What is Atherectomy?
Atherectomy is a minimally invasive procedure to remove atherosclerosis from a blood vessel. It is also used to treat peripheral arterial disease and coronary artery disease. A sharp blade attached to a catheter is used to remove plaque. The plaque is collected by the catheter and removed.
How is the Atherectomy Performed?
A catheter is inserted through a small puncture of the artery in the leg.
The plaque is scraped away using the blade attached to the catheter.
A chamber in the catheter collects the plaque for removal.
The catheter may need to be inserted many times to remove a large amount of atherosclerosis.
How to Prepare for Atherectomy?
A few days before atherectomy, certain tests need to be performed on the patient.
The patient may need to discontinue some medications before the procedure.
The patient's full medical checkup needs to be conducted.
How much time is required?
The procedure requires Approximately 2 hours and the hospital stay is for about 1 to 2 days
What type of anesthesia will be given?
Local anesthesia
How will patient recover?
- After the procedure, the patient is required to lie down flat for 3 hours or more in the recovery room where the patient's condition is monitored closely.
- The patient will continue to receive intravenous medication like blood thinners to prevent clotting.
What should be cared?
- The patient should take the required medications as per the doctor's instructions.
- Over-the-counter medicines should not be taken without consulting the doctor.
- The patient should not drive while taking narcotic medication.
- The patient should take a healthy diet after a consultation with the dietician. Lots of liquid intake is recommended.
- The patient should exercise regularly, which makes the heart stronger.
- The patient should quit smoking.
- Stress should be avoided and relaxing techniques should be practiced by the patient.
The patient should contact the doctor if the following symptoms occur:
- Fever
- Nausea
- Infection or bleeding at the catheter insertion site
- Chest pain
- Breathing difficulty
- Heavy sweating
- The leg that was used the atherectomy becomes painful or numb or cold and pale
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Cardiac Sciences | Adult CTVS (Cardiothoracic and Vascular Surgery)
Dr. Z. S. Meharwal is part of the founding team of doctors at Fortis Escorts Heart Institute. He has more than 30years of experience in cardiac surgery with over 30,000 surgeries to his credit, including complex heart operations. He is pioneering in many new cardiac operations in the country . Dr. Meharwal is amongst few cardiac surgeons performing heart transplantation and ventricular assist devices implantation . Dr . Mehrwal has been actively involved with teaching and training . He is the Program Director of DNB Cardiothoracic Surgery at Forts Escorts Heart Institute. Dr. Mehrwal has received many awards including President's award for his contribution in the field of Cardiac Surgery.
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Paediatric Cardiac Surgery
Dr. Krishna S Iyer is is Executive Director in Paediatric Cardiac Surgery and is one of India's most experienced pediatric cardiac surgeons, recognised for his clinical expertise and involvement with cardiac care for children in India and other developing nations.
After his medical training he joined the faculty of cardiac surgery department of AIIMS, New Delhi. He then trained in infant cardiac surgery in Australia and then established neonatal cardiac surgery at AIIMS.
Dr. Iyer began the first dedicated pediatric cardiac care program in North India at EHIRC ( now FEHI ) in 1995. Under his guidance, this pediatric cardiac program has become the benchmark for cardiac care for children in India and its South East Asian neighbours. Dr. Iyer has operated on more than 14,000 patients with congenital heart diseases from all parts of India and International patients from over 15 countries. He has performed the first successful rapid two stage arterial switch and double-switch operation in India.
He has more than hundred research publications in national and international journals and travels extensively to cities across India and abroad to deliver lectures.
He has been the Founder President of Asia-Pacific Pediatric Cardiac Society, Society of Pediatric and Congenital Heart Surgeons and President of Pediatric Cardiac Society of India.
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