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Cardiologists are among the most intensive users of fluoroscopy in the medical profession, if not the most frequent. However, many of them are unaware that they may be exposing patients to relatively high levels of radiation during cardiac catheterization procedures - levels much higher than those handled by many radiologists. While staff protection is definitely important, there are bigger issues of patient protection in interventional procedures using X rays
The Cardiology Department is manned by senior Cardiologists trained in India and abroad. Coronary stenting is routine and performed by most of the invasive cardiologists. Patients with high risk and multi vessel involvement are also undertaken. Primary angioplasty, an approach of opening blocked coronary artery during acute myocardial infarction, in place of thrombolysis is practised in suitable cases. The cardiologists have performed over 15000 angiographies and nearly 3000 coronary angioplasties since the establishment of the department in January '96. Non-coronary intervention deals with variety of cardiovascular abnormalities. Subclavean, iliac, femoral and carotid artery balloon angioplasty and stenting are being performed. Vascular dissection and aneurysm repair are also conducted with covered stents.
In this procedure, a rotary shaver (also called a "burr") is placed at the tip of a catheter, guided to the affected area, and used to remove plaque from the artery walls. In some cases, a laser catheter is used to vaporize the plaque
Risks of Interventional cardiology include the following : -
Heart Attack : - In rare cases, a patient may have a heart attack during angioplasty.
Stroke : - Blood clots may form on catheters and break loose during the procedure or catheter movement through the aorta may free plaque in the heart. If these particles reach the brain, stroke can occur. Patients are given blood thinners before angioplasty to help prevent stroke.
Coronary Artery damage : - Arteries can be torn or ruptured during angioplasty. If this occurs, emergency bypass surgery is performed.
Kidney Damage : - Dyes used in angioplasty can damage the kidneys.
Heart Rhythm Problems : - Angioplasty can disturb the heart so that it beats more quickly or more slowly than usual. This often resolves on its own, but patients may need medication or a temporary pacemaker to regulate the heartbeat.
Benefits of Interventional Procedures :-
Interventional cardiology procedures are generally less invasive than traditional surgery. In most cases, these procedures require only one small incision for insertion of the catheter. Most interventional cardiology patients do not require general anesthesia and some procedures can take as few as 30 minutes to perform.
In many cases, patients are hospitalized for only one night following interventional cardiology procedures, instead of the longer hospital stay required by other types of surgery. Recovery time often is shorter as well and symptoms, such as shortness of breath and chest pain, are usually relieved quickly and effectively.
Some heart attack patients benefit substantially from angioplasty. Opening an artery and restoring blood flow quickly is one step toward preventing heart damage. Balloon valvuloplasty is often the best option for infants and children with congenital heart defects
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Cardiologists are among the most intensive users of fluoroscopy in the medical profession, if not the most frequent. However, many of them are unaware that they may be exposing patients to relatively high levels of radiation during cardiac catheterization procedures - levels much higher than those handled by many radiologists. While staff protection is definitely important, there are bigger issues of patient protection in interventional procedures using X rays 
In this procedure, a rotary shaver (also called a "burr") is placed at the tip of a catheter, guided to the affected area, and used to remove plaque from the artery walls. In some cases, a laser catheter is used to vaporize the plaque
Interventional cardiology procedures are generally less invasive than traditional surgery. In most cases, these procedures require only one small incision for insertion of the catheter. Most interventional cardiology patients do not require general anesthesia and some procedures can take as few as 30 minutes to perform. 
