Interventional cardiology is the branch of cardiology that specifically deals with diagnosing and treating cardiovascular diseases which includes congenital (present at birth) as well as acquired (like coronary heart disease, valvular heart diseases, cardiomyopathies, pericardial diseases etc.) through catheter-based procedures, such as angioplasty, stenting etc.
A number of procedures can be performed by catheterisation of heart and vessels - the coronary artery, peripheral artery or vein, the renal artery, although the most common is the coronary artery. It involves insertion of a sheath into the radial or femoral artery and cannulating the heart under the x-ray vision (fluoroscopy). The radial artery has the advantage of easy control of bleeding in anti-coagulated patients and increased comfort levels as early mobilisation is possible.
Interventional cardiology offers an advantage of avoiding scars, pain and a long post-operative recovery period.
Primary angioplasty, the most rewarding interventional cardiology technique is now the gold standard of treating acute myocardial infarction (acute heart attack). It involves extraction of clots from the blocked coronary arteries with or without deployment of stents. It preserves the pumping function of the heart, so that the patient will have less chances of heart failure in future.
At Columbia Asia Hospitals, we offer interventional cardiology treatment options. Our cardiologists are trained in premier institutions in India and abroad and periodically update their skills to practice contemporary medicine. Evidence based medicine and following international treatment protocols is the hallmark of the department.
- Angioplasty: Also called percutaneous coronary intervention (PCI) for treatment of coronary artery disease.
- Valvuloplasty: For dilatation of narrowed cardiac valves, which help regulate the blood flow through the chambers of the heart.
- Congenital heart defect correction: Like atrial and ventricular septal defects - device closures, device closure of patent ductus arteriosus and angioplasty of greater vessels - aorta / pulmonary artery branches.
- Percutaneous valve replacement: An alternative to open heart surgery.
- Percutaneous valve repair on the mitral and pulmonary valve.
- Coronary thrombectomy which involves removing of a blood clot from the coronary arteries.
- Peripheral vascular disease intervention which involves the other arteries like renal, carotids, subclavian, mesenteric, femoral or distal lower limb vessels.
- Coronary angioplasty per vessel
- Non-invasive procedures
- Electrocardiography (ECG)
- Treadmill stress ECG (TMT)
- Holter monitor and tilt table study
- Invasive procedures
- Coronary angiography and right heart catheterization
- Coronary angioplasty with or without stenting and balloon valvuloplasty
- Biventricular pacemaker placement and implantable cardiac defibrillator (ICD)
- Atrial septal defect / patent foramen ovale / patent ductus arteriosis device closure
- PTA (percutaneous transluminal angioplasty)
- Peripheral invasive procedures
- Carotid stenting, subclavian stenting, renal vascular stenting, venous stenting and superior mesentric artery stenting
- Lower extremity percutaneous transluminal angioplasty / atherectomy / intra arterial thrombolysis / percutaneous transluminal balloon angioplasty
- Endovascular repair of aneurysms
- Preventive care services
- Education on measures to prevent heart attacks and other lifestyle related disorders
- Periodic health check-up packages for different age groups