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First OCT guided angioplasty at NM Wadia Institute of Cardiology
OCT Optical Coherence Tomography is a novel imaging technique which uses near infrared light to create images inside of blood vessels. The technique delivers very high resolution images and we can see inside blood vessels of heart very clearly.
The blockage, its percentage, its cause, its calcification, plaque vulnerability to rupture in future can be assessed by this technique. Size of balloon, type of tools needed to prepare the bed for stent can be assessed and planned.
Whether to use rotablator or cutting balloon or noncompliant balloon can be decided before stenting..After deploying the stent we can see if it is fully expanded and apposed to vessel wall can be seen. This helps us understand the need for further strategy.
This results in better outcome of angioplasty and stenting..Dr Ritu Bhatia, Consultant Cardiologist at N.M.Wadia institute performed the first OCT guided angioplasty on a 57 year old patient in Sept 2021 with our Cath lab staff and team.
N.M Wadia Institute of Cardiology performs Rare Procedure to Save Patient’s Life
Miracles are rare but for this female patient aged 60, diagnosed with severe heart failure, had a rare miracle in literal sense that has saved her life. She got admitted with progressive symptoms, not responding to medical management, under Dr. Pramod Narkhede, Consultant Cardiologist at NMWIC.
Dr. Narkhede said that “the patient had severe Left Ventricle dysfunction with enlarged heart chambers, the cause of which was not known which in medical terms is called idiopathic dilated cardiomyopathy (DCM). The patient’s heart was having Ejection Fraction of 13% which means that the heart was pumping less blood with each heartbeat.”
“We discussed that the best way forward was to do Cardiac Resynchronization therapy (CRT) which is treatment to help your heart beat with the right rhythm. A pacemaker is implanted to restore the
normal timing pattern of the heartbeat. The CRT pacemaker coordinates how timing of the upper heart chambers (atria) and the lower heart chambers (ventricles). It also works on the timing between the left and right sides of the heart. However, patient was too fragile and high-risk case to tolerate the conventional prolonged CRT implantation procedure” said Dr Narkhede. He further added “with explained risk, this complex procedure was performed with newer tolerable safer technique.
Left Bundle Branch Pacing is a feasible innovative strategy for Cardiac Resynchronization Therapy (CRT) for critically sick patient which was done for the First time at NMWIC. Device was implanted with innovative technique of deep screw fixation of left bundle branch pacing (LBBP) lead into the interventricular septum. This procedure was done under the guidance of eminent senior cardiologist Dr. J. S. Duggal and Senior Cardiac Surgeon Dr Ashish Khanijo. Considering the poor tolerance of the patient for the prolonged procedure, all precautions were taken”.
N. M. Wadia Institute of Cardiology
32, Sassoon Road,
Pune - 411 001,INDIA
Mrs. Varsha. Telang.
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