WR's Jagjivan Ram Hospital performs Rotatripsy on 69-year-old patient
WR's Jagjivan Ram Hospital performs Rotatripsy on 69-year-old patient | FPJ photo
Western Railway’s Jagjivan Ram Hospital (JRH) at Mumbai Central has added yet another feather to its hat in the field of medical specialties.
The cardiology team at JRH successfully conducted the first ever Rotatripsy procedure (use of Rotational Atherectomy and Lithotripsy balloon), which is a first for the Indian Railways.
According to Sumit Thakur – Chief Public Relations Officer of Western Railway, the procedure was performed successfully on a 69-year-old patient, suffering from chest pain and breathlessness with exertion along with pain in both legs since past six months.
On diagnosis, it was found that he had a severely calcified right coronary artery disease with diffuse calcium throughout the artery resulting in severe compromise in the blood flow in the vessel.
The severity of calcium did not allow the smallest balloon and intravascular ultrasound catheter to negotiate through the artery. With all precaution, anatomy of the lesion was studied with help of intravascular ultrasound (IVUS) and hard stone like superficial calcium was broken with help of Rotational Atherectomy (ROTA) and deep calcium was cut by IVL (Intra Vascular Lithotripsy).
After making proper passage, two suitable latest drug-eluting stents were deployed in the vessel which was further optimized with help of balloon and intravascular ultrasound (IVUS) to get the best result. This procedure was successfully done by a team consisting of 4 cardiologists, 2 cardiology residents, 1 anesthesiologist, 3 Cath lab technicians and 5 nursing staffs. The patient is recovering well after the procedure with proper medical care and attention.
Rotatripsy is a relatively newer and advanced skillful procedure in the field of Cardiology which is used for the patients who are suffering from severely calcified coronary artery disease.
"JRH has achieved several milestones in the field of Cardiology, providing the best and advanced services to railway beneficiaries. The first Trans catheter Aortic Valve Replacement (TAVR), performing angioplasty with help of an OPN balloon over Indian Railways was also performed at JRH," a press release by WR said.
"The department is performing all complex coronary interventions like Left Main angioplasty and triple vessel angioplasties with almost 100% success rate with help of IVUS, ROTA and FFR and IFR," it said.
"The dedicated team of Western Railway’s JRH under the supervision and able guidance of PCMD/WR and MD/JRH is taking best efforts in providing the utmost care and medical treatment of the patients," it added.
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