Coronary artery disease Treatment in German Medical Institute (GMI)

Coronary artery disease care at German Medical Institute (GMI) in Limassol, Cyprus includes testing, catheter procedures, and bypass surgery. Cardiac surgeon Dr. Michalis Ayiomamitis has over 20 years of experience and trained in Italy and England. The cardiac catheterization laboratory connects directly with the cardiac intensive care unit.

Diagnostic tests and imaging

Tests help assess coronary narrowing and guide decisions about treatment. The clinic offers:

• Coronary angiography to view the heart’s blood vessels.
• Left and right heart catheterization to assess the heart and its blood flow.
• FFR and iFR assessment to measure how much a narrowing affects blood flow.
• IVUS imaging to view coronary vessels from inside during catheterization.
• Cardiac MRI, multislice CT, and PET/CT. The clinic has Cyprus’s first PET/CT scanner.

Catheter-based procedures

Procedures take place in the cardiac catheterization laboratory. They include:

• Percutaneous coronary intervention (PCI) uses balloon angioplasty and a stent to open narrowed arteries. It is offered for stable coronary artery disease and acute heart attack.
• Complex coronary revascularization uses catheter-based methods to treat complex lesions that may not suit standard angioplasty.
• Rotational atherectomy removes calcified plaque before stenting.
• Shockwave intravascular lithotripsy breaks up calcified plaque to help the stent expand.
• FFR/iFR and IVUS guidance supports decisions about revascularization and stent size and placement.

Coronary bypass surgery

Coronary artery bypass grafting (CABG) provides complete revascularization using cardiopulmonary bypass. The clinic uses bypass machines with a mini-circuit. A hybrid operating theatre supports traditional and minimally invasive cardiac procedures. CABG patients typically stay in hospital for 5–7 days, with physiotherapy during their stay and outpatient follow-up after discharge.

The clinic holds ISO 9001, ISO 45001, ISO 22000, and CHKS accreditations. Patients can request a consultation through Bookimed to discuss suitable testing and treatment options.