A patient with 100% blockage in three arteries was treated by Angioplasty in Wockhardt Hospitals, Nagpur instead of CABG (Coronary Artery Bypass Graft) surgery.
The patient from Jabalpur had three 100% blockages in coronary arteries and was advised to undergo an open heart surgery by three doctors whom he had consulted near his hometown. All the doctors suggested that surgery is the only way to treat him.
However, the patient was not willing for surgery and wanted to undergo an Angioplasty. He, then, consulted Dr. Nitin Tiwari, Sr. Consultant- Interventional Cardiology about whom he had received a good feedback in the region.
Dr. Nitin Tiwari examined the patient and performed the procedure of Angioplasty. The procedure was very complex and needed high skills and three major arteries were blocked. Dr. Tiwari inserted five stents to remove the calcified old occlusion in this patient’s arteries.
Patient’s all three arteries had CTO (any block which is 100% and is atleast there since more than 3 months).
“I have used Japanese technology of treatment in this patient. For such cases, the success rate is only 50%. However, using the technique I followed, increases it to 70-80%”, said Dr. Tiwari. “When this patient approached me, he was very skeptical as all the doctors whom he had consulted before me had advised him to undergo surgery. But, as the patient was not willing for the same, we opted for this method and treated him successfully”, he added.
The level of contrast given to such patients is also to be monitored to manage the patients. Third artery was kept for angioplasty at a later date as the contrast limit was reached. It was treated later and ultimately, the patient was successfully discharged.
Dr. Tiwari has been trained in Japan. The reason why angioplasty has progressed more in Japan is because of the notion that they believe soul goes out when the chest is opened for surgery. Hence they prefer non-surgical techniques like angioplasty.
