HIGH COMPLEXITY
Neurosurgery | |||
Functional neurosurgery (movement surgery + pain surgery + psychosurgery). | |||
Neurology
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Endovascular treatment of acute ischemic stroke. | |||
Diagnosis of Prodromal Alzheimer's Disease (using biomarkers). | |||
Early onset dementia (<65 years). | |||
Functional surgery program for Movement Disorders. | |||
Comprehensive treatment program for Huntington's Disease and other hereditary choreas. | |||
Brain mapping (cognitive) of patients undergoing awake brain surgery for a brain tumour. | |||
Neuromuscular pathology (RCSU). |
Cardiology | |||
Structural cardiopathies TAVI, MITRACLIP, LEFT ATRIAL APPENDAGE (LAA). | |||
Complex coronary lesions Occlusions (CTO) Rotational atherectomy (RTB). | |||
MCP systems without electrode (MICRA). | |||
Percutaneous extraction of electrodes. | |||
Advanced navigation systems. | |||
Cardiac Surgery
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Ventricular assistance. | |||
Heart transplantation. |
General and Digestive Surgery | |||
Uncommon oncological surgery for neoplasms of the oesophagus, stomach, rectum, liver, pancreas and other rare neoplasms. |
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Orthopaedic and Traumatology Surgery
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Endovascular treatment of acute ischemic stroke. | |||
Plastic Surgery | |||
Treatment of disseminated melanoma. | |||
Genitourinary reconstruction (microsurgical reconstruction of the male genitalia). | |||
High-complexity reparative microsurgery: Supramicrosurgery = Microsurgical morphofunctional reconstruction and surgical treatment of lymphoedema.
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Thoracic Surgery
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Oncological surgery of low prevalence in accordance with CatSalut instruction 1/2012 (lung cancer surgery, complex oncological surgery of the thorax). | |||
Surgery for patients with myasthenia. | |||
Thoracic carcoma surgery. | |||
Dermatology | |||
Mohs surgery. | |||
Clinical Haematology | |||
Allogeneic transplantation and referencing in accordance with CatSalut instruction 1/2012. | |||
Precision therapy aimed at molecular targets and immunotherapy. | |||
Medical Oncology | |||
Rare, germ cell and neuroendocrine sarcomas and tumours, in accordance with CatSalut instruction 1/2012. | |||
Tumour pathology: Skull base surgery, hypophysis tumour surgery, working jointly with otolaryngology and endocrinology, brain tumour surgery in eloquent areas (awake patient surgery) and neuro-oncology in general. | |||
Otolaryngology-Oncology-Radiotherapy-Plastic Surgery | |||
Cancer of the head and neck (complex reconstruction, protocols for function preservation, etc.). | |||
Neurosurgery and Otolaryngology | |||
Skull base tumour surgery and advanced endoscopic surgery. | |||
Radiotherapeutyc Oncology / Radiophysics and Radioprotection | |||
Planning of external radiation therapy with PET-CT. |
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Planning of external radiation therapy with 4D-CT. | |||
Planning of external radiation therapy directly with magnetic resonance for pelvic/prostate tumours. | |||
Intensity-modulated radiation therapy (IMRT, VMAT) | |||
Stereotactic body radiation therapy. | |||
Fractionated stereotactic brain radiation therapy. | |||
Image-guided radiation therapy (IGRT) and with fiducial markers. | |||
4D radiotherapy, taking into account respiratory motion control. | |||
Adaptative radiotherapy. | |||
Paediatric radiotherapy with anaesthesia. | |||
Total body irradiation (TBI) for blood cancer tumours. | |||
Motion control for interfraction patients with image guidance protocols for all patients. | |||
In vivo dosimetry. | |||
Prevention of cardiac damage from irradiation of left-breast carcinoma. | |||
Personalized radiology discharge procedure for all patients in differentiated thyroid carcinoma treatments. | |||
Brachytherapy: | |||
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Paediatrics | |||
TPH in haemato-oncological patients (RCSU). Oncology and haematology in the AIS Dreta healthcare area, in accordance with CatSalut instruction 1/2012. | |||
Pneumology | |||
Cryo-broncoscopy. |
Various | |||
Reference in adult and paediatric multiple trauma patients, in accordance with CatSalut instruction 4/2011. |
Various | |||
In oncological, haematological, neurological and cardiological pathology, etc. |
Anaesthesiology, Reanimation and Pain Therapy | |||
Transthoracic echocardiography to guide valve implants in cardiovascular surgery. | |||
ECMO cardio-circulatory treatment program for patients with advanced cardiopathy awaiting a heart transplant and/or cardiac function recovery. | |||
Anaesthetic management of craniotomies in conscious patients with pathology in functional brain areas. | |||
Angiology, Vascular and Endovascular Surgery | |||
Aortic and carotid pathology and endovascular treatment of Peripheral Artery Disease, in accordance with CatSalut instruction 9/2014. | |||
Pathological Anatomy | |||
Complex endoscopic techniques: treatment for Barrett's oesophagus, diagnostic choledocoscopy, and choledochal and intrahepatic lithotripsy with laser, submucosal resection of gastrointestinal lesions, therapeutic endoscopy. |
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Diagnostic and therapeutic hepatic haemodynamics. |
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General and Digestive Surgery | |||
Pelvic floor surgery (rectal incontinence, rectal prolapse). | |||
Advanced laparoscopic surgery for uncommon pathology (achalasia, splenectomy, ultra-low rectum, hepatectomy, pancreatectomy, etc.). | |||
Complex hepatic surgery (surgical lesion of the bile ducts, tumours, etc.). | |||
Dermatology | |||
Hansen’s disease . | |||
Vascular lesions: Vascular laser treatment and medical surgical treatment of angiomas. | |||
Imaging Diagnosis | |||
Interventional vascular, neurovascular and hepatobiliary procedures. | |||
Percutaneous radiofrequency ablation of hepatic and pulmonary tumours. | |||
Endocrinology | |||
Intensified insulin therapy - Telemedical artificial pancreas | |||
Endocrine neoplasias: poor prognosis endocrine carcinomas and MEN (1,2) and related entities. | |||
Pharmacy | |||
Clinical pharmacokinetics. Busulfan. | |||
Significant participation in the CatSalut Technical Pharmacy Office. | |||
Clinical Pharmacology | |||
Phase I and II clinical testing unit: Drug Information Centre (CIM). | |||
Pharmacovigilance Unit. | |||
Gynaecology and Obstetrics | |||
Assisted Reproduction. Preimplantation genetic diagnosis (PGD). | |||
Maternal and foetal immunohaematological and endocrinological abnormalities. | |||
Maternal, family and foetal nephro-urological diseases. | |||
High risk obstetrics: prematurity, intrauterine growth restriction and pre-eclampsia. | |||
Deep pelvic endometriosis. | |||
Ovarian cancer and multidisciplinary sarcoma programme. | |||
Fertility preservation for cancer patients. | |||
Immunology | |||
Immunodeficiency and autoimmune disease diagnostic and monitoring. | |||
Biological therapy research and monitoring. | |||
Laboratories (Biochemistry, Haematology, Microbiology, Immunology, Genetics and Pathological Anatomy) | |||
Molecular techniques for the detection of microorganisms and their resistance mechanisms. Molecular epidemiology. | |||
Viral isolation for cell cultures Flaccid paralysis surveillance. | |||
Genotype diagnosis of hereditary pathology. | |||
Antineoplastic treatment monitoring: busulfan, mitotane i asparaginase. | |||
Caracterització immunogen típica de neoplàsies hematològiques inclosa seqüenciació massiva. | |||
Nuclear Medicine | |||
Metabolic therapy with radiopharmaceuticals. | |||
Ophthalmology | |||
Implantation of intraestomal corneal rings to correct keratoconus. | |||
Crosslinking surgery for corneal ectatic disorders. | |||
OCT-assisted surgical microscopy for the vitreoretinal interface, corneal layer transplantation and non-penetrating filtering surgery using deep sclerectomy. | |||
Otolaryngology | |||
Oncology and oncological surgery of the head and neck. Head and neck tumour Program and Committee (special collaboration with Medical Oncology, Radiotherapeutic Oncology and Plastic Surgery). | |||
Severe sensorineural deafness and cochlear implants (adults and children). We are the reference centre for adults in Catalonia. | |||
Otological BAHA surgery (bone-anchored hearing aid). | |||
Otoneurosurgery with a special focus on tumours of the pontocerebellar angle. | |||
Patologia Digestiva | |||
Tècniques endoscòpiques complexes: tractament esòfag de Barret, coledocoscòpia diagnòstica i litrotícia coledocal i intrahepàtica amb làser, resecció submucosa de lesions gastrointestinals, endoscòpia terapèutica. | |||
Hemodinàmica hepàtica diagnòstica i terapèutica. | |||
Paediatrics | |||
Comprehensive treatment for extremely premature babies. | |||
Hypothermia programmes in cases of neonatal asphyxia. | |||
HPT programme, pioneering is Spain, for oncological pathologies, immunodeficiencies and metabolic disorders / RCSU. | |||
Multidisciplinary treatment programme for multiple trauma paediatric patients with all of the medical, surgical and interventional radiology specialties on a 24/7 basis. | |||
HPT in metabolic disorders / HPT in patients suffering from primary immunodeficiencies. | |||
Pneumology | |||
Mechanic ventilation and comprehensive ventilator rehabilitation. Hospital and home care. | |||
Diagnosis and comprehensive treatment of severe asthma. | |||
Pulmonary fibrosis and other rare interstitial pneumopathies. | |||
Psychiatry | |||
Treatment of resistant depression and schizophrenia and Neurosurgery (Deep brain stimulation). | |||
Dialectic behaviour therapy for borderline personality disorder. | |||
Emergencies
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Heart attack code (protocol for emergency services and cardiology). | |||
Stroke code (protocol for emergency services, neurology and radiology). | |||
Non-invasive ventilation in ICC and IRCA (protocols for the emergency service and pulmonology). | |||
Sepsis code (protocol for the emergency service and intensive medicine). | |||
Trauma code (protocol for the emergency services, surgery, trauma and anaesthesia). |
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