Saturday, April 29, 2006
Technically, it is feasible to attempt most of the lesion subsets with angioplasty. Bifurcated lesions are no longer a problem. Calcified and long segment disease is now a days not an indication for surgery. Totally occluded arteries have given way to the current generation coronary wires. Tough fibrous lesions and ostial location of the disease have become staple diet for cutting balloons. Rotablation is for that diffuse disease, heavy calcifications were surgical graft is out of question. Distal protection devices are for the protection of the distal circulation from embolism.
We are into complex angioplasty procedures. Has reasonable experience in such demanding job, complication rates are among the least. We specialize in cutting balloon use and rotablations. Our centre has facility to perform any complex angioplasty, includig state of the art catherization suites, support systems and devices. This is a JCIA accredited centre.
My training in cardiology was from the prestigious National Institutes , Sanjay Gandhi Post Gradute Institute of Medical sciences, Lucknow and Sree Chitra Tirunal Institute of Medical Sciences in Trivandrum where I had the honour to serve as a faculty, before I joined Dr Mathew samuel Kalarickal at Apollo Hospital Madras, the father of Angioplasty in India. Had observational fellow ship with Dr Fayaz Shawl, at Washington adventist Hospital, Washington.
I believe, in India angioplasty has not reached where it should have . Though we have the best of the facilities and expertise , number of procedures performed is only a fraction of what is done in the west. May the current economic boom will make a difference.