Interventional Cardiology refers to the procedure for treating structural heart disease. It is an invasive process where a catheter is inserted for complex procedures like:
- Coronary Angioplasties including Rotablation
- FFR guided PCI for Intermediate Lesions
Endovascular procedures like:
- Aortoiliac Angioplasty
- An Aortic Aneurysm
- Dissection Management
- Carotid Stenting
- Birth Defects
These procedures are assisted by imaging guidance such as IVUS and OCT used in complex Angioplasties and 3D TEE, CT Imaging during structural heart procedures. Our Biplane Cath Labs are equipped with the latest technology and committed staff who has successfully achieved record time protocols in primary Angioplasty (Acute Heart Attack Angioplasty).
Angioplasties including Rotablation
Rotablation is a process to remove the calcified and solid blockage in the arteries. A rotablator which is a small drill is inserted during the angioplasty to remove the blockage. The calcified blockages are not easy to remove exclusively through angioplasty. In that case, a rotablator (or a small drill) is used to drill through the calcified blockage of arteries.
It is recommended by doctors in case the blocked arteries may not respond to angioplasty, a procedure where a tiny balloon at the end of a catheter is inserted into the artery to push aside the blockage. If the plaque is too hard and calcified, the process of rotablation is recommended. A rotablator is a drill with a diamond-coated burr on the end that fits into an artery and drills through the plaque. Without damaging the artery walls, it grinds the plaque into tiny pieces and lets it get washed away by the bloodstream. The body then processes and eliminates the plaque, leaving blood to flow again and supply the necessary nutrients and oxygen to the heart.
The catheter for angioplasty is inserted in a patient’s body through groin or wrist area after administering local anaesthesia in a painless procedure.
FFR guided PCI for Intermediate Lesions
Fractional flow reserve (FFR) describes the ratio of the maximum achievable blood flow in the presence of a diseased coronary artery to the theoretical maximum blood flow in the normal coronary artery, in the absence of a stenosis. FFR determines whether or not a cardiac patient needs a stent or surgery, or can be given medication alone. Increasingly, FFR-guided percutaneous coronary intervention (PCI) is being associated with beneficial outcomes as compared to angiography-guided PCI. A non-surgical method, percutaneous coronary intervention helps open narrowed arteries that supply blood to the heart muscle. This includes reductions in cardiac mortality and an overall use of healthcare resources.
Endovascular procedures like Aortoiliac Angioplasty
Aortoiliac Angioplasty is referred to the procedure where any blockage in the arteries is cleared with an angioplasty procedure by using different techniques. Unlike earlier, where an open heart surgery was conducted and the risks were higher; these days it is just a small incision which is made through which the heart surgery is conducted without cutting open the heart. It is not only safe but also treats a patient in less time than earlier.
What causes Aortoiliac Disease?
Aortoiliac Disease occurs when arteries in your heart starts narrowing or get stiff blocking the blood flow to the heart. If not treated on time, it can lead to fatality. Majorly, factors like smoking, unhealthy lifestyle, obesity and high BP leads to blockage in arteries.
An Aortic Aneurysm
Aortic Aneurysm develops in the main artery of the body. The Aortic Aneurysm looks like a big bulge in one part of the aorta which may have develop due to hardening of artery. The bulge if not treated can lead to further weakening of the artery and may also burst due to excess pressure. The only way to diagnose it is getting yourselfchecked regularly as it shows no visible symptoms.
BLK Super Speciality Hospital offers its services in treating most complex of the heart issues. Dissection Management is one such procedure which helps a patient in getting rid of life-threatening condition. Dissection management is recommended to treat Aortic Dissection. In this condition the blood starts flowing between the layers of the aortic wall which forces the blood to leak and flow outside the artery lumen. This further causes a split between inner and middle layers of the wall of aorta which can be life-threatening. The AD can be discovered by CT imaging and other diagnostics process.
Carotid Stenting is a very safe procedure to treat complex heart blockages. It is administered in case of narrowed carotid artery. A stent is an implant which helps in removing the blockage and maintaining proper flow of blood. The stent is placed in the narrowed artery which opens it up and helps in preventing stroke.
Heart issues are generally linked with unhealthy lifestyle. But, sometimes even children are born with congenital heart ailments or birth defects. The Heart centre at BLK offers intensive care for infants and young children to take care of cardiovascular diseases. Congenital heart defects in children are generally seems at the time of birth or after some time. A doctor may check a new born for signs of any heart issues which may include rapid breathing, swelling in legs/abdomen and shortness of breath during feeding. There have been cases when heart issues do not get tracked until young age.