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Invasive cardiology - Interventions

Overview

Aster Hospitals’ invasive cardiology department provides several treatment interventions for cardiac ailments. These include surgical advancements like bypass, catheterization, and angioplasty for cardiac treatment. It starts with skilled cardiologists diagnosing the problem in the heart to decide which procedure will be performed to rectify the defect.

Over the years, there has been medical advancement in the surgical management of cardiac surgeries. A significant improvement is possible with minimal invasive cardiology intervention.

Health Conditions Treated

  • Heart attacks

  • Coronary artery disease 

  • Arrhythmia 

  • Heart failure 

  • Congenital heart defects 

  • Pediatric heart problems 

  • Heart valve disease 

  • Pericardial disease 

  • Ventricular tachycardia 

  • Aortic valve stenosis

  • Mitral valve leakage

  • Abnormal blood clotting 

FAQs

At Aster Hospitals we provide the highest quality of care and a transformative experience for all your healthcare needs. With our network of multi-speciality hospitals, specialised doctors, and world-class technology, we bring global standards of medical care to our patients.

What factors make invasive cardiac intervention complex?

The age and number of comorbidities in an elderly patient make invasive cardiac intervention complex, and it is difficult to return to prior quality of life.

Why is a stent placed in a blocked coronary artery?

A stent is placed to keep the blocked artery open and reduce the chances of narrowing again.

 In the ablation procedure, how many burns are required to treat ventricular tachycardia in a patient?

The number of burns varies among the patients.

Can LAAC prevent stroke?

Apart from clots traveling to the brain, there are other factors that can cause stroke, such as elevated blood pressure and narrowing of the blood vessels in the brain. LAAC will only prevent strokes due to clots and not any other.

Which procedure is considered to be the gold standard procedure for the diagnosis of cardiac function and cardiac disease?

Cardiac catheterization is considered the gold standard procedure for diagnosing cardiac disease and cardiac function.

What is the other name of atherectomy?

The other name for this procedure is rotoblaster. 

Does the LAAC implant cure atrial fibrillation?

The LAAC does not cure atrial fibrillation like the blood thinning medication.

What is another device that can be used in atherectomy?

In atherectomy, a laser catheter can be used to vaporize the fatty plaque in the artery. 

Advanced Technology & Facilities

Facilities Invasive cardiology

Unlike traditional heart surgery, during minimally invasive cardiological surgery, surgeons make a tiny incision between the ribs on the chest to access the heart.

The Invasive Cardiology Department at Aster Hospitals is one of the best in the field of invasive cardiology interventional procedures and diagnostics. With superior quality testing equipment, Aster Hospitals is known to provide the best management protocols and services as follows:

  • Coronary Angiography

The procedure is minimally invasive and helps the doctors determine if the patient has coronary artery blockage. Suppose a significant narrowing in the artery is found during the test; the doctor will then perform balloon angioplasty or stenting to improve blood flow to the heart.

  • Percutaneous Transluminal Coronary Angioplasty (PTCA)

Also called percutaneous coronary intervention (PCI), in this procedure, a particular tube is passed through the coronary artery to the narrowed artery. The balloon is inflated at the end of the catheter to widen the blockage, and a stent is placed to keep the narrowed blood vessel open. This procedure takes a few hours, and the patient may have to stay overnight before discharge.

PTCA may be necessary as it opens the narrowed arteries blocked by a fatty plaque to increase blood flow and reduce angina (chest pain).

  • Coronary Atherectomy

Atherectomy is a procedure to remove the deposition of fatty plaque in the artery. Various tools are used to grind the plaque into tiny pieces and shave off the fragments in the blockage after catheterization.

  • Intra-coronary Stent

Unlike angioplasty, coronary stenting uses a catheter to plant a stent in the blocked artery and open it, and the stent stays there permanently. The process is done for significant arterial blockage.

  • Catheter Ablation

Catheter ablation treats arrhythmias and targets ventricular tachycardia (VT). A thin wire catheter is placed in the veins of the leg and directed to the heart chambers. By identifying the arrhythmia site, localized radio-frequency energy produces low burn, which is applied to the area of arrhythmia.

  • Implantable Cardioverter Defibrillator (ICD)

This battery-powered medical device fixes arrhythmia and prevents sudden death. ICD monitors the heart rhythms, and when an irregularity is analyzed, ICD will either slow down to regulate the fast rhythm to normal or send an electric shock when the beat is too slow.

  • Permanent Pacemaker

A pacemaker is a device running on a small battery which aids the heart to beat regularly. There are two types of pacemakers; one is implanted surgically and is permanent, and the second is external and temporary. Regular doctor's visit is advised to know the status of the battery in the pacemaker.

  • Left Atrial Appendage Closure (LAAC)

LAAC is an alternative strategy to blood thinners and is a treatment to reduce blood clots from the left atrium to enter the bloodstream. This minimizes the chances of stroke due to the blood clot traveling to the brain.

  • Transcatheter Aortic Valve Replacement (TAVR)

Selected patients with narrowing of aortic valve opening (aortic stenosis) who can't undergo open heart surgery are candidates for this procedure. 

  • Transesophageal Echocardiography (TEE)

This procedure gives a clear image of the heart by sending a transducer through the mouth into the esophagus with the help of a thin tube. Since the distance between the heart and the esophagus is small, you can obtain detailed and precise images of the heart.

  • MitraClip Procedure

Patients with mitral valve leakage undergo this procedure. MitraClip is the device that stops the leakage, preventing the disease's progression and improving the patient's quality of life.

  • Intra-Aortic Balloon Pump (IABP)

The heart supplies the whole body and itself with oxygenated blood. When the heart cannot perform this function, an intra-aortic balloon pump is used. 

A balloon is inserted in the aorta with the help of a catheter through the patient's leg artery. It is then set to inflate when the heart relaxes to push the blood into the coronary arteries. When the heart contracts, the balloon will deflate to allow blood out to the body. The inflation and deflation will be continuous until the pump is removed.

Benefits of invasive cardiology intervention

  • No cutting of bones and opening of the chest

  • Less painful

  • Faster recovery

  • Short hospital 

  • Minimal complications

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