Cerebral Vascular Occlusion
At Saygın Clinic, we absolutely perform carotid vessel ultrasounds of all our patients. This routine already exists in our routine physical inspection and review. We frequently encounter carotid artery occlusions stenoses and calcifications, even in our diabetic patients who visit the clinic for check-ups for other reasons, and even in our patients who come with only high blood pressure and have experienced leg or peripheric artery occlusion before.
Robotic vascular technologies create miracles in our patients with cerebral vascular occlusion. Especially with our new generation stents, conical stents, drug eluting stents and absorbable biostents, we can open 95% of our patients' cerebral vascular occlusions.
Even if our patient has had a stroke, if there is a continuation of the cerebral vessel after a critically occluded or steosed segment, that is, the vessel narrows and reopens before entering the skull, (usually in the middle part), and if the vessel still remains open in the skull after a stroke bed, we can perform different kinds of technological applications with robotic procedures in those regions, even on very long segments.
Sometimes, a clot can embolise and occlude the major vessel in the brain of our patients, we go into those clots with clot-dissolving devices, and take the piece of clot from the brain vessel with our microscopic scoops and pull it back. We have a lot of experience in surgical systems as well as robotic systems. We are a team that has been performing cerebral vascular surgeries for about 25 years.
Under the leadership of Doctor Mustafa Saygın, in cases where we have to perform these cerebrovascular surgeries, the calcified narrowing of vessel segments of the patients occur when they have had a stroke several times before or are about to have a greater stroke soon. During this treatment, we again anaesthetize the neck region with local anesthesia. In this way, our patients can stay in the intensive care unit for a very short time and be discharged quickly. The most important difference we made during our applications is in technique: we place clot-retaining fishing nets and put these membranes inside the vessel like a mesh, like a fishing net. These membranes, of course, are microscopic, about 10-15 millimeters in diameter, membranes and fishing nets prevent all the clots that break off during the process from being thrown into the brain.
Not all of our patients are suitable for robotic or noninvasive modalities. Many factors such as the structure of the vessel, how long a region is involved, the curve of the vessel, the angle of the vessel, whether there is a clot in it or not, whether it is a bony vessel or a slimy& muddy vessel -we call soft plaque-, the age of the patient, the length of the necksection of vessel, the fat ratio of the neck are parameters that needs to be suitable for robotic vascular systems. This parameters helps us to decide in advance if the patient is suitable or not.