With the drill head at the heart
Ten years ago a heart cathedral laboratory was set up at the Klinik Kirchheim. Since then, the team headed by Martin Beyer has treated around 15,000 patients.
Kirchheim – In the heart cathedral laboratory of the Klinik Kirchheim, 1700 patients are treated each year – about 40 per cent of them because of an acute myocardial infarction. As a success story, Norbert Nadler, head of the Kirchheim-Nürtingen Clinic, describes the facility installed ten years ago.
If somewhere in the middle of the night between Neidlingen under the Reichenstein, Erkenbrechtsweiler on the Alb or Wolfschlugen on the Fildern the recalled rescue assistants a patient with appropriate symptoms on the carrier bed rings already with the head physician Martin Beyer or his serving colleagues. “We are often already in the hospital in front of the patient and can prepare the procedure,” says the private lecturer, who has also been managing the clinic for internal medicine, heart and circulatory diseases for ten years.
Ready for use around the clock
Thanks to the 24-hour on-call service, the Herzspezialisten in Kirchheim – beside Martin Beyer and the leading Oberarzt Torsten Beck belong two other Oberärzte belong to the team – around the clock Katheder to narrow down narrowings of coronary vessels, expand them if necessary or those already Calcined plugs. If the heart muscle is no longer supplied, the areas which are no longer circulated will die. Speed, says Beyer, can save lives. Despite the relatively large entrance area of the Herzkathederlabors – patients are driven from the entire Old Town of Nürtingen to Kirchheim – the functioning cooperation with the rescue services ensures short reaction times. “The main problem with delays is the patient who does not call for help,” says Beyer.
Ten years ago, he remembers, he had had to swallow properly, when the Beyer, who had been compelled from Tübingen, had made the demand, “if it were a heart cat lab, then right.” In fact, in this case, that was true: to the one million euros for the equipment and the operating room, Nadler had to take the money again, in order to ensure the personnel equipment. “A heart cat laboratory only makes sense when it is working around the in shifts.
About the wrist to the heart
Since then, not only have the personnel facilities improved. Once the catheters had to be inserted over the groin in the direction of the heart, the wrist artery serves as an entry point – miniaturization makes it possible. “The hemorrhage can then be stopped faster on the arm. The patient can actually go home immediately, “says Beyer. A catheter must not always be inserted and the corresponding iodine-containing contrast half millimeters, which can clearly show the condition of the vessel walls,” says Torsten Beck. With a diamond drilling head of the same size, the deposits can then be milled out in a precise manner. In 2015 the laboratory was once again fundamentally renewed. Since then, the device provides even more detailed images, with a 70% reduced radiation exposure.