Rotational atherectomy, a high-precision procedure that uses a miniature rotating blade to open a calcified artery and facilitate blood flow through the artery, can hold much promise for patients with cardiovascular blockages.
To discuss the success achieved recently in such a case, city-based cardiologist, Dr J.S Dugal, Head of Department of Cardiology, at Jehangir Hospital, presented a paper on ‘Problems with Calcified Bifurcation Lesions’ at the 12th European Bifurcation Club Meeting at Rotterdam, the Netherlands, recently. The prestigious event features a select number of medical experts, who are invited to attend by the European Bifurcation Club. With this, Dr. Dugal has become the first cardiologist from Pune to present a paper at European Bifurcation Club (EBC).
At the presentation, Dr. Dugal discussed at length the case of an 82-year-old woman who was presented with angina even on minimal exertion. Moreover, the patient was not only hypertensive but was also suffering from COPD and was on bronchodilators. According to Dr. Dugal, this breakthrough technique can enable the safe ablation of a lesion, and is regarded as being suitable for geriatric cardiac patients for whom angioplasty is beneficial. “The importance of rotational atherectomy has risen in recent years considering that nearly 25% patients have serious blocks in arteries,” said Dr. Dugal.
In most cases, a stent may be placed in the artery to prevent the recurrence of restenosis (the narrowing of the blood vessel). A bifurcation coronary is a lesion occurring at, or adjacent to, a significant division of a major epicardial coronary artery. A “significant” side branch is most often arbitrarily defined and based upon a subjective judgement of the operator.
Dr Dugal said, “This is an exclusive event with only about 150 EBC members attending the conference every year. In 2016 alone, we have handled nearly 43 cases using bifurcation angioplasty at Jehangir Hospital. Anywhere between 3 and 4 bifurcation angioplasties are performed at Jehangir Hospital in a single month.”
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