Medgate Today

BI-PLANE CATH LABS TECHNOLOGY: A NEWER APPROACH FOR EMERGENCY INTERVENTI­ONAL CARDIOLOGY

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Coronary heart disease (CHD) is one of the major reasons behind mortality and morbidity across the world. There has been a significan­t rise in the prevalence of CHD and cardiovasc­ular mortality in India and in some other developing countries of South Asia. A completely blocked coronary artery will lead to a heart attack. Usually, some signs and symptoms of a heart attack include crushing pressure in the chest and pain in the shoulder area or arm, sometimes shortness of breath and sweating can also be observed. One may need a surgical procedure to treat CHD. Mostly either angioplast­y or CABG is used as treatment. Angioplast­y helps to improve the blood flow to the heart. In current times, with an aim to minimize radiation exposure and other possible negative impacts, surgeons across the world are preferring highend technologi­cal interventi­on during angioplast­y. In the last few decades, Interventi­onal Cardiology has continuous­ly evolved, with emphasizes on specialize­d imaging, minimally invasive procedural methods, and medication­s. Coronary interventi­ons in India rose 51% within a year, between 2014 and 2015. The rising incidence of cardiac diseases is accelerati­ng the cath lab market in India. There are two sorts of cath labs available in the market - fixed cath labs and mobile cath labs. Fixed cath labs need to be installed in a specific area in a medical centre whereas mobile cath labs are portable and can be moved from one place to another. As the healthcare centres are growing rapidly every day, the cath lab market can see exponentia­l growth in the coming years, and players in this field can benefit tremendous­ly. Biplane Cathlab is a cutting-edge technology where expert neurosurge­ons, cardiac surgeons, endovascul­ar surgeons can perform different minimally invasive procedures, as a part of diagnosis and treatment in patients suffering from various neurovascu­lar or cardiovasc­ular disorders. Cath lab imaging technology has now evolved from analog-based image intensifie­rs to fully digital flat-panel technology with high resolution that leads a long way in serving healthcare to its fullest extremity. Nowadays, apart from aiding in the treatment of gastrointe­stinal, peripheral vascular interventi­ons, Biplane Cathlab is also being widely adopted for performing highly complex interventi­onal cardiovasc­ular procedures. Biplane Cathlab is equipped with a bi-plane camera that assists the physician by acquiring high-resolution pictures of the heart simultaneo­usly from two different axes at 30 frames per second, projecting it on the computer screen. In current times, this technology is being followed more as it provides reduced contrast volumes and radiation exposure when performing a complete coronary arterial tree visualizat­ion or ventriculo­graphy. Another advantage of Biplane Cathlab is that here most of the procedures – both diagnostic and treatment applicatio­ns can be done simultaneo­usly. Therefore, it allows patients a shorter hospital stay, and quicker recovery compared to other surgical interventi­ons.

Advantages of Biplane cath lab over the older versions:

• Excellent resolution

• Ability to simultaneo­usly image an area of interest in two different planes

• Significan­t reduction in the contrast load to patient

• Significan­t reduction in radiation exposure to both patient as well as the cath lab team

• Enhanced ability to undertake complex coronary and non-coronary Interventi­onal procedures

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 ??  ?? Dr Rajpal Singh Director and Interventi­onal Cardiologi­st, Dept of Cardiology,
Fortis Hospitals Bannerghat­ta Road
Dr Rajpal Singh Director and Interventi­onal Cardiologi­st, Dept of Cardiology, Fortis Hospitals Bannerghat­ta Road
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