The 60-year-old male was suffering from renal failure and was on regular dialysis. However, during dialysis his blood pressure used to drop, heart beats used to become irregular and condition was progressing towards heart failure.
Therefore, an angiography was suggested which revealed triple vessel disease (TVD). This is a severe form of coronary artery disease where all three major heart arteries (left anterior descending, left circumflex, and right coronary artery) have significant plaque build-up, restricting blood flow. In this case calcified blood vessels which are difficult to break and a weakened heart pumping ) LVEF) around 20% made the condition high risk for any procedure. Because of this the surgeon ruled out a bypass procedure.
Dr. Suraj Ingole, HoD, Cardiac Sciences at VishwaRaj Hospital, Loni said that considering the patient’s condition and complexities we decided to go for an angioplasty. But the highly calcified blood vessels which are hard to break needed to be cleared for stents. Therefore, we conducted Calcium orbital atherectomy which is a minimally invasive procedure employing a diamond-coated crown that rotates and orbits to cut the calcium plaque.
Orbital atherectomy (OA) is a specialized, catheter-based procedure used to treat severely calcified coronary arteries by “sanding” away hardened plaque (calcium) using a rapidly rotating, diamond-coated crown.Once the calcified vessel was cleared, stent was put in the left anterior descending artery.
He added that one of the guiding factors in this is the inhouse Intravascular Ultra sound (IVUS) which is a catheter-based, minimally invasive imaging procedure that uses high-frequency sound waves to generate detailed, real-time 360-degree cross-sectional images from inside blood vessels.
Dr. Ingole said that another angioplasty will be performed in a month or two from now to clear the other vessel.
The patient underwent dialysis the next day without any complications.
Although these cases are not rare, case was high risk and complex.The procedure presents a new ray of hope for patients in the eastern periphery of Pune, where such procedures are a rarity. The procedures are available at affordable pricing which will increase the accesibility for common people.
The team of doctors included Dr. Suraj Ingole, anaesthetist, Dr.Kshitij Gaikwad, registrars Dr.Vishnu Jadhav and Dr.Anagha, Cathlab staff Amit, Meena , Manoj Kumar, Kalyan etc .
The patient was admitted on 12 February surgery was performed on 14 th February and the patient was discharged on 16th February 2026.
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