La ecografía intravascular (IVUS) proporciona al equipo imágenes desde el interior de los vasos sanguíneos para cartografiar la anatomía y planificar el tratamiento. Centro Médico Siglo 21 ofrece servicios de angiología, cirugía vascular y atención endovascular en San Francisco de Macorís. El cirujano cuenta con formación de subespecialidad en Angiología, Cirugía Vascular y Endovascular en el Hospital Civil de Guadalajara Fray Antonio Alcalde, en México. Entre los servicios relacionados se incluyen la angioplastia con balón, la embolización y la captura de cuerpos extraños.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9892,"alias":"dr-arismendy-espino","name":"Dr. Arismendy Espino","short_description":"El Dr. Arismendy Espino dirige una clínica vascular en San Francisco de Macorís, República Dominicana. La consulta se especializa en angiología, cirugía vascular y atención endovascular. El Dr. Espino se formó en cirugía general en el Hospital Docente Militar Dr. Ramón de Lara. Entre los procedimientos principales se incluyen la ablación endovenosa con láser, la escleroterapia y la angioplastia con balón y colocación de stent. El equipo también trata el síndrome de May-Thurner y el linfedema.
La clínica utiliza el láser NeoV 1940 para tratamientos venosos mínimamente invasivos. Esto permite realizar procedimientos sin cita previa, sin bisturí y con una recuperación rápida. La planificación diagnóstica suele incluir ecografía intravascular para lograr una mayor precisión. El Dr. Espino también extrae cuerpos extraños de la arteria pulmonar mediante métodos endovasculares. La consulta promueve la salud vascular mediante la educación de los pacientes y la información sobre la trombosis venosa profunda.
","images":[{"base_url":"clinic/6ae3fbdf7add6","title":"Dr. Arismendy Espino con traje formal en la clínica, retrato del personal médico"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"San Francisco de Macorís","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":"Día 1 - Llegada
Día 2 - Preoperatorio
Día 3 - Injerto de stent aórtico
Día 4 - Postoperatorio
Día 5 a Semana 1 - Continuación Post-Operación
Semana 2 a Semana 6 - Rehabilitación
Tenga en cuenta que el cronograma y los procedimientos pueden variar según las condiciones individuales del paciente y la velocidad de recuperación.
"}}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Ucrania","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"San Francisco de Macorís","alias":"san-francisco-de-macoris"}],"operations":[{"name":"Ablación por radiofrecuencia","alias":"radiofrequency-ablation"},{"name":"Angioplastia","alias":"angioplasty"},{"name":"Injerto de stent aórtico","alias":"aortic-stent-grafting"}],"diagnostics":[{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"}],"illnesses":[{"name":"Varicosidad","alias":"varicosity"}],"illnessKinds":[{"name":"Flebología","alias":"phlebology"}],"illness_kinds":[{"name":"Flebología","alias":"phlebology"}]},"popularSearches":[{"name":"Ablación por radiofrecuencia","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"Reemplazo de válvula cardíaca","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"Instalación de marcapasos cardíaco","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"Cirugía a corazón abierto","alias":"open-heart-surgery","type":"operation","id":663},{"name":"Colocación de stent coronario","alias":"coronary-stenting","type":"operation","id":554},{"name":"Ultrasonido","alias":"u.s.","type":"diagnostic","id":37},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Hemograma completo","alias":"total-blood","type":"diagnostic","id":83},{"name":"Consulta con un cardiólogo","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"Electrocardiograma","alias":"ecg","type":"diagnostic","id":21}],"operationPrices":{"operation_prices":{"316":{"operation":{"name":"Angioplastia coronaria","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"},"MX":{"amount":10000,"max_amount":12000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","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,"MX":true,"TH":false,"ES":false},"description":"El procedimiento destapa las arterias del corazón usando un globo pequeño, lo que reduce el riesgo de enfermedad cardíaca y mejora el flujo sanguíneo. Es mínimamente invasivo con una rápida recuperación.
"},"554":{"operation":{"name":"Colocación de stent coronario","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"},"MX":{"amount":7800,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","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,"MX":false,"TH":true,"ES":true},"description":"La operación consiste en colocar un pequeño tubo para abrir las arterias del corazón obstruidas, mejorando el flujo de sangre para un corazón más saludable.
"},"849":{"operation":{"name":"Injerto de stent aórtico","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"},"MX":{"amount":21000,"max_amount":34000,"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,"MX":false,"TH":false,"ES":false},"description":"Esta operación consiste en colocar un stent en la aorta para evitar la ruptura, ofreciendo una recuperación menos invasiva y más rápida.
"},"1495":{"operation":{"name":"Cirugía de bypass coronario","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"},"MX":{"amount":19000,"max_amount":28000,"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,"MX":false,"TH":false,"ES":false}},"1630":{"operation":{"name":"Contrapulsación externa mejorada (CEM)","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"},"MX":{"amount":1800,"max_amount":3400,"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,"MX":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":"El cirujano fue muy profesional y estoy muy satisfecha con el servicio internacional recibido.","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":"Cirugía a corazón abierto","alias":"open-heart-surgery"},{"name":"Reemplazo de válvula cardíaca","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":"Mantente fuerte, bien informado y nunca subestimes el poder de los tratamientos de vanguardia y un buen sistema de apoyo.","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 & Goldenes Kreuz Private Hospital","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Hospital","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolización para el cáncer de hígado","alias":"radioembolization-for-liver-cancer"},{"name":"Ablación por radiofrecuencia","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-04T15:00:10.148Z","activeCountries":["DO","ES","TR","MX","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":"Cirugía cardíaca","alias":"heart-surgery","name_forms":{"base_form":"Cirugía cardíaca","form_4":"cirujano cardíaco","form_6":"cirujanos cardíacos","form_11":"cirujanos cardíacos"}},"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}