Heart patients with stubborn artery blockages can now avoid bypass surgery, thanks to a new technique brought in the world recently by Japanese Cardiologist says Dr. S.S Bansal, Sr. Interventional Cardiologist and Managing Director of Metro Heart Institute. He said, With the help of this novel technique, the Chronic Total Occlusion (CTO) program employs a leading-edge procedure to clear heart arteries via ”back-door” angioplasty.”
“During a conventional angioplasty procedure, a thin wire is inserted into the groin (femoral artery) or wrist (radial artery) and threaded through the circulatory system to the blockage near the heart, where a balloon is inflated to clear the vessel. Afterwards, a stent which is a tiny wire mesh tube is inserted and left at the site to keep the artery open, improving blood flow.” Dr Bansal explained.
“Unlike conventional angioplasty, the retrograde CTO method threads a wire along a different route, often through tinier blood vessels, which lets doctors approach the back side of the arterial obstruction, opposite to the side facing blood flow” he said.
A lot of patients who would otherwise have to go for open –heart surgery to have their blood flow restored now are helped with just a catheter through the artery,” says Dr. Bansal. With open-heart surgery, they’re in hospital for at least five to seven days and are left with a chest wound that may take months to heal and recover from he added.
“According to medical data at Metro Heart Institute at Faridabad, 3 in 10 patients with coronary artery disease suffer from chronic total occlusion. Chronic total occlusion is a condition when the artery is 100% blocked and remains so for at least 3 month span.
60% of patients with CTO remian untreatable because they are considered ineligible for open heart bypass surgery because of age and risks associated with open heart bypass surgery. With this new line of treatment, now routinely done in our institute, we actually can make many heart patients with chronic total occlusion live longer, better with lesser symptoms and enjoy their life better; Due to extensive advancement in angioplasty techniques more than
90% patients can be saved from bypass. Recently one Iraqi patient came with CTO in right as well as left coronary artery and he never wanted to go for bypass. Dr Bansal did both complex CTO and opened the vessels by using newer technique with 100% results. So with ante grade and retrograde angioplasty technique with the use of corsair, crusade & newer CTO wires with escalation techniques, parallel wise technique actually have revolutionized the treatment of CTOs & thus saving heart patient from CABG.
Raising alert on rising burden of cardiovascular disease Dr. S.S. Bansal said that “Cardio Vascular Diseases are the leading cause of mortality, accounting for around half of the death resulting from non-communicable disease (NCDs).
Around 4.5 crore Indians suffer from coronary heart disease and around 35 lakh deaths annually are because of it. Availability of world class medical treatment, facilities in Metro Heart Institute Faridabad, we not can only prevent disease progression but also can serve as vital tool in saving lives of thousands of men and women.