Interventional Cardiology

Other Services( Interventional Cardiology)

Coronary Angiography through hand

Angioplasty/ Stent with IVUS

Rotablation/ Lithotripsy/Orbital

CHIP for complex blocks

FFR for borderline blockages

Pacemaker/ leadless pacemaker

AICD / COMBO device for heart Failure

EPS / RFA for PSVT

Non - Surgical Valve replacement ( TAVR/ TVR)

Interventional Cardiology

Interventional cardiology is a dynamic and rapidly advancing field within cardiovascular medicine that focuses on minimally invasive procedures to diagnose and treat various heart conditions. By utilizing specialized techniques and tools, interventional cardiologists can intervene directly in the cardiovascular system, often avoiding the need for traditional open-heart surgery. In this blog post, we will explore the fascinating world of interventional cardiology, understand its significance in modern healthcare, and delve into some of the most common procedures performed.

Understanding Interventional Cardiology:

Interventional cardiology involves a range of minimally invasive procedures performed under fluoroscopic guidance. These procedures typically involve accessing the cardiovascular system through a small incision or a puncture in a blood vessel. By utilizing catheters and other specialized instruments, interventional cardiologists can perform diagnostic tests, open blocked arteries, repair structural abnormalities, and manage various cardiac conditions.

Common Interventional Cardiology Procedures:

  • Coronary Angiography: Coronary angiography is a diagnostic procedure used to visualize the coronary arteries and identify blockages or narrowings. A catheter is inserted through a blood vessel, usually in the groin or wrist, and advanced to the heart. Contrast dye is then injected, allowing the interventional cardiologist to obtain detailed X-ray images of the coronary arteries and assess their condition.
  • Percutaneous Coronary Intervention (PCI): Also known as coronary angioplasty or balloon angioplasty, PCI is a procedure used to open blocked or narrowed coronary arteries. A catheter with a deflated balloon at its tip is guided to the site of the blockage. The balloon is then inflated to compress the plaque and widen the artery, restoring blood flow. In some cases, a stent (a small mesh tube) may be placed to keep the artery open.
  • Transcatheter Aortic Valve Replacement (TAVR): TAVR is a revolutionary procedure used to treat aortic valve stenosis, a condition characterized by the narrowing of the aortic valve. During the procedure, a catheter is inserted through a blood vessel and guided to the heart. A replacement valve, usually made of biological material, is then positioned within the diseased valve and deployed, restoring normal blood flow.
  • Structural Heart Interventions: Structural heart interventions involve repairing or replacing defects in the heart’s structure, such as atrial septal defects (ASDs), patent foramen ovale (PFO), and mitral valve regurgitation. These procedures often utilize catheter-based techniques and specialized devices to correct the structural abnormality without the need for open-heart surgery.
  • Electrophysiology Procedures: Interventional cardiologists also perform electrophysiology procedures to manage heart rhythm abnormalities (arrhythmias). These procedures include catheter ablation, which uses radiofrequency energy to destroy abnormal electrical pathways, and implantation of pacemakers or implantable cardioverter-defibrillators (ICDs) to regulate heart rhythm and prevent life-threatening arrhythmias.

The Advantages of Interventional Cardiology:

Interventional cardiology offers several significant advantages over traditional surgical approaches:

  1. Minimally Invasive: Interventional procedures involve smaller incisions or punctures, leading to reduced pain, shorter recovery times, and fewer complications compared to open-heart surgery.
  2. Faster Recovery: Patients typically experience quicker recovery and can return to their daily activities sooner, as compared to lengthy hospital stays required for surgical procedures.
  3. Reduced Risk: Minimally invasive procedures generally carry a lower risk of infection, bleeding, and other complications compared to invasive surgeries.
  4. Personalized Treatment: Interventional cardiology procedures can be tailored to each patient’s specific needs, allowing for individualized treatment plans and improved outcomes.

Conclusion:

Interventional cardiology has revolutionized the field of cardiovascular medicine by providing less invasive, effective, and personalized treatment options for a wide range of heart conditions. Through procedures such as coronary angiography, PCI, TAVR, structural heart interventions, and electrophysiology procedures, interventional cardiologists are making significant advancements in improving patient outcomes and quality of life. With ongoing advancements in technology and techniques, the field of interventional cardiology continues to evolve, offering new hope and possibilities for patients with cardiovascular disease.