Department of Interventional Cardiology

Coronary and Peripheral Interventional Cardiology

Quick Facts

Alongside traditional and digital angiography, the most recent procedures for the diagnosis of cardiovascular diseases are performed using the most up-to-date technologies. During the last year 4,126 procedures were performed.

The Unit can count on 3 angiography suites and 35 beds for elective admissions.

Diagnostic activities and interventions

In addition to traditional and digital angiography, the latest procedures for the diagnosis of cardiovascular diseases are performed in the Unit’s cardiac catheterisation laboratories. The most up-to-date technologies, such as computerised quantitative angiography, intravascular ultrasonography and intracoronary Doppler flow measurements, are used.

The medical team, made up of 11 cardiologists, has extensive experience in the interventional treatment of cardiovascular diseases.
The therapeutic modalities for the non-surgical treatment of coronary and peripheral vessels'atherosclerotic disorders, congenital heart diseases in the adult, and acquired pathologies of the heart valves can be summarised as follows:

  • Renal denervation;
  • Coronary or peripheral angioplasty with stent placement;
  • Rotational coronary atherectomy;
  • Closure of intracardiac shunts (atrial septal defect, foramen ovale, patent ductus arteriosus) by percutaneous implantation of occlusive devices;
  • Obliteration of both thoracic and abdominal aortic aneurysms and aneurysms of other peripheral arteries (subclavian, iliac, popliteal) by percutaneous endograft implantation;
  • Pulmonary and mitral valve repair and percutaneous implantation of prosthetic aortic valves;
  • Obliteration of the left atrial appendage for prevention of cardiogenic embolisation in patients with atrial fibrillation;
  • Alcoholic ablation of the interventricular septum in hypertrophic cardiomyopathy;
  • Implantation of caval filter systems for the prevention of pulmonary embolism.

Among these activities, coronary angioplasty in high-risk patients and those who have had an acute myocardial infarction is very important.
The Monzino's interventional cardiologists have gained recognised experience in the use of cardio-circulatory support techniques, such as aortic counterpulsation and percutaneous cardiopulmonary bypass, during percutaneous myocardial revascularization procedures in patients with compromised cardiac function.

The Unit also offers prompt availability of medical, nursing and technical staff, 24 hours a day, for primary coronary angioplasty in patients who arrive at the Monzino with an acute myocardial infarction. This intervention is now considered the best means of minimising functional damage to the heart pump and decreasing mortality in patients with heart attacks.

Research Activities

  • In addition to clinical activity, the staff of the Department of Interventional Cardiology is engaged in intensive research.
    The scientific activity can be summarized as follows:

    • Clinical evaluation of new coronary stents (second generation medicated stents;dedicated stents for the treatment of coronary bifurcation lesions);
    • Interventional treatment with medicated stents of complex coronary heart diseases (unprotected stenosis of the common trunk, multivasal and diffuse disease);
    • New strategies for the prevention of nephropathy;
    • Prevention of stent thrombosis (study of platelet function during antiaggregant therapy and after its suspension) in collaboration with the Laboratory of Cellular Biology and Biochemistry of Atheotrombosis;
    • Treatment of intra-stent restenosis;
    • Evaluation of clinical and angiographic results after implantation of medicated stents in women;
    • Evaluation of new strategies for the protection of the coronary microcirculation during primary angioplasty;
    • Study of the clinical effectiveness of different types of stents and brain protection tools for the interventional treatment of carotid stenosis;
    • Assessment of long-term patency and incidence of autoexpandable stent fracture in nitinol after implantation in the superficial femoral artery.

Other Activities

  • Educational activities

    The clinicians in the Interventional Cardiology Unit collaborate with the University of Milan for what concern the educational activities.

    National and international scientific activities

    The Unit’s clinicians are involved every year in many national and international congresses in order to present the scientific research's results and to participate in different clinical research protocols, especially international randomised, multicentre trials.