We practically talked about ‘’the angio method’’ which is treated by arm in Istanbul
University Cardiology Institute with Deputy Chief Physician Prof. Dr. Mustafa Yıldız.
This method is applied into approximately 750 patients in Turkey’s first and only
cardiology-only institute, Istanbul University Cardiology Institute.
Angio through arm shortens the patient’s stay duration in clinic and its applicability is
very easy. At the present time, in the treatment of heart-vein diseases this diagnosis
and treatment method is frequently preffered by doctors. Angio through arm is
applied twenty-four-seven to the patients in Istanbul University Cardiology Institute.
Istanbul University Cardiology Institute Deputy Chief Physician Prof. Dr. Mustafa
Yıldız answered wondered questions about the method.
“The Possibility of Complication Is Lower”
Prof. Dr. Yıldız indicated, “In terms of patient-doctor comfort and stay duration in
hospital, angio through arm method is more advantageous than angio through groin
which is an old method. Patients who are treated with angio through arm are more
comfortable and feel less pain during the treatment. He also said that, ‘’ in angio
through arm, the possibility of complication incidance is lower than angio through
groin. Also the the possibility of bleeding is lower after the treatment because arm
vein is closer to the surface and there is a bone tissue behind it. In angio through
groin, the situation is more different and in treatment controlling the bleeding can be
hard and therefore patient must lie back for a long time (about 6 hours). This creates
a negative effect for the patient’s comfort. Stating that they first evaluate the patient
whether he/she is suitable for angio through arm, Prof. Dr. Yıldız said that they make
a local cleaning and local anaesthesia, and then the process is completed with
getting into the vein and inserting a tube into the vein using a technique named
Saying that the method of angio through arm has been performed ever since 80’s,
Prof. Dr. Yıldız continued: “This practice gained speed in 90’s. The short period of
process, patient’s being more comfortable and his/her feeling less pain, and the
percentage of complications being less, made this practice more common. Thus the
hospitalisation period is shortened. We usually discharge the patients to whom we
performed angio through arm within two hours after the operation.”
“The Method Can Be Practiced More Than Once”
Remarking that the method of angio through arm can be practiced more than once
and it is possible to practice on the other arm occasionally, Prof. Dr. Yıldız said that in
some cases there may be a constriction which is called vasospasm on the vein and
this might cause pain. He said that this method cannot be practiced on some
patients. Because of the possibility of opening a fistule on the veins, and also if there
is a complication on the vein zone on which angio will be practiced after the trauma,
Prof. Dr. Yıldız said the practice cannot be operated on haemodialysed patients with
chronic renal failure.
Prof. Dr. Yıldız said that this method is especially applicable considering all the
specifications of it, which are the patient’s comfort, the doctor’s comfort,
hospitalisation period and total cost, and thanks to this method, patients can go back
to their normal lives and daily routines in a short span of time.
Translators: Bilge ATASEVER, Merve Ceren EROĞLU
IU Directorate of Press and Public Relations