يوفّر التصوير بالموجات فوق الصوتية داخل الأوعية (IVUS) للفريق صورًا من داخل الأوعية الدموية لرسم خريطة تشريحية تساعد في التخطيط للعلاج. يقدّم Centro Médico Siglo 21 خدمات طب الأوعية الدموية وجراحة الأوعية الدموية والرعاية داخل الأوعية الدموية في سان فرانسيسكو دي ماكوريس. تلقّى الجرّاح تدريبًا في تخصص فرعي في طب الأوعية الدموية وجراحة الأوعية الدموية والجراحة داخل الأوعية الدموية في مستشفى سيفيل دي غوادالاخارا فراي أنطونيو ألكالدي في المكسيك. وتشمل الخدمات ذات الصلة رأب الأوعية بالبالون، والانصمام، والتقاط الأجسام الغريبة.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9892,"alias":"dr-arismendy-espino","name":"Dr. Arismendy Espino","short_description":"يدير الدكتور أريسميندي إسبينيو عيادة للأوعية الدموية في سان فرانسيسكو دي ماكوريس بجمهورية الدومينيكان. تركز العيادة على طب الأوعية الدموية وجراحة الأوعية الدموية والرعاية داخل الأوعية. تلقى الدكتور إسبينيو تدريبه في الجراحة العامة في المستشفى التعليمي العسكري الدكتور رامون دي لارا. وتشمل الإجراءات الرئيسية الاستئصال بالليزر داخل الوريد، والعلاج بالتصليب، ورأب الأوعية بالبالون مع تركيب دعامة. كما يعالج الفريق متلازمة ماي-ثرنر والوذمة اللمفية.
تستخدم العيادة ليزر NeoV 1940 لعلاجات الأوردة طفيفة التوغل. ويتيح ذلك إجراء العلاجات دون موعد مسبق ومن دون مشرط، مع تعافٍ سريع. وغالبًا ما يشمل التخطيط التشخيصي التصوير بالموجات فوق الصوتية داخل الأوعية لتعزيز الدقة. كما يزيل الدكتور إسبينيو الأجسام الغريبة من الشريان الرئوي باستخدام تقنيات داخل الأوعية. وتعزز العيادة صحة الأوعية الدموية من خلال تثقيف المرضى والتنبيه إلى مخاطر تجلط الأوردة العميقة.
","images":[{"base_url":"clinic/6ae3fbdf7add6","title":"الدكتور أريسميندي إسبينو يرتدي بدلة رسمية في العيادة، صورة طاقم طبي محترف"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سان فرانسيسكو دي ماكوريس","id":2529,"alias":"san-francisco-de-macoris"},"address":"Torre Ejecutiva, Suite 301, San Francisco de Macorís, República Dominicana (CM Siglo 21)"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":15},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"اليوم الأول - الوصول
اليوم 2 - ما قبل العملية
اليوم 3 - ترقيع دعامة الأبهر
اليوم 4 - بعد العملية
من اليوم الخامس إلى الأسبوع الأول - استمرار ما بعد العملية
الأسبوع الثاني إلى الأسبوع السادس - إعادة التأهيل
يرجى ملاحظة أن الجدول الزمني والإجراءات قد تختلف تبعًا لظروف المريض الفردية وسرعة الشفاء.
"}}},"relations":{"countries":[{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"جمهورية الدومنيكان","alias":"dominican-republic","iso_code":"DO"},{"name":"كوريا الجنوبية","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"سان فرانسيسكو دي ماكوريس","alias":"san-francisco-de-macoris"}],"operations":[{"name":"الترددات اللاسلكية","alias":"radiofrequency-ablation"},{"name":"رأب الأوعية الدموية","alias":"angioplasty"},{"name":"الأبهر الدعامة التطعيم","alias":"aortic-stent-grafting"}],"diagnostics":[{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan"}],"illnesses":[{"name":"التباين","alias":"varicosity"}],"illnessKinds":[{"name":"طب الأوردة","alias":"phlebology"}],"illness_kinds":[{"name":"طب الأوردة","alias":"phlebology"}]},"popularSearches":[{"name":"الترددات اللاسلكية","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"استبدال صمام القلب","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"تثبيت جهاز تنظيم ضربات القلب","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"عملية القلب المفتوح","alias":"open-heart-surgery","type":"operation","id":663},{"name":"الدعامة التاجية","alias":"coronary-stenting","type":"operation","id":554},{"name":"تخطيط الصدى","alias":"u.s.","type":"diagnostic","id":37},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"فحص دم شامل","alias":"total-blood","type":"diagnostic","id":83},{"name":"التشاور مع طبيب القلب","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"تخطيط كهربية القلب","alias":"ecg","type":"diagnostic","id":21}],"operationPrices":{"operation_prices":{"316":{"operation":{"name":"رأب الأوعية التاجية","alias":"coronary-angioplasty","use_for_listing":true},"country_price":{"TR":{"amount":4100,"max_amount":7500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":25000,"max_amount":45000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":false},"description":"يقوم هذا الإجراء بفك انسداد شرايين القلب باستخدام بالون صغير ، مما يقلل من خطر الإصابة بأمراض القلب ويحسن تدفق الدم. إنها طفيفة التوغل مع التعافي السريع.
"},"554":{"operation":{"name":"الدعامة التاجية","alias":"coronary-stenting","use_for_listing":true},"country_price":{"TR":{"amount":2000,"max_amount":4000,"currency":"USD","clinic_count":15,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":8000,"max_amount":11800,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7000,"max_amount":15000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":8500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":true,"TH":true,"ES":true},"description":"تتضمن العملية وضع أنبوب صغير لفتح شرايين القلب المسدودة ، وتحسين تدفق الدم لقلب أكثر صحة.
"},"849":{"operation":{"name":"الأبهر الدعامة التطعيم","alias":"aortic-stent-grafting","use_for_listing":true},"country_price":{"TR":{"amount":13500,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":32000,"max_amount":47000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":22000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":25000,"max_amount":40000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":false},"description":"تتضمن هذه العملية وضع دعامة في الشريان الأورطي لمنع التمزق ، مما يوفر تعافيًا أقل توغلاً وأسرع.
"},"1495":{"operation":{"name":"جراحة مجازة الشريان التاجي","alias":"coronary-bypass-surgery","use_for_listing":true},"country_price":{"TR":{"amount":12500,"max_amount":14000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":28000,"max_amount":39000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":17500,"max_amount":29000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":25000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":true,"TH":false,"ES":false}},"1630":{"operation":{"name":"الضربات المعاكسة الخارجية المحسنة","alias":"enhanced-external-counterpulsation-eecp","use_for_listing":true},"country_price":{"TR":{"amount":1100,"max_amount":2000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":150,"max_amount":2200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":1500,"max_amount":3000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":true,"ES":false}}}},"videoReviews":[{"id":"060e46e2-3001-4a0b-9a89-a039c7a4be9f","link":"https://player.vimeo.com/video/1096287517?badge=0&autopause=0&player_id=0&app_id=58479","description":"كان الجراح على درجة عالية من المعرفة، وأنا راضٍ جدًا عن الخدمة الدولية المقدمة.","userName":"Bonnie","user_name":"Bonnie","preview":"https://i.vimeocdn.com/video/2030318859-4149da1264ab2e89bcbb52dca6fcf6685e01331bf0759c5970d93bf471ada2b9-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:07:06.966+00:00","clinicName":"Centro Médico Teknon","clinic":{"name":"Centro Médico Teknon","alias":"teknon-medical-center"},"clinicUrl":"/clinic/teknon-medical-center/","relations":{"operations":[{"name":"عملية القلب المفتوح","alias":"open-heart-surgery"},{"name":"استبدال صمام القلب","alias":"heart-valve-replacement"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"ابقَ قويًا، وكن على دراية، ولا تستهين أبدًا بقوة العلاجات المتقدمة ونظام الدعم المتين.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet Private Hospital","clinic":{"name":"Confraternitaet Private Hospital","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"التجميع الإشعاعي لسرطان الكبد","alias":"radioembolization-for-liver-cancer"},{"name":"الترددات اللاسلكية","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-04T15:00:10.148Z","activeCountries":["DO","TR","ES","DE","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":3049}},"direction":{"id":23,"name":"جراحة القلب","alias":"heart-surgery","name_forms":{"base_form":"جراحة القلب","form_4":"جراحة القلب","form_6":"جراحة القلب","form_11":"جراحو القلب"}},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Elective uncomplicated infrarenal EVAR; sedentary work earlier, heavy physical work later."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 30 days, including access-site, renal and endoleak; 30-day mortality about 1%."},"contraindications":["Unsuitable aortic anatomy: short/angulated neck, iliac disease, calcified neck","Active infection or sepsis, including mycotic aneurysm","Severe renal impairment or uncontrolled contrast allergy (relative)","Marfan-type connective tissue disorders (relative; poor sealing zones)","Inability to comply with lifelong imaging surveillance (relative)","Very limited life expectancy or prohibitive anesthetic risk (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Elective uncomplicated infrarenal EVAR; thoracic or complex fenestrated repairs often need longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light activity such as walking earlier; heavy lifting and strenuous exercise only after surgeon clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Aneurysm exclusion confirmed on 1-month imaging; full functional recovery by about 1-3 months, depending on age and fitness."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After discharge and access-site check; depends on surgeon clearance, groin healing and flight length."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Access site check"}},{"purpose":"assessment","requirement":"routine","after":{"min":25,"max":40,"unit":"days","qualifier":"Typical 1-month clinical review with CT angiography or duplex ultrasound for endoleak and graft position"}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":200,"unit":"days","qualifier":"Imaging surveillance at about 6 months; then at least yearly, per protocol"}}],"indications":["Abdominal aortic aneurysm 5.0-5.5 cm or rapidly growing, suitable anatomy","Symptomatic or ruptured aortic aneurysm with suitable anatomy (emergency setting)","Descending thoracic aortic aneurysm or selected complicated aortic dissection (TEVAR)","Penetrating aortic ulcer or traumatic aortic injury in selected patients","Higher surgical risk patients unfit for open repair"],"main_risks":["Endoleak requiring surveillance or reintervention","Access-site complications (bleeding, hematoma, vessel injury, infection)","Contrast-related kidney injury","Graft migration, kinking or limb occlusion","Cardiac, pulmonary or other perioperative complications","Post-implantation syndrome (fever, inflammation)","Spinal cord ischemia (mainly thoracic repair)","Stroke (mainly thoracic or arch repair)","Bowel or leg ischemia, graft infection, aneurysm rupture despite repair","Cumulative radiation exposure from repeated surveillance imaging"],"pain":"Usually mild to moderate groin or access-site discomfort for a few days, controlled with oral analgesics; typically less than open repair.","preparation":["Preoperative CT angiography to plan sizing and access","Cardiac, pulmonary and renal assessment and routine blood tests","Review of current medications with the treating team","Fasting before general anesthesia as instructed","Smoking cessation advised","Hydration and kidney protection planning for contrast use"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Hospital monitoring, early mobilization, groin checks, diet resumed.","restrictions":["Brief bed rest with leg straight"]},{"phase":"Weeks 1-2","description":"Home recovery with daily walking; mild groin tenderness and bruising possible.","restrictions":["No heavy lifting","No driving until cleared"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activities and work; first follow-up imaging at about 1 month.","restrictions":["Avoid strenuous exertion until cleared"]},{"phase":"Long term","description":"Lifelong periodic imaging surveillance.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated elective infrarenal EVAR; no formal program normally needed."},"result_longevity":"Intended as a durable aneurysm exclusion, but it requires lifelong surveillance; late reinterventions occur in a notable minority, depending on anatomy and device.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Secondary reintervention, mainly for endoleak or limb occlusion, within about 5 years of elective EVAR."},"scars":"Minimal: small groin puncture sites or short groin incisions, usually faint scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single procedure for standard infrarenal EVAR."},"stages":[{"code":"stent_graft_deployment","label":"Endovascular stent graft deployment via femoral access","after":{"min":0,"max":0,"unit":"days","qualifier":"Same procedure"}}],"qualifier":"Standard elective infrarenal EVAR; complex or branched repairs may be staged."},"success":{"metric":"Technical success of aneurysm exclusion","value":97,"unit":"percent","horizon":"At 30 days","population":"Adults with elective infrarenal AAA and suitable anatomy","evidence_status":"proven"},"techniques":[{"name":"Infrarenal EVAR (bifurcated stent graft)","suits_whom":"Abdominal aortic aneurysm with suitable neck and iliac anatomy","recovery":"Hospital stay of 1-3 nights, return to usual activities in weeks."},{"name":"Thoracic endovascular aortic repair (TEVAR)","suits_whom":"Descending thoracic aneurysm, dissection or injury","recovery":"Usually a longer stay and recovery than EVAR, with additional spinal and stroke risk monitoring."},{"name":"Fenestrated or branched endovascular repair","suits_whom":"Juxtarenal or complex aneurysms with short necks","recovery":"More complex; longer stay and recovery than standard EVAR."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Standard elective infrarenal EVAR procedure time; complex repairs take longer."},"initial_assessment_documents":["CT angiography of chest, abdomen and pelvis","Recent aortic ultrasound report","Cardiology report with ECG or echocardiogram","Recent kidney function blood tests","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay 7-14 days covering 1-3 hospital nights and access-site check. Imaging follow-ups usually done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=stentirovanie-aorty/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}