Kolkata: Doc gives elderly man with severe heart condition a new lease of life

Doctors in Kolkata gave a 59yearold man a new lease of life after he underwent a highly complex CTOangioplasty using IVUS guidanceThe treatment was conducted under the supervision of Dr Norihiro Kobayashi a renowned Interventional Cardiologist from Yokohama City Hospital in Japan at Manipal Hospital BroadwayThe man was admitted under Dr Arijit Ghosh HOD ndash Interventional Cardiologist at the hospital with complaints of chest pain on exertion Coronary angiography revealed a critical blockage in the left coronary artery and a 100 per cent blockage in the right coronary artery a condition known as Chronic Total Occlusion CTOCTOs develop gradually over several years and are among the most difficult coronary blockages to treat Due to the dense and hardened nature of the block many patients are advised to undergo bypass surgery However advancements in interventional cardiology now allow select CTOs to be treated through minimally invasive angioplasty using specialised tools such as Intravascular Ultrasound IVUS and microguidewires requiring exceptional precision and expertiseThe procedure was performed at the hospital during a complex coronary workshop by Dr Kobayashi as the international proctor along with the Cath Lab team at the hospital led by Dr Subhasis Roy Chowdhury director ndash Cath Lab The team was able to open the totally blocked artery with advanced hardware IVUS imaging and specialised wires The patient has responded well and is likely to be discharged within a day a big advantage of this over conventional bypass surgerySharing his experience Dr Chowdhury said ldquoCTO interventions are among the highestlevel cardiac procedures performed in catheterisation labs around the world The success of this case highlights how use of cuttingedge technology and expert collaboration can alter the course of treatment in patients who would otherwise have to undergo openheart surgery With IVUSguided and advanced wires we could navigate and open the arteries that were hitherto considered impassable by angioplastyDr Ghosh said ldquoWhen a patient comes with a completely blocked artery the fear of openheart surgery is natural Being able to treat him through angioplasty without opening the chest and seeing him recover so quickly is deeply rewarding The presence of Dr Norihiro Kobayashi and his insights on CTO techniques played a significant role in refining our approach Such international collaborations strengthen our capabilities and allow us to offer cuttingedge treatment options to our patients right here in KolkatardquoDuring the workshop Dr Kobayashi also shared that in Japan the number of bypass surgeries has significantly reduced in recent years as interventional cardiology has become highly advanced and the preferred choice for most patients due to lower complication rates and much faster recovery