Posted by : Admin|Date : 23 Mar, 2023|Location : Karamsad

The doctors at the Cardiac Centre at the teaching hospital of Bhaikaka University, Karamsad, removed the heart blockage with the ROTAPRO TRIPSY technique

The doctors at the Cardiac Centre (The Healing Tree Services) of Shree Krishna Hospital, the teaching hospital of Bhaikaka University, Karamsad, removed the heart blockage with the ROTAPRO TRIPSY technique.

Newer advanced technology in interventional cardiology is a blessing for cardiologists to fight against the monster of calcium for the best outcome in complex, high-risk indicated patients.The cardiac team of Bhanubhai and Madhuben Patel Cardiac Centre (The Healing Tree Services) of Shree Krishna Hospital, the teaching hospital of Bhaikaka University, Karamsad, gave a new lease of life to an 87-year-old cardiac patient using ROTAPRO TRIPSY.

"The cardiac centre used the RotaPro system (with extra safety features for the patient and user-friendly) successfully first time in Anand and Kheda district to remove the heavy calcifications in the blood vessel considering the age of the patient. The procedure was done along with an intravascular lithotripsy shock balloon (ROTA PRO TRIPSY) and intracoronary 3D imaging IVUS (Intra Vascular Ultrasound) guidance. It involves navigating a catheter fitted with a rotablator — a device to drill calcium inside the heart artery through the site of the blockage. The device rotates at a speed of up to 1,70,000 rotations per minute, gently pulverizing the blockage into tiny particles that can pass safely through the bloodstream. This technique drilled and cracked a 99% critical, heavily calcified lesion in the left anterior descending artery of the left side of the heart, which was the only blood-supplying artery to both the left and right side of the heart muscle in this patient." explained Dr. Kushal Pujara, an interventional cardiologist. A heart team approach, involving cardiologists, cardiac surgeons, and cardiac anesthesiologists, is essential in the management of such patients.

An 87-year-old man from Anand suffered a heart attack, had coronary angiography at another hospital in the city, and was advised for cardiac bypass surgery (CABG) due to critical calcified blockage. He also had impaired kidney function. The patient and family came to Bhanubhai and Madhuben Patel Cardiac Centre at Shree Krishna Hospital to get a second opinion from experts. He refused CABG in view of his advanced age, and it was decided to implant stents with a percutaneous complex coronary procedure under local anesthesia.

If stents are implanted without breaking calcium with this technique, then stents have the tendency to obstruct blood flow again with blockage, said Dr. Sunil Karna, another interventional cardiologist in the hospital.Dr. Kushal Pujara added that ROTAPRO is a safe and sufficient technique for the endovascular treatment of heavily calcified coronary artery lesions.

The hospital houses a state-of-the-art, high-tech Philips cath lab, and the heart team is available round the clock, which helps in performing such complex procedures successfully on patients.