Клініка Сан-Донато (Policlinico San Donato) – найбільший центр лікування серцево-судинних захворювань в Італії.
Сан-Донато є лідером за кількістю кардіохірургічних операцій та процедур інтервенційної кардіології у дорослих та дітей. Щорічно лікарі виконують понад 2 000 операцій на серці та судинах, 6 000 процедур гемодинаміки та 1 400 процедур радіочастотної абляції.
Спеціалізація клініки – кардіологія, кардіохірургія, аритмологія, кардіореабілітація, загальна хірургія.
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Спеціалізація клініки – кардіологія, кардіохірургія, аритмологія, кардіореабілітація, загальна хірургія.
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Клініка Сан-Рафаель (Ospedale San Raffaele) у Мілані — один із найкращих науково-дослідних медичних центрів Європи, лідер з лікування рідкісних імунних та генетичних захворювань.
\n\nЗа даними клініки, тут розроблено першу у світі генну терапію стовбуровими клітинами для пацієнтів з важким комбінованим імунодефіцитом (ADA-SCID).
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"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":2956}},"direction":{"id":36,"name":"Флебологія · Судинна хірургія","alias":"phlebology"},"illness_kind":{"id":36,"name":{"en":"Phlebology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Typical for desk or light work after unilateral saphenous vein EVLA; physically heavy work may need longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any minor complication such as phlebitis, paresthesia or burns within 3 months; DVT or serious events under 1%."},"contraindications":["Acute DVT or active superficial vein thrombosis in target vein","Active local or systemic infection","Pregnancy","Severe peripheral arterial disease (relative if compression needed)","Severely limited mobility (relative)","Very tortuous or aneurysmal target vein unsuitable for catheter passage","Thrombophilia or high thrombotic risk (relative)","Allergy to local anesthetic"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure for a single truncal vein; patient goes home the same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking is encouraged immediately; strenuous exercise and heavy lifting resume after about 1-2 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Bruising and tightness fade over weeks; vein closure confirmed within 1-3 months. Residual surface veins may need extra treatment."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After post-procedure duplex check excludes thrombus extension; walking during flight and compression stockings advised; longer if high thrombotic risk."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Duplex ultrasound check for vein occlusion and exclusion of thrombus extension before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"Later clinical and ultrasound review of occlusion and symptoms; can be done locally."}}],"indications":["Symptomatic varicose veins due to great saphenous vein reflux","Small saphenous vein incompetence with reflux","Chronic venous insufficiency with heaviness, swelling, aching or skin changes","Venous ulcer or lipodermatosclerosis associated with truncal reflux"],"main_risks":["Bruising, tightness and pain along the treated vein","Superficial phlebitis","Skin burns or hyperpigmentation","Paresthesia from thermal nerve injury (especially lower leg)","Deep vein thrombosis or endothermal heat-induced thrombosis (uncommon)","Recanalization or recurrence of reflux","Residual varicosities needing further treatment","Infection (rare)"],"pain":"Mild to moderate discomfort during tumescent anesthetic injection; afterward typically mild soreness and tightness along the vein, managed with simple analgesics.","preparation":["Duplex ultrasound vein mapping to confirm reflux and anatomy","Review medical history, thrombotic risk and medications with physician","Shave or clean the leg area","Wear loose clothing; bring compression stockings","Arrange for transport home if mild sedative is used"],"recovery_timeline":[{"phase":"Day 0","description":"Compression bandage or stocking applied; walking immediately after procedure.","restrictions":["Avoid prolonged standing or sitting"]},{"phase":"Days 1-14","description":"Compression stockings worn as advised; mild tightness and bruising along the vein; return to normal light activity.","restrictions":["Avoid strenuous exercise and heavy lifting","Avoid hot baths and saunas initially"]},{"phase":"Weeks 2-6","description":"Bruising and tenderness gradually resolve; normal activity resumed.","restrictions":[]},{"phase":"1-3 months","description":"Follow-up ultrasound confirms occlusion; any residual veins addressed if needed.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after a single-vein procedure; no formal rehabilitation needed."},"result_longevity":"Occlusion of the treated truncal vein is generally durable, but new varicose veins can develop over time because venous disease is chronic; recurrence risk varies by patient.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat ablation or further treatment of recanalized or residual truncal vein within about 5 years."},"scars":"No surgical incision; only a tiny needle puncture at the catheter entry site that usually heals without a noticeable scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Usually a single treatment session for one truncal vein; additional sessions (e.g., adjunct sclerotherapy) are separate and optional."},"stages":[{"code":"evla_treatment","label":"Endovenous laser ablation of the target vein under ultrasound guidance","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Follow-up ultrasound checks are routine care and not counted as treatment stages."},"success":{"metric":"Target vein occlusion rate","value":94,"unit":"percent","horizon":"1 year","population":"Adults with symptomatic great saphenous vein reflux treated with EVLA","evidence_status":"proven"},"techniques":[{"name":"Bare-tip fiber EVLA with tumescent anesthesia","suits_whom":"Adults with symptomatic great or small saphenous reflux and a vein suitable for catheter access.","recovery":"Walking immediately; light activity in 1-3 days; compression for about 1-2 weeks."},{"name":"Radial fiber EVLA (1470 nm) with tumescent anesthesia","suits_whom":"Adults wanting less bruising and pain; suits straight, moderately sized saphenous trunks.","recovery":"Walking immediately; light activity in 1-3 days; compression for about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"For one treated truncal vein (unilateral); bilateral or additional procedures take longer."},"initial_assessment_documents":["Lower limb venous duplex ultrasound report","Recent photos of legs, standing, front and back","Current medication list including blood thinners","Previous deep vein thrombosis or vein treatment records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient session; stay about 1-3 days including the post-procedure duplex check. Later reviews can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the specialist explains which treatment may be best for you, and the benefits and risks","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that a duplex ultrasound scan confirms your varicose veins and plans your treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/","host":"nhs.uk","quote":"If you're referred to a specialist they'll usually do a test called duplex ultrasound to confirm if you have varicose veins and plan your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact 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