The days of “blindly” putting a stent based on an angiogram are over. New equipment and devices that enable interventional cardiologists to see through the 2 mm blood vessel are available now.
“This enables them to do a better job,” said interventional cardiologist Elvin Kedhi, from Rotterdam in Netherlands.
Dr. Kedhi conducted a live workshop on complex coronary angioplasties using Intra Vascular Ultra Sound (IVUS) and Fractional Flow Reserve (FFR) methods in addition to angiography to estimate the nature and extent of the blocks in the coronary arteries.
Angiography is an imaging technique in which the arteries can be seen from the outside.
The FFR gives the difference in blood pressure in the blood vessels before and after the block and IVUS gives the image of the blockage from within the blood vessel. This information helps the doctors decide how to tackle the block in the blood vessel, Dr. Kedhi said.
Dr. Kedhi, talking to mediapersons between procedures, said that he was surprised at the advanced equipment and devices available in Aayush and other hospitals in the city. He had a Cardiac Cath Lab very similar to the one at Aayush at his workplace in Rotterdam.
However, more interventional cardiologists and facilities may be required in India because people had a propensity for coronary diseases. Studies showed that the propensity of Indians to coronary diseases was higher than that of people of Europe, America, and even other Asians, he said. Advances were helping doctors make early detection of the diseases.
Bioresorbable stents (that get absorbed into the blood vessel) provided at a subsidised rate by Abbott Vascular company were placed in four patients.
Aayush Hospitals chief cardiologist K. Gopala Krishna spoke. Chief anaesthesiologist Y Ramesh Babu and cardiothoracic surgeon K. Srinivasa Sai were present. Dr. Kedhi interacted with cardiologists and physicians at Ramesh Hospital and made a presentation to doctors at the Taj Gateway and explained them the new trends.