Yakutia Hospital Pioneers Minimally Invasive AF Treatment
A groundbreaking series of operations has taken place in the Republic of Sakha (Yakutia). For the first time, the endovascular closure of the left atrial appendage was performed using a modern, minimally invasive technique. This method offers a life-saving alternative for patients with atrial fibrillation (AF) who cannot undergo surgical correction or take anticoagulants.
The operations were carried out at Republican Hospital No1 - National Medical Center named after M.E. Nikolaev, led by Leonid Pavlov and senior operating nurse Marianna Ammosova. Interventional radiologists Nyurguiyana Andreyev and Dyulustan Borisov, along with a dedicated medical team, successfully performed the procedures. The technique involves inserting a catheter through a small incision in the femoral vein, guided by fluoroscopy and ultrasound, to place a Watchman device in the left atrial appendage. This device, resembling a tiny umbrella, effectively isolates the appendage from the main blood flow, preventing clot formation. The left atrial appendage is the primary source of clots in these patients, making this method a crucial alternative. The short recovery period is a significant advantage, with patients able to be discharged home within two days. The scientific and practical guidance of the procedures was provided by federal-level expert Karapet Davtyan, MD, PhD, professor.
The successful implementation of this modern technique in the Republic of Sakha (Yakutia) offers new hope for AF patients who previously had limited treatment options. The skilled team at Republican Hospital No1 has demonstrated their commitment to advancing medical care in the region.
