Newer Cutting-edge technologies for heavily calcified blocked arteries, re-blocked stents and total occlusions are now possible with the help of newer tools like “Shockwave” Coronary Lithotripsy, “Laser” Coronary Angioplasty, and Impella Supported Angioplasty.
With Increasing spectrum of high-risk coronary artery disease (CAD) patients, Fortis Escorts Heart Institute has started doing an advanced complex high risk Percutaneous Coronary Intervention (PCI) and total occlusions (CHIP – CTO intervention) backed with miniaturized heart pumps (IMPELLA) for weak heart functioning patients. Advanced PCI techniques used during CHIP include rotational, orbital and laser atherectomy (shaves away plaque from the vessel wall, especially calcified plaque).
Shockwave Lithotripsy is a "novel procedure" brings hope for those patients whose blockages becomes very hard due to deposit of calcium. It involves around 20-25 per cent of the CAD patients, especially those who are elderly, diabetic or have chronic kidney disease, or those who have undergone bypass surgery previously. India’s first Coronary Shockwave Lithotripsy was performed recently on 67 year old patient at Fortis Escorts Heart Institute, Okhla.
Laser Angioplasty (Excimer Laser coronary angioplasty - ELCA) involves inserting a laser-emitting catheter into the narrowed part of the artery that emits advanced laser light ray that eliminates tough blockage in its path that could not have been achieved with conventional angioplasty. This is useful for patients with cardiogenic shock binder intervention with heart assist devices like ECMO / IMPELLA support. Laser based PCI is useful for people whose stents are re-blocked or under expanded & heavily fibrotic and calcific.
Rotatripsy is combining the convention Rotablator drilling followed by use of Shockwave lithotripsy for huge chunks of calcium where rotablation alone can’t be adequate. Lasertripsy combines the benefit of rotablator & laser technology.
Impella, the smallest heart Pump which ensures maintaining adequate blood flow to heart and vital organs while the complex intervention is being performed, serves as a great safety backup.
Summarily, all the above afore mentioned procedures are today a boon for patients who are inoperable or have high risk during stenting
Fortis Escorts Heart Institute (FEHI), Delhi, a pioneer and centre of excellence in cardiac care, from more than 33 years of path-breaking work and service to the numerous heart patients, who have benefitted from the treatment, at this facility. Armed with clinical expertise and cutting-edge medical technology, the hospital has set enviable benchmarks in Cardiac Bypass Surgery, Minimally Invasive Cardiac Surgery, Interventional Cardiology, Complex Angioplasties, Non-invasive Cardiology, Pediatric Cardiology and Pediatric Cardiac Surgery. Till date, FEHI has successfully completed more than 2,07,000 Coronary Angiographies, over 83000 Cardiac Surgeries and more than 68,000 Coronary Angioplasties, in addition to several life-saving procedures. The hospital also performed India’s first Trans Catheter Aortic Valve Implantation (TAVI), Impella Supported Angioplasty, Mitra Clip, HIS Bundle Pacing, Laser / Ultrasonic Balloon for Heavily Calcified Arteries, Extra Cardiac Fontan and Bioresorbable Vascular Scaffold (BVS) Implantation, Subcutaneous Defibrillator Implantation (S-ICD), Asia Pacific’s first Directional Atherectomy, Drug Eluting Stenting, etc. Fortis Escorts Heart Institute has won numerous awards and accolades, the most recent among them being AHPI Award 2021 for Patient friendly, World’s Best Hospital in Cardiology by Newsweek in 2021, Gold Award in Healthcare Delivery Brand by IHW Awards 2020, Best International Cardiology & Cardiac Surgery Award by Medical Value Travels Awards 2019, “Best Cardiac Sciences Hospital” in the ABP Healthcare Awards for the year 2019; the ‘Best Cardiology Hospital’ at the ICICI Lombard & CNBC TV18 India Healthcare Awards for 2012, 2013 and the No 1. Ranking in the Private Cardiac category Hospital by The Week Nielson Best Hospitals Survey, 2014 and 2015.