Dr. med. Dipl. med. Klaus Lang, F.E.S.C.
SPECIALIST IN INTERNAL MEDICINE, CARDIOLOGY, ANGIOLOGY,
INTENSIVE MEDICINE
Interventional Cardiovascular Services LTD
141 Birbal Street, Balzan,
BZN 9011, Malta
Physicians
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Left and right heart catheterisation
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PTCA – percutaneous transluminal coronary angioplasty, including
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Use of drug eluting balloon, Implantation of bare metal and drug eluting stents
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Intracoronary lysis therapy
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Cutting balloon = special dilatation balloon with blades for very hart vessel calcification
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PTCA under extracorporal and intracorporal circulatory support
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Vessel closure systems to reduce bed rest after catheter intervention
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Balloon valvuloplasty: aortic valve, mitral valve, tricuspid valve, pulmonal valve, subvalvular and supravalvular stenoses
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Catheter based therapy of congenital heart diseases
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closure of PFO
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closure of VSD
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closure of Botalli Duct
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closure of AV malformations and shunts (for instance the lungs or the heart) (also in cooperation with another medical centre
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catheter based pharmacomechanical thrombolytic therapy of pulmonary embolism
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Dilatation of stenoses of the aorta or the pulmonary artery
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Percutaneous heart valve replacement = valve replacement by micro invasive catheter technique without major operation (aortic valve, mitral valve) in collaboration with another centre
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Implantation of all kinds of pacemakers, ICD, CRT (D) (cardiac resynchronisation therapy)
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TASH: alcohol ablation of the ventricular septum in hypertrophic obstructive cardiomyopathy
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Heart muscle biopsies
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Catheter based occlusion of the left atrial appendage to prevent cardioembolic events
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Other special procedures
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Digital subtraction angiography (DSA) and intra-arterial angiography
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Dilatation ofiliac, femoral and lower limb arteries
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Recanalisation of acute and chronic total occluded arteries (CTO)
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Stent implantation, also drug eluting stents
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Catheter based implantation of vessel endoprostheses (covered stents)
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Rotational atherectomy
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Selective Drug thrombolysis
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Dilatation/stent implantation/recanalisation of below-the knee (BTK) arteries, especially in critical limb ischemia with ulceration
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Aspiration embolectomy
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Dilatation/stent implantation of stenoses of the aorta
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Recanalisation/PTA/stenting in Leriché`s Syndrome (total occlusion of the aorta and the pelvic/iliac arteries)
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Dilatation/stenting of renal and other abdominal arteries (mesenteric arteries in“angina abdominalis”)
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Dilatation/stenting of supraaortic with embolic protection devices
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carotid and vertebral arteries
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subclavian artery stenoses
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PTA of venous stenoses, i.e. obstructed pelvic veins in cancer disease
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May – Thurner-Syndrome
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Recanalisation of thrombotic occluded pelvic veins
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Implantation of temporary or permanent vena cava filters
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catheter based pharmacomechanical thrombolytic therapy of pulmonary embolism
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Catheter based thrombolysis of venous occlusions
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Abdominal aortic aneurysm (in collaboration with another center)
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Percutaneous implantation of endoprostheses
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Arterio-venous fistulae (short circuits between arteries and veins): Implantations of endoprostheses, embolisation
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Aneurysms of distal arteries àimplantation of endoprostheses (covered stents)
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Selective thrombin injection in aneurysma spurium
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Resting and exercise ECG, 24-hrs-Holter-ECG
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24-hrs-Blood pressure monitoring
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Pacemaker, CRT- and defibrillator clinic
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Transthoracic and transesophageal echocardiography
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Dobutamine-stress-echocardiography
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Cardiac MRT and Adenosine-stress-MRT (in collaboration with another centre)
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Colour Duplex-Ultrasound of arteries and veins
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Lung function test and body plethysmography, bronchospasmolysis test and carbachol test
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Diagnostic bronchoscopy with transbronchial biopsy and bronchoalveolar lavage