First Orbital Atherectomy procedure at Narayana Hrudayala, Bengaluru

We are delighted to announce the successful completion of the first orbital atherectomy procedure at Narayana Hrudayala, Bengaluru, by our team at Innvolution Healthcare.
Procedure Summary:
The left anterior descending artery (LAD) exhibited significant calcification, forming a 360-degree arch extending deeply into the intima to the mid portion of the LAD. Additionally, the proximal LAD presented fibrofatty plaque with critical narrowing, featuring a minimal luminal area (MLA) of 1.25mm^2. The lesion was traversed using a viper wire, followed by orbital atherectomy comprising six runs at low speed (80K). Post-atherectomy, the lesion was dilated with a 2.75*15 mm NC balloon at 12atms. Subsequent optical coherence tomography (OCT) imaging revealed cracks in the calcium along with commendable luminal expansion. A 3.5*15 mm stent was deployed, resulting in an OCT run displaying a minimum stent area (MSA) of 7.66 mm^2, showcasing excellent stent expansion and well-apposed stent struts with no evidence of edge dissection.
We extend our gratitude to Dr. Suraj Narasimhan, the cardiologist, for his expertise and leadership in this procedure.
Gaurav Agarwal Ashvini Suthar Atul Sharma Sachin Garg
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