MRI - magnetic resonance of the venous system.

Magnetic resonance of the venous system is a necessary examination to qualify for the Therapeutic and Research Programme. Resonance should be done in our clinic. Resonance is performed according to a specially developed protocol of Dr. Schelling, which is an extension of Prof. Haacke's protocol. Based on this protocol, the lead doctor assess whether venous deformations have been observed in the patient and to what extent.

Magnetic resonance is one of the most precise methods of imaging anatomical structures of the vascular system. This technology makes it possible to obtain a three-dimensional image of blood vessels, thanks to which ,we can for example, determine the correctness of flows in intracranial veins. MRI allows to visualise venous deformations and determine the degree of narrowing of the blood vessel's light.

The examination is performed by using the most modern, high-resolution camera with magnetic induction of Tesla 3 made by philips. The accuracy of imaging is far superior to the quality of testing performed on standard, lower resolution devices.

MRI is painless and non-invasive, although it may cause discomfort due to remaining in one position for dozens of minutes. During the examination, we administer a contrasting agent, thanks to which we can obtain the highest quality image of the vascular system.

Thanks to the built-in intercoms, the patient remains in constant contact with the person conducting the test.

Despite the fact that magnetic resonance imaging is a non-invasive examination, in some cases it cannot be performed. The final decision is always made by the lead doctor.

Contraindications to MRI and phlebography:

  • implanted electrical devices, i.e. cardiac electrostimulator, biostimulator, neurostimulator, defibrillator, cochlear implant, insulin pump;
  • ferromagnetic medical foreign bodies, i.e. certain types of endoprostheses, vascular clips, stents, prostheses, screws, orthopaedic nails, clips, seams, ventricular, cardiac or core valves, vascular ports, bridges, crowns, dental prostheses, implants (a written certificate of MRI compatibility is required);
  • all non-medical foreign bodies: fragments, bullets, swarf in the eyeball;
  • claustrophobia;
  • allergy or allergic reaction to contrast agents, kidney failure;
  • susceptibility to bleeding (haemorrhagic flaw).

Magnetic resonance examination lasts about 60-90 minutes.

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