Angiography and Angioplasty By Dr. Ashwin Mehta

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Angiography and angioplasty are two procedures that save lives.

Angiography

When a person suffers from angina or chest pain or coronary artery disease which is narrowing of the coronary arteries then that person is at an increased risk of having myocardial infarction, which is known as heart attack.

In order to determine the extent of risk of having a heart attack the physician may recommend a procedure that will identify any serious issues related to cardiac condition before they progress. This procedure is known as angiography.

An angiography is an examination of arterial blood vessels to look out for blockages in blood circulation. This procedure allows doctors to look at blood vessels in great detail using X-rays.

If the doctors locate a narrowed portion or stenosis of a blood vessel during the angiography procedure they may stretch it or widen it straightaway using a procedure called an angioplasty.

The angiography uses X-rays to reveal the ‘route maps’ of the blood vessels and arteries in the heart. Angiography also gives detailed information about the function of the heart as well as blood pressure and the supply of oxygen to the heart as well as the levels of oxygen in the blood as it passes through the heart.

Angioplasty is a procedure to expand narrow arteries that may follow on from angiography.

Both angiography and angioplasty procedures are done in hospital under local anesthetic.

Angiography is a procedure in which you will likely be sedated and doctor will insert a needle into an artery in your groin and inject the patient with a special dye called ‘contrast medium’ through a thin tube called as catheter which make more prominent any potential difficulties or abnormalities in the blood vessels.

This procedure is generally safe, painless, and is generally successfully completed within two hours.

Side effects of angiography consists of bruising or feeling of soreness for a few subsequent weeks.

Moreover, the procedure can incur some several severe complications such as an adverse reaction to the dye, or shortness of breath, stroke, or kidney damage due to internal bleeding. In most cases, even the serious side effects associated with an angiograph are both temporary and treatable.

In most conditions, even the serious side effects due to angiography is treatable and is temporary.

Angioplasty

Depending on the results of the angiography and the severity of any blockages detected the surgeon might carry out an angioplasty procedure to prevent major surgery.

During angioplasty a catheter is placed through the arterial blockage and the cardiovascular surgeon moves through the blockage guided by X-rays before positioning an inflatable balloon in the obstructed area. The ballon contains water pressure that exceeds the level of accumulated blood pressure this removing the blockage and making blood to flow once again through. This procedure is also known as balloon angioplasty. If it becomes impossible to clear the blockage, the vascular surgeon may place a stent to hold the arterial walls apart to increase blood flow.

Dr. Ashwin Mehta

There are many specialists in this field of angioplasty. In India, one of the pioneers in the field of cardiology is Dr Ashwin Mehta who is an cardiogist from Jaslok Hospital in Mumbai.

Jaslok Hospital

Jaslok Hospital was set up in 1973 with a mission to provide best medical care to every single patient.

Dr. Ashwin Mehta is one of the best and well-known Cardiologist in Mumbai. He has more than 38-year’s experience behind him and is Director of Cardiology at Jaslok Hospital & Research Centre, Mumbai. Jaslok Hospital is situated at Peddar Road, South Mumbai facing the Arabian Sea.

During his medical practice and academic career, he has received innumerable awards and honors. Dr. Mehta was awarded the prestigious Padmashree National Award in 2004. He has also been very active on the academic front during his entire career.

Dr. Mehta has taught hundreds of medical students.

Presently at the DNB Board, and earlier for over 25 years he is the Honorable Professor of Cardiology at the University of Mumbai and then at Lokmanya Tilak Municipal Medical College, Sion, Mumbai.

Dr. A.B. Mehta has been an invited as a faculty at events in France, China, Japan, Italy, USA, Sri Lanka, and Singapore, for demonstrating techniques of Angioplasty.

Dr. A.B. Mehta has been an Examiner for the DM Cardiology examination at Pune, New Delhi, Ahmedabad, Kolkata, and other cities in India.

Ashwin Mehta is recognized for his pioneering work in India in Angiography and Cardiac Catheterisation in newborn babies and was also the first to introduce His Bundle Electrography in India and Primary Angioplasty in Acute Myocardial Infarction with the first systemic trial.

Dr. Mehta has performed as well as supervised more than 10,000 Angioplasties and over 50,000 Angiographies. Dr. Ashwin Mehta has conducted numerous teaching seminars, conferences, and meetings, where he has also actively participated in the presentations and deliberations.

His areas of interest are Coronary Interventions, rotablation balloon, valvotomy, trans catheteraortic valve replacement, angiography and angioplasty.

Awards and Recognitions

Dr. Ashwin Mehta is a cardiologist and has been honoured with numerous awards.  He was awarded the CTO – Man of The Year Award (2008), this award is first of its type, for the Indian Chapter of 2nd Indo European Course on Revascularization (IECR/IEIC) which was presented at New Delhi on 20th December 2008. He was also awarded Life Time Achievement Award at the 1st IJCTO meet, at Mumbai on 8th June 2013.

He was awarded Golden Contribution Award received at AICT 2012 at New Delhi, on 6th Oct. 2012. He was also honoured with Padmashree Award from the Goverment of India in 2004

He was honoured with Maharashtra Gaurav Award for the Most Outstanding Contribution in Cardiology, by the Government of Maharashtra in 2004. He was given the Distinguished Doctor Award Presented by the Indian Medical Association, Mumbai Branch on “Doctor’s Day”, 1st July 2008.

He was given the Mahavir Mahatma Award for Oneness and Towards Social Upliftment (Times Foundation, 2006). 2006.

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