For the first time in Saudi Arabia, treatment of blockage of the arteries feeding the brain and uterine tumors without surgery at Dhahran Hospital, two surgeries were recently performed at Dhahran Health Center, the first of which was to widen the main arteries (carotid arteries) feeding the brain and install internal metal mesh stents to prevent recurrence of their walls and the second to shrink uterine tumors Benign, known as fibroids, without surgery, by blocking the arteries supplying them.
The first catheter operation was performed to expand the arteries of the neck feeding the brain for a patient who had a small stroke due to severe narrowing of the arteries and the blockage of the arteries supplying the brain occurs as a result of the accumulation of fat, which is the cause of (20 to 30%) of brain clots, and the usual way to treat this is by Surgery where a surgeon specializing in vascular surgery opens the artery, cleans it, and removes the fat that causes narrowing and blockage of the artery.
The consultant medical radiologist and vascular catheter and head of the medical team treating Dr. Majed Ashour considered that the catheter treatment for these arteries is a new type of non-surgical treatment, as this type of operation is performed by a doctor specializing in medical radiology and catheterization under local anesthesia and sedatives and the recovery period is after this The operation is short and does not exceed a day or two, where a thin plastic tube called (catheter) is ed through a small opening with a diameter between (3 to 5) mm, under the skin in an area in the upper thigh, and this tube is directed and its movement is monitored through imaging rays. Inside the aorta, until it reaches the carotid artery in the neck area, and this artery is the main feeder for the brain. The narrowing procedure is expanded through a balloon, and then a metal stent is placed to keep the artery open and to avoid its walls from sticking again.
Dr. Ashour explained that catheterization operations and widening the arteries of the extremities, pelvis and kidneys at Dhahran Hospital began more than two years ago, but this operation is the first of its kind in terms of the type and location of the artery, and in other medical development, medical radiologists in the medical services department are now able to reduce uterine tumors. The benign, known as fibroids without surgery by blocking the blood flow to stop the growth of these tumors. This new technique is described as perhaps one of the exciting new procedures carried out by medical radiologists, during which the catheter is ed into the femoral artery at the intersection of the thigh in the abdomen through a small opening In the skin with local anesthesia, the catheter is then extended to the artery that supplies the uterus, where small plastic pellets the size of sand grains are ed to gradually block the flow of blood, and the reduction in blood flow leads to shrinking the fibroids. Symptoms such as bleeding and pelvic pressure.
Regarding this new technology and its use, Dr. Ashour said that this operation represents for many women the best native to a hysterectomy or a fibrous lumpectomy, and the recovery period takes about a week. Dr. Ashour stated that uterine fibroids are usually discovered for the first time during an internal gynecological examination through which the doctor can To determine the extent of uterine enlargement, these tumors can also be confirmed by ultrasound detection, magnetic resonance imaging, or computer-assisted computed tomography.
It is noteworthy that the first non-surgical operation to treat uterine fibroids through catheters and blocking the arteries supplying the uterus was performed last year and is the first of its kind in the eastern region.
