Santariškių g. 2, 08661 Vilnius
tel. (+370) 5 236 5000
faks. (+370) 5 236 5111
info@santa.lt

      

SANTAROS KLINIKOS

VILNIAUS UNIVERSITETO LIGONINĖ

Additional Information

Spausdinti

 Achievments

In in-patient cardiology departments of the Centre, about 5300 patients are treated yearly. In the Cardiac Intensive care unit about 4000 patients are treated yearly. Part of these patients is admitted for scheduled coronary procedures. Department of arrhythmias and invasive cardiology has the biggest numbers of primary coronary angioplasty (performed for urgent acute coronary syndromes) in the country (more than 2000 procedures per year). Other types of invasive procedures are also performed, as alcohol septal ablation for hypertrophic obstructive cardiomyopathy, invasive investigations of endothelial function (intracoronary acetylcholine test), angiography of other areas (aorta, pulmonary vessels, renal, limb vessels, carotid arteries etc.), and also therapeutic procedures in these areas. Non-invasive and invasive investigations of cardiac conduction system are performed, and also catheter ablation procedures. Each year about 250 ablation procedures are performed: atrioventricular nodal tachycardia, accessory pathways (effectiveness 95–98%), typical atrial flutter (90 %), ventricular tachycardia (effectiveness up to 85%). For patients with atrial fibrillation, radiofrequency and cryoballoon catheter ablation procedures are performed. Together with cardiac surgeons, radiofrequency modified atrial maze procedure is performed during mitral valve surgery). Also a significant number (compared to other European centers) minimally invasive surgical procedures for atrial fibrillation is performed. For stroke prophylaxis in patients with arial fibrillation who cannot take anticoagulants, left atrial catheter closure procedures are performed. Each year in our centre about 800 pacemakers and 50 cardioverters defibrillators are implanted. In patients with heart failure and conduction abnormalities, cardiac resynchronization therapy devices we implanted, and in this area our centre is also leading in the country. In collaboration with cardiac surgeons, minimally invasive implantation of heart valves is performed (aortic, pulmonary artery valves).

The Department of Non-invasive and Ultrasound Cardiovascular Diagnostics by 2012 has been performing almost all types of non-invasive examinations on heart, arteries and veins. Every year 27 000 transthoracic ultrasound examinations, 1100 transesophageal echocardiography procedures and 1500 dobutamine and exercise stress echocardiograms are performed; 61 000 of electrocardiograms are registered; out of those, 16 000 are analysed and assessed by the specialists; 10 000 of exercise testsand 600 cardiopulmonary tests are carried out. All known echocardiographic examinations are performed, including the transesophageal, intracardiac, intravascular, echocontrast, myocardium colour mapping, etc in 2 or 3Dimensional mode. Unit of Stress Echocardiography and cardiopulmonary stress testing accumulated one of the most extensive experiences in Europe performing dobutamine stress echocardiograms (1500 tests performed on average per year). Modern high class equipment and up to date investigational protocols are applied in performing high volume of investigations for in- and out- patients from Vilnius region and the rest of Lithuania as well for foreigners. Qualified and well trained personnel works on 7d/24 hour schedule, so investigations in emergency cases are available no matter day or night. In its daily work the Department applies the most advanced research methodologies such as entirely computerized systems for analysing, recording and storage of digital data. All the ultrasound and electrocardiography systems are connected to local area network, which can also be accessed from the global web. For the first time in Eastern Europe echocardiographic and electrocardiographic data have been transferred between the Centre and the local institutions in Eastern Lithuania. The implemented ultrasound imaging PACS database stores all the data of the tests in digital format, therefore repeated or extensive analysis is possible. Images and computerised reporting protocols are easily accessible in the local area network. The employees of the Unit have mastered technologies of imaging diagnostics by multi-dimensional computer tomography and magnetic resonance imaging. Department serves as a basis for academical teaching and continuous medical education for students, residents of Vilnius University and doctors.

SCIENTIFIC ACTIVITY

RESEARCH INTERESTS

  1. Investigation of arterial wall functional and structural disorders in atherosclerosis.
  2. Primary and secondary prevention of cardiovascular diseases. Development of high risk strategy in prevention of cardiovascular diseases.
  3. Fundamental and clinical research in cardiac arrhythmias. Improvement of methods of complex treatment of atrial and ventricular tachiarhytmias.
  4. Mechanisms and methods of through catheter treatment of cardiac arrhythmias.
  5. Surgical treatment of atrial fibrillation (MAZE procedures, minimal invasive thoracoscopic surgery).
  6. Resynchronization therapy in heart failure.
  7. Complex assessment of left and right ventricular function in coronary artery disease, hypertension and heart failure.
  8. Regeneration therapy by cardiac pulse wave therapy in coronary heart disease.
  9. Congenital heart disease in adults.
  10. Investigation of mechanical circulatory support system – BERLIN HEART INCOR, EXCOR, HEART MATE II.
  11. New possibilities of hybrid (interventional and surgical) and minimally invasive technologies in cardiovascular medicine.
  12. Evaluation of follow-up results and survival rate after abdominal aortic aneurysm operation focusing on the progressing atherosclerosis as a cause of further complications and death.
  13. Estimation of revascularization methods focusing on the impact of vascular substitutes.
  14. Epidemiology of venous diseases in Lithuania and evaluation of treatment methods in phlebology.
  15. Investigation of natural course of arteriosclerotic occlusive and aneurysmal disease. Diagnosis endovascular and surgical treatment of the diseases of the aorta and its visceral and terminal branches.
  16. Assessment and treatment of congenital vascular malformations vascular dysplasias as a cause of inability in adults.

 MAIN PUBLICATIONS
(ISI, MEDLINE) (2010-2011):

  1. Kairevičiūtė D., Blann A.,      Balakrishnan B., Lane D., Patel J., Uždavinys G.,   Norkūnas G., Kalinauskas G., Sirvydis      V., Aidietis A., Lip G. Y. H. Characterisation and validity of      inflammatory biomarkers in the prediction of post-operative atrial      fibrillation in coronary artery disease patients. Thrombosis and      Haemostasis 2010; 104      (1): 122-127.      
  2. Glaveckaitė      S., Ručinskas K., Čelutkienė J., Maneikienė V.., Zakarkaitė D., Aidietienė      S., Valevicienė N., Matačiūnas M., Žurauskas E., Šerpytis P., Laucevičius      A. Heart transplantation in an      adult patient with isolated noncompaction of the left ventricular      myocardium. Medicina 2010;46(3):193-9.
  3. Čypienė A., Dadonienė J., Rugienė R., Ryliškytė L., Kovaitė M., Petrulionienė Z., Venalis A., Laucevičius A. The influence of mean blood pressure on arterial stiffening and endothelial dysfunction in women with rheumatoid arthritis and systemic lupus erythematosus. Medicina (Kaunas). 2010;46(8):522-530.
  4. Petrulionienė Ž., Apanavičienė D.A. Evaluation of arterial hypertension control and treatment in daily practice of family physicians. Medicina (Lithuania) 2010;46(10):657-663.
  5. Sadauskienė E., Zakarkaitė D., Ryliškytė L., Čelutkienė J., Rudys A., Aidietienė S., Laucevičius A. Non-invasive evaluation of myocardial reperfusion by transthoracic Doppler echocardiography and single-photon emission computed tomography in patients with anterior acute myocardial infarction. Cardiovascular Ultrasound 2011, 9:16
  6. Marinskis G., van Erven L.      Deactivation of implanted cardioverter-defibrillators at the end of life:      results of the EHRA survey. Europace 2010;12(8):1176-1177.
  7. Lycholip E.,      Čelutkienė J., Rudys A., Steponėnienė R., Laucevičius A.      Patient education significantly improves quality of life, exercise capacity      and BNP level in stable heart failure patients. Acta Cardiologica      2010;65(5):549-556.
  8. Mangiacapra F., Trana C.,      Sarno G., Davidavičius G., Protasiewicz M., Muller O., Ntalianis A.,      Misonis N., Van Vlem B., Heyndrickx G., Bruyne B. Translesional Pressure      Gradients to Predict Blood Pressure Response After Renal Artery Stenting      in Patients With Renovascular Hypertension Circulation: Cardiovascular      Interventions 2010;3:537-542.
  9. Ntalianis A., Sels J.W., Davidavičius G., Tanaka N.,      Muller O., Trana C., Barbato E., Hamilos M., Mangiacapra F., Heyndrickx      G.R., Wijns W., Pijls N.H., De Bruyne B. Fractional flow reserve for the      assessment of nonculprit coronary artery stenoses in patients with acute      myocardial infarction. JACC: Cardiovascular Interventions 2010;3(12):1274-1281.
  10. Melikian N., Vercauteren      S., Fearon WF., Cuisset T., MacCarthy P.A., Davidavičius G., Aarnoudse W.,      Bartunek J., Vanderheyden M., Wyffels E., Wijns W., Heyndrickx G.R., Pijls      N.H., de Bruyne B. Quantitative      assessment of coronary microvascular function in patients with and without      epicardial atherosclerosis. EuroIntervention 2010; 5(8):939-945.
  11. Morgan J., Marinskis G. Defibrillation testing at the      time of implantable cardioverter defibrillator implantation: results of      the European Heart Rhythm Association survey. Europace 2011;13:581–582.
  12. Gumbienė L., Petrulionienė      Ž., Ručinskas K., Maneikienė V., Šerpytis P., Dranenkienė A., Laucevičius      A. Pulmonary Hypertension - A Fatal Complication of Neurofibromatosis Type      1. Respiratory Care. 2011 May 20. [Epub ahead of      print]
  13. O'Connor CM, Starling RC,      Hernandez AF, Armstrong PW, Dickstein K, Hasselblad V, Heizer GM, Komajda      M, Massie BM, McMurray JJ, Nieminen MS, Reist CJ, Rouleau JL, Swedberg K,      Adams KF Jr, Anker SD, Atar D, Battler A, Botero R, Bohidar NR, Butler J,      Clausell N, Corbalán R, Costanzo MR, Dahlstrom U, Deckelbaum LI, Diaz R,      Dunlap ME, Ezekowitz JA, Feldman D, Felker GM, Fonarow GC, Gennevois D,      Gottlieb SS, Hill JA, Hollander JE, Howlett JG, Hudson MP, Kociol RD, Krum      H, Laucevičius A, Levy      WC, Méndez GF, Metra M, Mittal S, Oh BH, Pereira NL, Ponikowski P, Wilson      WH, Tanomsup S, Teerlink JR, Triposkiadis F, Troughton RW, Voors AA,      Whellan DJ, Zannad F, Califf RM. Effect of nesiritide in patients with      acute decompensated heart failure. N Engl J Med.      2011 Jul 7;365(1):32-43.
  14. Glaveckaitė S.Valevičienė N.Palionis D.Skorniakov V.Čelutkienė J.Tamošiūnas A.Uždavinys G., Laucevičius A. Value of scar imaging and      inotropic reserve combination for the prediction of segmental and global      left ventricular functional recovery after revascularisation. Journal of Cardiovascular Magnetic      Resonance 2011, 13:35.
  15. Kairevičiūtė D., Lip GY., Balakrishnan B., Uždavinys G.,      Norkūnas G., Kalinauskas G., Sirvydis V., Aidietis A., Zanetto U., Sihota     H., Maheshwari M., Blann A.D. Intra-Cardiac Expression of Markers of      Endothelial Damage/Dysfunction, Inflammation, Thrombosis and Tissue      Remodeling, and the Development of Post-Operative Atrial Fibrillation. Journal of Thrombosis      and Haemostasis 2011 Oct 4.
  16. Ušinskas A., Paulinas M., Meilūnas M., Matačiūnas M., Zakarkaitė D.,      Zeleckienė I., Laucevičius A.. Computing of Right Ventricle Volume using      Orthogonal Contours. Elektronika ir elektrotechnika-Electronics and      Electrical Engineering. 2011(9(115)): 83–86.
  17. Zuozienė G., Laucevičius A., Leibowitz D. Extracorporeal      shockwave myocardial revascularization improves clinical symptoms and left      ventricular function in patients with refractory angina. Coronary Artery      Disease, 19 November 2011. [Epub ahead of print] ISSN 0954-6928
  18. Šileikis      A.,  Beiša V.,  Rutkauskaitė D.,  Misonis      N.,  Strupas K.  Management of bleeding      pseudoaneurysms in complicated      pancreatitis. Viszeralmedizin  2011; 27(5):391-396.
  19. Mussardo M., Latib A., Chieffo A.,      Godino C., Ielasi A., Cioni M., Takagi K., Davidavičius G., Montorfano M.,      Maisano F., Carlino M., Franco A., Covello R.D., Spagnolo P., Grimaldi A.,      Alfieri O., Colombo A. Periprocedural and Short-Term Outcomes of      Transfemoral Transcatheter Aortic Valve Implantation With the Sapien XT as      Compared With the Edwards Sapien Valve. JACC: Cardiovascular Interventions      2011;4(7):743-750.

 RESEARCH PROJECTS:

  • Search of Modern Methods for Prevention of Atherosclerosis Progression and Evaluation of their Application Efficiency;
  • Postsystolic myocardial contraction study: optimal quantitative ultrasonic parameters of coronary insufficiency and myocardial viability able to improve diagnostic accuracy of stress echocardiography;
  • The potential and future perspectives of cardiovascular magnetic resonance in diagnosis of myocardial diseases;
  • Evaluation of effectiveness of diagnostic and treatment methods for Coronary artery disease (medical therapy, surgical, interventional and regenerative therapy);
  • Hybrid and minimally invasive procedures in cardiovascular medicine;
  • Endovascular therapy in neurology and neuroangiology;
  • Improvement and evaluation of congenital heart disease surgery;
  • Assessment of treatment methods in aorta, peripheral artery and venous disease
  • Elaboration and evaluation of the heart failure management techniques;
  • Evaluation of surgical treatment methods for heart failure.



 

 

Atnaujinta 2017-05-18
Straipsnis parodytas: 4367 kartų(kartus)
 

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