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Dr. Rasesh Pothiwala

Director - Cardiology

Sterling Hospitals, Gurukul, Ahmedabad
EnglishHindiGujarati

Areas of Expertise

Discover Unparalleled Expertise: Where Advanced Technology and Compassionate Care Meet to Deliver Exceptional Healthcare Services

Transcatheter Aortic Valve Implantation (TAVI)

Transcatheter Aortic Valve Implantation (TAVI), also known as Transcatheter Aortic Valve Replacement (TAVR), is a minimally invasive surgical procedure used to treat aortic valve stenosis, a condition characterized by the narrowing of the aortic valve in the heart. During TAVI, a collapsible artificial valve is inserted through a catheter and guided to the site of the diseased aortic valve. Once in place, the new valve is expanded, pushing aside the old valve and restoring normal blood flow.

When and why do people go for Transcatheter Aortic Valve Implantation (TAVI)?

People undergo TAVI when they have severe aortic valve stenosis and are considered high-risk or ineligible for traditional open-heart surgery due to factors such as age, frailty, or underlying health conditions. TAVI may also be recommended for individuals who prefer a less invasive treatment option with faster recovery times. The procedure helps to relieve symptoms associated with aortic valve stenosis, such as chest pain, shortness of breath, and fatigue, and improves overall heart function.

What makes Transcatheter Aortic Valve Implantation (TAVI) different from other treatment options?

Transcatheter Aortic Valve Implantation differs from other treatment options for aortic valve stenosis, such as surgical aortic valve replacement (SAVR), in that it is a minimally invasive procedure that does not require open-heart surgery or sternotomy. TAVI offers several potential benefits, including shorter hospital stays, faster recovery times, reduced risk of complications such as bleeding and infection, and improved quality of life compared to traditional open-heart surgery. Additionally, TAVI may be performed under local anaesthesia or conscious sedation, eliminating the need for general anaesthesia in some cases.

How does life change after Transcatheter Aortic Valve Implantation (TAVI)?

Life after Transcatheter Aortic Valve Implantation can vary depending on factors such as the individual's overall health, the success of the procedure, and adherence to postoperative care and rehabilitation. Many people experience significant improvements in symptoms and quality of life following TAVI, as the new valve helps to restore normal blood flow and alleviate the effects of aortic valve stenosis. With proper postoperative care and medication management, individuals can expect to enjoy increased energy levels, improved exercise tolerance, and a reduced risk of cardiovascular events compared to life with untreated aortic valve stenosis. Regular follow-up appointments with healthcare providers are important for monitoring valve function, managing medication regimens, and addressing any concerns or complications that may arise post-procedure. Overall, TAVI can offer a minimally invasive and effective treatment option for individuals with severe aortic valve stenosis, providing the opportunity for improved heart function, symptom relief, and quality of life.

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OCT-guided Coronary Angioplasty

OCT-guided Coronary Angioplasty is an advanced minimally invasive procedure used to open clogged or narrowed coronary arteries. OCT, or Optical Coherence Tomography, provides high-resolution images of the inside of the arteries. This imaging technique allows cardiologists to precisely visualize the plaque and artery walls, guiding the angioplasty procedure for better outcomes.

When and why do people go for OCT-guided Coronary Angioplasty?

People undergo OCT-guided Coronary Angioplasty when they have significant coronary artery disease (CAD) that causes symptoms such as chest pain (angina), shortness of breath, or other signs of reduced blood flow to the heart. This procedure is often recommended for:

  • Severe Arterial Blockages: When non-invasive treatments like medication and lifestyle changes are insufficient.
  • Acute Coronary Syndromes: In cases of heart attacks or unstable angina.
  • Precise Stent Placement: To ensure accurate positioning and deployment of stents, reducing the risk of restenosis (re-narrowing of the artery).

What makes OCT-guided Coronary Angioplasty different from other treatment options?

OCT-guided Coronary Angioplasty differs from traditional angioplasty and other imaging-guided procedures in several ways:

  • High-Resolution Imaging: OCT provides extremely detailed images of the artery walls and plaque composition, which is superior to traditional angiography.
  • Enhanced Precision: The high-quality images help in the accurate assessment of plaque characteristics and stent placement, improving the procedure's success rate.
  • Better Outcomes: Studies have shown that OCT-guided angioplasty can lead to better clinical outcomes, with lower rates of complications like stent thrombosis and restenosis.
  • Reduced Need for Additional Procedures: The precision of OCT can reduce the need for repeat interventions, as it helps in thorough and accurate treatment planning and execution.
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Coronary Angioplasty

Coronary Angioplasty, also known as Percutaneous Coronary Intervention (PCI), is a minimally invasive procedure used to treat blocked or narrowed coronary arteries. During the procedure, a catheter with a deflated balloon at its tip is inserted into the blocked artery. Once in place, the balloon is inflated to compress the plaque build-up, widening the artery and restoring blood flow to the heart muscle. In some cases, a stent—a small mesh tube—is also placed to help keep the artery open and prevent re-narrowing.

When and why do people go for Coronary Angioplasty?

People undergo Coronary Angioplasty when they experience symptoms of coronary artery disease (CAD), such as chest pain (angina), shortness of breath, or heart attack (myocardial infarction), caused by narrowed or blocked coronary arteries. The procedure is often recommended when lifestyle changes, medication, or other interventions fail to alleviate symptoms or when there's an immediate threat to heart health. Coronary Angioplasty can effectively restore blood flow to the heart, relieve symptoms, and reduce the risk of complications associated with CAD.

What makes Coronary Angioplasty different from other treatment options?

Coronary Angioplasty offers several advantages over other treatment options for coronary artery disease. Unlike medication alone, which may only manage symptoms or slow disease progression, angioplasty directly addresses the underlying cause of reduced blood flow by widening the blocked artery. This procedure provides immediate relief from symptoms and improves blood flow to the heart muscle, reducing the risk of heart attack and other complications. Additionally, Coronary Angioplasty is less invasive than traditional open-heart surgery, resulting in shorter recovery times, fewer complications, and a quicker return to normal activities.

How does life change after Coronary Angioplasty?

Life after Coronary Angioplasty can bring about significant improvements in heart health, symptoms, and overall quality of life. Following the procedure, many patients experience relief from angina, improved exercise tolerance, and a reduced risk of heart attack or other cardiac events. With restored blood flow to the heart, individuals often find it easier to engage in physical activity and resume their daily activities without limitations. While recovery may involve some lifestyle modifications and ongoing medical management, many patients experience a renewed sense of well-being and improved cardiovascular health following Coronary Angioplasty.

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Transcatheter Mitral Valve Replacement (TMVR)

Transcatheter Mitral Valve Replacement (TMVR) is an advanced medical procedure used to treat mitral valve disease, specifically mitral valve regurgitation or stenosis. During TMVR, a prosthetic valve is delivered via a catheter and positioned within the diseased mitral valve to restore proper blood flow through the heart.

When and why do people go for Transcatheter Mitral Valve Replacement (TMVR)?

Individuals undergo TMVR when they have severe mitral valve disease and are deemed high-risk or ineligible for traditional open-heart surgery due to factors such as age, frailty, or underlying health conditions. TMVR may also be recommended for individuals seeking a less invasive treatment option with quicker recovery times. The procedure aims to alleviate symptoms associated with mitral valve disease, such as shortness of breath, fatigue, and heart palpitations, and improve overall heart function.

What makes Transcatheter Mitral Valve Replacement (TMVR) different from other treatment options?

TMVR offers a minimally invasive alternative to traditional open-heart surgery for mitral valve disease. Unlike surgical mitral valve repair or replacement, TMVR does not require a sternotomy or incision in the chest. Instead, the prosthetic valve is delivered via a catheter inserted through a small incision, usually in the groin area. TMVR is associated with shorter hospital stays, reduced risk of complications such as bleeding and infection, and faster recovery times compared to open-heart surgery. Additionally, TMVR may be performed under local anaesthesia or conscious sedation, eliminating the need for general anaesthesia in some cases.

How does life change after Transcatheter Mitral Valve Replacement (TMVR)?

Life after Transcatheter Mitral Valve Replacement can vary depending on factors such as the individual's overall health, the success of the procedure, and adherence to postoperative care and rehabilitation. Many people experience significant improvements in symptoms and quality of life following TMVR, as the prosthetic valve helps to restore normal blood flow and alleviate the effects of mitral valve disease. With proper postoperative care and medication management, individuals can expect to enjoy increased energy levels, improved exercise tolerance, and a reduced risk of cardiovascular events compared to life with untreated mitral valve disease. Regular follow-up appointments with healthcare providers are essential for monitoring valve function, managing medication regimens, and addressing any concerns or complications that may arise post-procedure. Overall, TMVR offers a minimally invasive and effective treatment option for individuals with severe mitral valve disease, providing the opportunity for improved heart function, symptom relief, and quality of life.

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