Cardiology
team at Paras Hospitals, Gurgaon adopts trans-radial approach of angioplasty
to save more lives
·
All
cardiologists at the multi-specialty hospital are now well versed to perform
angioplasty through wrist, even in acute heart attack situation, which is a
better approach of angioplasty. This cuts chances of excessive blood loss,
cause of early ambulation, shortens hospital stay and the person can drive back
home the same day.
·
Most
importantly, Trans radial primary angioplasty done during acute heart attack
situation, is a better PTCA and has been endorsed by the European Society of
Cardiology in 2012.
Gurgaon,
April 16: Multi-specialty Paras Hospitals, Gurgaon today
announced the achievement of a major milestone in the journey of its cardiology
unit, declaring that its entire team of cardiologists is now equipped and well
versed in the life-saving trans-radial approach to angioplasty in acute heart
attack (primary angioplasty).
This rare achievement
puts Paras Hospitals, Gurgaon, among the very few institutions that can boast
of such a capacity. Trans-radial approach of primary angioplasty through the
wrist is relatively safer and more cost effective than the traditional method
of approaching the heart through the femoral artery in the groin.
Dr Tapan Ghose,
Director & HOD Interventional Cardiology at Paras Hospitals, Gurgaon says
that his team has adopted the revolutionary approach as it cuts chances of
complications and saves more lives.
Angiography is a
minimally invasive procedure conducted to diagnose the closed arteries.
Angioplasty is the procedure to unclog blocked or narrowed arteries in a
person’s heart. Small tubes are inserted through the wrist to the heart
arteries. After dilatation with tiny balloons, stents are inserted through
arteries into the body to open up the obstructed artery, which resume the blood
flow. Wrist approach angioplasty, also called the trans-radial approach allows a cardiologist access to a
patient's heart through the artery in the wrist unlike the more traditional groin
(femoral) approach which requires a catheter to be inserted into the heart via
the artery (femoral) in a patient's groin.
“Wrist approach angioplasty
has less bleeding, this makes it a better emergency procedure. If a person has
had a heart attack and needs immediate emergency intervention to unclog his
arteries, this approach is much better than the traditional approach. It saves
more lives too.
For patients it is
more comfortable and lets them get on their feet rather quickly. It reduces
chances of access site bleeding or hematoma formation. Our analysis (Direct
Pilot Study) is that it has lower complication rates than the traditional groin
incision approach,” says Dr Ghose.
Dr Ghose has been
performing angioplasties through the trans radial approach for several years.
Now, his entire team of cardiologists at the hospital has equipped itself in
this capability.
90% of our PTCA’s (Percutaneous transluminal coronary angioplasty) are done through the tranradial route. The same requires patient selection and aspects to be considered, says Dr Tapan Ghose. We ensure that all detailed protocols of patient selection and procedure are followed in our cath lab.
In Europe, Canada, Japan and China, a large number of cardiologists today
are preferring PTCA through radial artery access. However, in other countries,
including India, angioplasty through wrist is still not very common. In India, approximately 30% per cent of the total angioplasty procedures are
done through the wrist.
Lack of trained
professionals in this approach is perhaps one of the reasons.
“There are relatively
lesser number of interventional cardiologists trained in the radial approach.
It is a difficult approach which needs skill and training. Majority of the training institutes do not have a
structured training programme in this approach of angioplasty, which is the
need of the hour,” says Dr Ghose.
With the
hospital adopting the trans-radial approach, the cardiologists will now be able
to offer better chances of survival and quicker recovery to patients.
The European
Society of Cardiology has
also endorsed the use of trans-radial
approach for angioplasty in its recent guidelines of primary angioplasty.
“The society endorses this approach in the institutions where skilled
interventional cardiologists in tranradial route are available,” said Dr Ghose.
Recently researchers
at the University of Pennsylvania, the University of Washington Medical Center,
and the University of Pittsburgh School of Medicine conducted a cost benefit
analysis to conclude that the radial artery approach resulted in less vascular
complications and significant cost-savings as against the femoral artery
catheter access. In acute heart attack angioplasty through the wrist saves more lives as
compared to the groin route.
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