Complex coronary interventions - IVL, Rotablator, poor heart functioning, Lt main
Dr. Suman Bhandari brings over 40 years of experience in advanced cardiac interventions, utilizing cutting-edge technology and a patient-first approach to deliver exceptional care.
♥Intravascular Lithotripsy (IVL)
🩺Overview
IVL is a revolutionary technique used to treat calcified coronary arteries. These hardened deposits can make it difficult to open arteries using traditional balloons or stents.
⚡Symptoms
- Persistent chest pain (angina) despite medications
- Breathlessness on exertion
- History of failed angioplasty due to calcification
🛡️How It Works
IVL uses acoustic pressure waves (similar to those used in kidney stone treatment) to gently fracture calcium within the artery walls, allowing safer and more effective stent placement.
🏥Aftercare & Recovery
- Patients typically recover quickly and may resume normal activities within a few days. Medications like antiplatelets are prescribed, and follow-up imaging may be recommended.
♥Rotational Atherectomy (Rotablator)
🩺Overview
Rotablator is a specialized device used to remove hard, calcified plaque from coronary arteries. It's often used when traditional balloons cannot cross the lesion.
⚡Symptoms
- Angina not improving with medication
- Evidence of heavily calcified vessels on angiogram
- Blockages resistant to standard treatment
🛡️How It Works
A tiny rotating burr at the tip of the catheter spins at high speed, grinding away calcium and creating a smoother path for balloon angioplasty and stenting.
🏥Aftercare & Recovery
- Post-procedure, patients are monitored for rhythm changes or vessel spasm. Discharge is often within 1–2 days with instructions on lifestyle modification and medication adherence.
♥Left Main Coronary Artery Disease
🩺Overview
The left main artery supplies blood to a large portion of the heart muscle. Disease in this artery is considered high risk and often requires timely intervention
⚡Symptoms
- Severe chest pain
- Dizziness or fainting
- Sudden breathlessness
- Fatigue during mild activity
💊Treatment Options
- Angioplasty with stenting using advanced techniques (like IVL or Rotablation)
- Coronary artery bypass graft (CABG) in some cases
- Use of intravascular imaging (IVUS/OCT) to guide precision treatment
🏥Aftercare & Recovery
- Patients need regular cardiac follow-ups, cholesterol control, blood pressure management, and cardiac rehab to restore heart strength.
♥Poor Heart Function (Heart Failure with Low Ejection Fraction)
🩺Overview
When the heart pumps less efficiently (ejection fraction <40%), it may lead to heart failure. Dr. [Doctor's Name] specializes in managing these high-risk cases using a combination of medical therapy and interventional support.
⚡Symptoms
- Swelling in the legs or abdomen
- Shortness of breath at rest or during exertion
- Extreme fatigue
- Frequent waking up breathless at night
💊Treatment Options
- Optimized medical management (beta-blockers, ACE inhibitors, etc.)
- Coronary revascularization (angioplasty or bypass) if blocked arteries are involved
- Use of intravascular imaging (IVUS/OCT) to guide precision treatment
🏥Aftercare & Recovery
- Lifestyle modification, dietary guidance, regular follow-ups, and heart failure clinics form the backbone of long-term care. Cardiac rehabilitation and mental health support are also crucial for improved outcomes.
