It’s no wonder that the first ever ‘Silver Hawk-Fox Hollow’ arthrectomy procedure in India was performed at Holy Family’s Heart institute when you consider the credentials of our team of highly trained cardiologists and interventional radiologists. Since then, every interventional procedure has only taken us from strength to strength.
Peripheral interventional procedures are interventions performed on the aortid arteries, renal arteries, iliac vessels, superficial femorals, popteal vessels and interventions performed on vessels below the knee. There are interventions which are also done on the aorta for aneurysms and dissections of the aorta.
Carotid angioplasty with stenting is a procedure that is performed to unblock the artery that supplies blood to the head and neck; it is done in patients who have had a cerebral stroke or a TIA (transient ischemia attack) and rarely in asymptomatic patients who have more than 70% occlusion in the carotid artery (neck vessel). The procedure is mainly done through the groin, either through a sheath or a catheter inserted into the carotid artery after dilating the lesion or occlusion with a small balloon over a wire which also has a protection device on it, to prevent any distal embolysation (particles of cholesterol or blood clots going to the brain). A self-expanding stent is then placed at the site of the occlusion and opened up. The procedure is completed by making an angiographic shoot to see that there is no blockage in the stent or distal embolysation.
Like any other major arteries, renal arteries (which supply blood to the kidneys) are also susceptible to blockages. These angioplasties are mostly performed though groin arteries, although the Holy Family Heart Institute has performed several such interventions through the left radial route, too. The procedure consists of dilating the blood vessel with a balloon or dilating the beginning of the artery and subsequently placing the stent by using a special balloon.
An Aortic Aneurysm is an abnormal dilation of the Aorta, which may rupture easily. This can be treated by a hybrid procedure, where vascular surgeons and the cardiologists work together. This is done by opening the artery in the groin and placing large bore sheaths, and subsequently inserting stent graphs though this and placing them in the Aorta. The entire aneurysm is then covered with these stent graphs.
Above knee interventions are performed by passing a wire, then dilating the vessel with a balloon and placing a stent, if required. Below the knee interventions are performed in a similar way but most of the time stent placement may not be required, instead the ‘Fox Hollow’ arthrectomy device is much preferred. Our Institute capably undertakes various complex lower limb interventions for chronic and critical limb ischemia, helping to heal limbs from ulcers and saving them from amputation. This type of peripheral vascular disease is seen most commonly in diabetics and smokers.