A coronary angiogram is a special X-ray test. It’s done to find out if your coronary arteries are blocked or narrowed, where and by how much. An angiogram can help your doctor see if you need treatment such as angioplasty or stent, coronary artery bypass surgery (CABG) or medical therapy.
Percutaneous Transluminal Coronary Angioplasty (PTCA), or Coronary Angioplasty, is a minimally invasive non-surgical procedure that is used to open narrowed arteries. It involves the use of a flexible catheter with a balloon at the tip, which is inflated at high pressure inside the narrowed arterial wall.
Angioplasty and stent placement – Carotid Artery
Carotid angioplasty and stenting (CAS) is done using a small surgical cut.
- Your surgeon will make a surgical cut in your groin after using some numbing medicine. You will also be given medicine to relax you.
- The surgeon places a catheter (a flexible tube) through the cut into an artery. It is carefully moved up to your neck to the blockage in your carotid artery. Moving x-ray pictures (fluoroscopy) are used to see the artery and guide the catheter to the correct position.
- Next, the surgeon will move a wire through the catheter to the blockage. Another catheter with a very small balloon on the end will be pushed over this wire and into the blockage. Then the balloon is inflated.
- The balloon presses against the inside wall of your artery. This opens the artery and allows more blood to flow to your brain. A stent (a wire mesh tube) may also be placed in the blocked area. The stent is inserted at the same time as the balloon catheter. It expands with the balloon. The stent is left in place to help keep the artery open.
- The surgeon then removes the balloon.
Complex Coronary Interventions
Chronic Total Occlusion and Bifurcation lesions are the most challenging lesions in Coronary Interventions, and often the reason of incomplete revascularization and referral for CABG. But we can achieve good long term results in these situations with Drug Eluting Stents or Scaffolds, like following.
Prostate Artery Embolization for Benign Prostate Hyperplasia
Benign Prostatic Hyperplasia affect more than 40% people of more than 60 years of age and TURP is the common surgical procedure, like it is not very effective in very large prostate (more than 80 gm) and many patients develops complications, like excessive post operative bleeding, urinary incontinence, stricture and sexual dysfunction. Recently a new Endovascular approach has been popularized for the management of BPH in which Prostate arteries are being embolized. Results are as good as TURP and no sexual dysfunction and no urinary incontinence.
Ideal Case for Prostate Artery Embolizations are
- High Risk case for surgery
- Patients on Antiplatelets therapy
- Any case of BPH who does not want surgery
Facilities in Invasive Cardiology Department of Global Hospital
- Elective and Primary Coronary Angioplast
- Structural Heart Disease Interventions
- Balloon Valvotomies
- Device closures in ASD , VSD , PDA’s
- Endovascular Interventions in
- Peripheral Vascular angioplasty
- Carotid & Renal Angioplasty
- Acute Limb Ischemia
- Diabetic Foot
- Deep Vein Thrombosis
- Upper & Lower GI Bleedings
- Urogenital Tract Bleeding
- Acute Stroke
- Uterine Fibroid
- Benign Prostatic Hyperplasia
- Erectile Dysfunction
- Cardiac Rhythm Therapy – Pacemakers & ICD’s
and M1 segment