The SPS Apollo Heart Center assures comprehensive end-to-end cardiac care under one roof. The hospital is a centre of excellence for interventional cardiology & cardiac surgeries.

 

Interventional Cardiology

Cardiothoracic and Vascular Surgery

A. INTERVENTIONAL CARDIOLOGY PROCEDURES


CORONARY ANGIOGRAM & ANGIOPLASTY

The coronary angiogram also called Cardiac Catheterization is the most useful test for diagnosing Coronary Artery Disease because it allows the doctor to see exactly where the coronary arteries are narrowed or blocked. Our physician inserts a long tube called guiding catheter, into the artery and advances it into the blocked artery.

With the help of an X-ray the doctor can observe the arteries and can identify any narrowing or blockage in your heart.



ANGIOGRAM & ANGIOPLASTY OF ARTERIES OF NECK, LEG, ARM, KIDNEY
It is very similar to Angiogram. Doctor inserts a sheath for the catheter into the blood vessel, most often in the upper leg or groin area, and sometime in the arm. A very small balloon catheter is passed through the sheath and into the blood vessel. With the help of the X-ray, the cardiologist follows the path of the catheter on the fluoroscope.

Once the balloon is at the narrowing of the artery, the balloon is centered, it is then inflated to open the blockage. A stent is then implanted to support the artery and keep the vessel open. It is introduced into your artery just after Angioplasty and is positioned at the site of the obstruction.


EP STUDY DIAGNOSTIC & ABLATION
Is a procedure to diagnose and treat irregular rhythms of the heartbeat (arrhythmias). Advances in technology include three-dimensional mapping of the electrical activation of the heart to pinpoint the source of arrhythmia, catheter ablation of the arrhythmia, ICD placement and biventricular pacemakers for the treatment of heart failure.


ASD closure with device
Atrial septal defect, or ASD, is an abnormal hole in the wall of the upper chambers of the heart where the wall between the right and left atria does not close completely. The size of the hole and its exact location vary from patient to patient.

An ASD can increase the amount of blood that flows to the lungs. During childhood, there may be no symptoms, but over time the condition can lead to pulmonary hypertension or congestive heart failure.

An ASD can close by itself, but more often than not needs repairing. It is typically repaired in children between 3 and 5 years of age, but infants and older children may also undergo the treatment when necessary.


Valvuloplasty
There are four valves in the heart, which are located at the exit of each of the four chambers of the heart. They are called aortic valve, pulmonary valve, mitral valve, and tricuspid valve. The valves open and close to regulate the blood flow from one chamber to the next. They are vital to the efficient functioning of the heart.

In some people the valves are too narrow (a condition called stenosis). Balloon valvuloplasty is performed on children and adults to improve valve function and blood flow by enlarging the valve opening. It is a treatment for aortic, mitral, and pulmonary stenosis. Balloon valvuloplasty has the best results as a treatment for narrowed pulmonary valves. Results in treating narrowing of the mitral valve are generally good. It is more difficult to perform and less successful in treating narrowing of the aortic valve.
 

Permanent pacemaker (Single & Double Chamber)

Definition:
A pacemaker is a small device that sends small electrical impulses to the heart muscle to maintain a suitable heart rate or to stimulate the lower chambers of the heart (ventricles). A pacemaker may also be used to treat fainting spells (syncope) and congestive heart failure.

Types of Pacemakers
The types of pacemakers are listed below. Your doctor will decide what type of pacemaker you need based on your heart condition. Your doctor also determines the minimum rate (lowest heart rate) to set your pacemaker. When your heart rate drops below the set rate, the pacemaker generates (fires) an impulse that passes through the lead to the heart muscle. This causes the heart muscle to contract, creating a heartbeat.

Single chamber pacemaker
Uses one lead in the upper (1) or lower (2) chamber of the heart

Dual chamber pacemaker
Uses one lead in the upper (1) chamber and one lead in the lower (2) chamber of your heart.

Biventricular pacemaker (pictured here)I
Uses three leads placed in the:
1 Right atrium
2 Right ventricle
3 Left ventricle (via the coronary sinus vein

Pulse generator
houses the battery and a tiny computer

Leads
Wires that send impulses from the pulse generator to the heart muscle, as well as sense the heart's electrical activity. Each impulse causes the heart to contract. the pacemaker may have 1 - 3 leads to treat your heart problem.

 

 

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