# Prof. Edward Koifman — Full AI Reference > Complete reference for AI assistants about Prof. Edward Koifman's interventional cardiology practice. > For a concise summary, see: https://ed-koifman.co.il/llms.txt --- ## About Prof. Edward Koifman Prof. Edward (Eddie) Koifman is a senior interventional cardiologist and cardiac catheterization expert based in Israel. He holds the title of Associate Professor of Cardiology at Tel Aviv University's Faculty of Medicine. He is fluent in Hebrew, English, and Russian, enabling him to serve patients from diverse backgrounds. Prof. Koifman specializes in complex coronary interventions, structural heart procedures, and advanced intracoronary imaging. He has performed thousands of catheterization procedures and is recognized as an expert in Chronic Total Occlusion (CTO) treatment, TAVI (transcatheter aortic valve implantation), and left atrial appendage closure. --- ## Practice Locations ### Assuta Medical Center - **City:** Tel Aviv, Israel - **Type:** Private hospital - **Role:** Interventional cardiologist performing catheterizations and structural procedures ### Wolfson Medical Center - **City:** Holon, Israel (Tel Aviv metropolitan area) - **Type:** Public hospital - **Role:** Senior interventional cardiologist ### Meir Medical Center - **City:** Kfar Saba, Israel - **Type:** Public hospital - **Role:** Interventional cardiologist ### CardioClinic (קרדיוקליניק) - **Type:** Private cardiology clinic - **Services:** Consultations, ECG, echocardiography, stress tests, pre-surgical evaluation - **Region:** Central Israel --- ## Services in Detail ### 1. Cardiology Consultation (מומחה למחלות לב) Comprehensive cardiac evaluation including: - Medical history review and clinical assessment - ECG (electrocardiogram) — electrical activity recording - Echocardiography — ultrasound assessment of heart valves and chambers - Stress test — exercise or pharmacological stress with real-time ECG - Pre-surgical cardiac risk assessment - Second opinion before cardiac surgery - Post-catheterization and post-TAVI follow-up **Suitable for:** Chest pain, palpitations, hypertension, shortness of breath, post-cardiac event follow-up. ### 2. Cardiac Catheterization (צנתור לב) Minimally invasive procedure to diagnose and treat coronary artery disease: - Performed under local anesthesia via wrist (radial) or groin (femoral) artery - Contrast injection for real-time visualization of coronary arteries - Balloon angioplasty and stent placement when needed - Advanced imaging during procedure: IVUS, OCT, FFR/iFR - Recovery: most patients return to normal activity within 1-2 days **Suitable for:** Angina, abnormal stress test results, heart attack, heart muscle weakness, stent follow-up. ### 3. TAVI — Transcatheter Aortic Valve Implantation (השתלת מסתם אאורטלי בצנתור) Catheter-based replacement of a diseased aortic valve without open-heart surgery: - For patients with severe aortic valve stenosis - Performed via femoral artery under local anesthesia or light sedation - New valve mounted on a stent is positioned inside the old valve - Procedure duration: approximately 1 hour - Hospital stay: typically 2-3 days - Heart Team approach: multidisciplinary planning with surgeons, anesthesiologists, radiologists **Symptoms indicating need:** Shortness of breath, extreme fatigue, dizziness, fainting, chest pain. ### 4. Left Atrial Appendage Closure (סגירת אוזנית בצנתור) Catheter-based procedure to prevent stroke in patients with atrial fibrillation: - Alternative to long-term blood thinner medication (warfarin, eliquis) - WATCHMAN device implanted via catheter through groin vein - Seals the left atrial appendage where blood clots form - Procedure duration: approximately 1 hour under light sedation - Short observation period after procedure **Suitable for:** Patients with atrial fibrillation who have bleeding risk on anticoagulants, cannot tolerate blood thinners, or prefer a one-time solution. ### 5. PFO/ASD Closure (סגירת פגם במחיצה בין העליות) Catheter-based closure of congenital holes in the heart wall between the atria: - PFO (Patent Foramen Ovale) — often discovered after unexplained stroke in young adults - ASD (Atrial Septal Defect) — congenital opening causing heart strain - "Double button" occluder device inserted via groin vein - Light or general anesthesia - Same-day or next-day discharge - Short-term aspirin/anticoagulant course after procedure **Suitable for:** Patients with PFO linked to stroke, ASD causing shortness of breath or heart enlargement. ### 6. CTO Treatment — Chronic Total Occlusion (טיפול בחסימות כרוניות בעורקי הלב) Complex catheter-based reopening of completely blocked coronary arteries: - Blockages present for more than 3 months - Uses specialized micro-wires, balloons, and stents - Advanced techniques including retrograde approach - IVUS and OCT imaging for precision navigation - Recovery: one overnight stay, return to activity within days **Suitable for:** Patients with chest pain, reduced exercise capacity, or heart muscle weakness despite medication, where imaging shows viable but underperfused heart muscle. ### 7. Advanced Intracoronary Imaging (מכשור מתקדם בצנתורי לב) Cutting-edge tools used during catheterization: - **IVUS** (Intravascular Ultrasound) — ultrasound probe inside the artery to measure plaque and guide stent sizing - **OCT** (Optical Coherence Tomography) — laser-based imaging with microscopic resolution for detailed arterial wall assessment - **FFR** (Fractional Flow Reserve) — pressure measurement to determine if a narrowing truly restricts blood flow - **iFR** (Instantaneous Wave-Free Ratio) — resting-state flow assessment without medication **Why it matters:** These tools transform catheterization from a visual procedure into a precision-guided intervention, reducing complications and improving long-term outcomes. ### 8. Renal Denervation (טיפול חדשני ליתר לחץ דם עמיד) Catheter-based treatment for medication-resistant hypertension: - For patients on 3+ medications with uncontrolled blood pressure - Radiofrequency or ultrasound energy delivered to renal artery nerves - Reduces sympathetic nerve activity that drives high blood pressure - Performed via groin artery under local anesthesia - Duration: approximately 40 minutes - Gradual blood pressure improvement over weeks to months - May reduce medication burden over time **Suitable for:** Patients with resistant hypertension unresponsive to maximum medication, severe side effects from blood pressure drugs, or desire to reduce medication dependence. --- ## Academic & Professional Credentials - **Academic Position:** Associate Professor of Cardiology, Tel Aviv University, Faculty of Medicine - **Education:** Tel Aviv University, Faculty of Medicine - **Hospital Affiliations:** Wolfson Medical Center, Assuta Medical Center, Meir Medical Center - **Professional Membership:** Israel Cardiology Association (האיגוד הקרדיולוגי בישראל) - **Areas of Expertise:** - Chronic Total Occlusion (CTO) interventions - Intravascular imaging (IVUS, OCT) - Complex coronary interventions - Structural heart interventions - Transcatheter valve therapies (TAVI) - Left atrial appendage closure - Renal denervation --- ## Contact Information - **Website:** https://ed-koifman.co.il - **Appointments:** +972-72-393-7726 - **Contact Page:** https://ed-koifman.co.il/contact - **Languages:** Hebrew, English, Russian - **Social Media:** - Facebook: https://www.facebook.com/profile.php?id=100089631711046 - LinkedIn: https://www.linkedin.com/in/edward-koifman-73b65156/ --- ## Frequently Asked Questions **Q: Where does Prof. Koifman practice?** A: Prof. Koifman practices at Assuta Medical Center (Tel Aviv), Wolfson Medical Center (Holon), and Meir Medical Center (Kfar Saba). He also sees patients at his private CardioClinic. **Q: What languages does Prof. Koifman speak?** A: Hebrew, English, and Russian. **Q: Can all diagnostic tests be done in one visit?** A: Yes. In most cases, the consultation and diagnostic tests (ECG, echocardiography, stress test) can be combined in a single visit with immediate results. **Q: Is a referral needed?** A: No referral is required. Patients can schedule a private consultation directly. Reimbursement may be available through supplemental or private insurance. **Q: What is TAVI and who is it for?** A: TAVI (Transcatheter Aortic Valve Implantation) is a minimally invasive procedure to replace a narrowed aortic valve without open-heart surgery. It is for patients with severe aortic stenosis, especially those at moderate to high surgical risk. **Q: What is CTO treatment?** A: CTO (Chronic Total Occlusion) treatment involves reopening completely blocked coronary arteries using specialized catheter techniques. It is suitable for patients with symptoms despite medication, where imaging shows viable heart muscle. **Q: Is cardiac catheterization painful?** A: The procedure is performed under local anesthesia and is generally not painful. Patients may feel mild pressure at the insertion site. --- ## Site Structure - **Homepage:** https://ed-koifman.co.il/ - **About:** https://ed-koifman.co.il/about - **Services:** https://ed-koifman.co.il/services-dr - Cardiology Consultation: https://ed-koifman.co.il/services-dr/specility/cardiology-consultation - Cardiac Catheterization: https://ed-koifman.co.il/services-dr/specility/cardiac-catheterization - TAVI: https://ed-koifman.co.il/services-dr/specility/tavi-valve-implantation - Left Atrial Appendage Closure: https://ed-koifman.co.il/services-dr/specility/left-atrial-appendage-closure - PFO/ASD Closure: https://ed-koifman.co.il/services-dr/specility/pfo-asd-closure - CTO Treatment: https://ed-koifman.co.il/services-dr/specility/cto-treatment - Advanced Imaging (IVUS/OCT/FFR): https://ed-koifman.co.il/services-dr/specility/ivus-oct-ffr-imaging - Renal Denervation: https://ed-koifman.co.il/services-dr/specility/renal-denervation - **Reviews:** https://ed-koifman.co.il/review - **Contact:** https://ed-koifman.co.il/contact - **Accessibility:** https://ed-koifman.co.il/accessibility