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Home >> Specialities >> Heart Surgery >> Interventional Cardiology

Interventional Cardiology

  • The treating of structural heart diseases is known as Interventional Cardiology. It is an invasive process where a catheter is inserted for complex procedures like Coronary Angioplasties including Rotablation and FFR guided PCI for Intermediate Lesions. It also includes Endovascular procedures likeAortoiliac Angioplasty, Aortic Aneurysm, Dissection Management, Carotid Stenting and 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 latest technology and committed staff who has successfully achieved record time protocols in primary Angioplasty (Acute Heart Attack Angioplasty).

Angioplasties Including Rotablation

  • The process of removing the calcified and solid blockage in the arteries is known as Rotablation. 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 procedure is done under local anaesthesia where the patient is awake and aware of the procedure. The catheter is usually inserted through groin or wrist area where the anaesthesia is given. It is 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 health care resources.

Endovascular procedures like AortoiliacAntioplasty

  • In recent times, there has been a substantial increase in AortoiliacAntioplasty and Stenting. Although historically, Aortofemoral Bypass (AFB) has been the preferred choice for treating Aortoiliac Occlusive Disease (AIOD), there has been a considerable decline in traditional treatments for AIOD.
  • On the other hand, there has been a sharp rise in aortoiliac angioplasty and stenting due to its significant benefits.

Aortic Aneurysm

  • An aortic aneurysm can be defined as a bulge in a section of the aorta, which is the body’s main artery. In such a case, the section with aneurysm is overstretched and weak. It can lead to serious bleeding upon bursting. While most aortic aneurysms have no symptoms, they can sometimes be detected during exams or tests.
  • The treatment usually depends on the location of aneurysm and the overall health of the patient. There are two types of aortic aneurysms- ThoracicAortic Aneurysm (TAA) and Abdominal Aortic Aneurysm (AAA).

Carotid Stenting

  • Carotid Artery Stenting (CAS) is the procedure to open a narrowed carotid artery by placing a small, expandable tube called a stent in the narrowed artery.
  • Stenting helps in opening up the artery and improving blood flow. It keeps the artery open after the balloon is removed and also prevents small pieces of plaque breaking off and causing a stroke. Assisted by imaging guidance, this procedure is offered at BLK Heart Centre, a state of the art fully-equipped cardiac care centre.

Birth Defects

The Heart Team at BLK Heart Centre works in synergy to offer care for patients with cardiovascular diseases. Typically, serious congenital heart defects are seen soon after birth or during the initial months of life.

Signs & Symptoms

  • The signs and symptoms includes rapid breathing, swelling in legs/abdomen and shortness of breath during feeding.
  • Sometimes the less serious congenital heart defects may not be diagnosed until later, since the child may not have any noticeable signs. In older children the symptoms usually involve shortness of breath, tiredness, fainting and swelling in the hands, ankles or feet.

Dissection Management

  • An Aortic Dissection (AD) is a serious condition where an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall.
  • This forces the blood to leak outside the artery lumen, causing a split between the inner and middle layers of the wall of the aorta.
  • At BLK Heart Centre, part of BLK Super Speciality Hospital, the invasive cardiology department has dealt with complex cases including dissection management.
  • The procedures are assisted by CT imaging and comprehensive cardiac care by dedicated staff members.

Speciality More Information

BLK Heart Center

  • Cardiology team with experience of more than 25000 Interventional Procedures
  • Cardiac Surgery team with experience of more than 25000 Cardiac surgeries including one of the highest volumes for Total Arterial Grafting and Minimally Invasive Cardiac Surgeries in North India
  • One of the most comprehensive Centres for Heart Diseases in India
  • Excenllence in Complex Angioplasties & Cardiac Devices
  • Gold Strandard CABG - Total Atrerial Grafting
  • Minimally Invasive Cardiac Surgery
  • High Risk Coronary Bypass Surgery
  • Complex Congenital Cardiac Surgery
  • Surgery for Aneurysm including Endovascular and Hybrid procedures
  • Intervantional Cardiac procedures of all kinds - from Electrophysiology and Coronary Angioplasty to Intervantions for Correction fo Congenital Anomalies
  • Heart Failure Program
  •         • Extracorporeal Membrane Oxygenation (ECMO)
            • Left Ventricular Assist Device (LVAD)
            • Heart Transplant
  • Robust Aortic Valve Program
  • Sutureless Aortic Valve Replacement
  • Transcatheter Aortic Valve Replacement (TAVR)

Where healing meets passion

  • Largest private sector hospital in Delhi, India
  • Spread over 650,000 sq. ft.
  • 650-bed capacity | 140 critical care beds | 17 state-of-the-art modular operation theatres
  • 1500 healthcare providers | 150 globally renowned super specialties | 300 medical experts
  • Asia's largest Bone Marrow Transplant Centre
  • Asia Pacific's first Cyber-Knife VSI
  • City's first dedicated Neuro-Vascular Biplane Cath Lab
  • Liver Transplants | Kidney Transplants | Bone Marrow Transplants | Robust program for Heart Transplant
  • Centre for bone marrow Transplant | Cancer Centre | Centre for Child Health | Centre for Critical Care | Centre for Digestive & Liver Diseases | Heart Centre | Centre for Neurosciences | Centre for Orthopedics, Joint Reconstruction & Spine Surgery | Centre for Plastic & Cosmetic Surgery | Centre for Renal Sciences & Kidney Transplant
  • Accredited by NABH & NABL for high quality patient care.

Location

ADDRESS

BLK Hospital

BLK Super Speciality Hospital
Pusa Road
New Delhi -110005
India

Phone no

24 Hrs Helpline: +91-9015443040
Whatsapp no: +91-8800791529

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