ADVANCED PROCEDURES IN CARDIOLOGY

TAVI

        trans cutaneous aortic valve implantation is one of the latest procedure for severe aortic stenosis. earlier surgical valve replacement is the only standard treatment for aortic stenosis. surgical treatment is still the gold standard for all young and low risk patients with aortic stenosis, TAVI has become a preferred choice in elderly and high risk patients. 

Rotablation

         blockages in the vessels of the heart can be sometimes be very hard due to calcium. this prevents the balloon or stent to expand fully and cause re blockage. hence rotablation is a device made of platinum that rotates at the speed of 1,80,000 times to dissolve the calcium and hence facilitates further stent expansion 

orbital atherectomy 

           it is a similar device like rotablation that dissolve calcium which can be used in a larger vessel.

LASER

           it is a device that emits LASER and melts down blood clot and thick rubbery tissue made of fat and fibrous tissue

IVL - INTRAVASCULAR LITHOTRIPSY

        it is a specialized balloon that emits ultrasonic waves that melts deep calcium and causes breaks in the calcium mass. hence it is prone for fracture and further expansion of the vessel becomes easier