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As we age or develop risk factors like high cholesterol, smoking, or diabetes, the blood vessels that supply the heart may start to get narrow or blocked. To determine the severity of a blockage and decide if it requires treatment, cardiologists use Coronary Lesion Physiological Assessment and Imaging Tests.
Why is it performed?
Evaluates the severity of blockages in the heart's blood vessels and determine if surgeries like Angioplasty and Stenting are required
Helpful in diagnosing complex cases where traditional diagnostic procedures fail to provide a clear diagnosis.
Identifies lesions that cause ischemia, even if blood vessels appear significantly narrow on angiograms
Avoids unnecessary procedures and associated risks
At Manipal Hospitals, we carry out several methods, like FFR or IVUS assessments in EM Bypass, Kolkata, using advanced techniques.
Types of Coronary Lesion Physiological Assessment, and Imaging:
At Manipal Hospitals, we perform various Coronary Lesion Physiological Assessment and Imaging Treatment in EM Bypass, Kolkata:
FFR (Fractional Flow Reserve): FFR uses a small wire that is placed inside the artery to measure the pressure difference across a coronary artery. This procedure uses a medication to induce hyperaemia, which increases blood flow.
Instantaneous Wave-Free Ratio (iFR): The steps for iFR are similar to FFR. However, iFR does not use medications to increase blood flow. In other words, it measures while the heart is in its relaxation phase.
IVUS (Intravascular Ultrasound): IVUS uses a tiny ultrasound probe inserted into a coronary artery to get real-time, cross-sectional images of the artery walls.
Optical Coherence Tomography (OCT): OCT is a catheter-based imaging system that uses near-infrared light to obtain detailed 3D images of coronary arteries.
Our cardiologists at Manipal Hospitals perform these procedures, including FFR or IVUS assessment in EM Bypass, Kolkata, to guide stenting and avoid overtreatment of borderline blockages.
Preparation:
Patients should fast for at least 4-6 hours
Inform our cardiologist about your medical history,
Plan and arrange your stay and homecoming after the procedure
Understand the benefits and risks, and ask any questions or queries you may have with our cardiologists at Manipal Hospitals, EM Bypass.
Procedure:
Angiography is performed to see if you are good to undergo the procedure
We insert a thin catheter through the vein from the wrist or groin and guide it to the heart.
Depending on the type of procedure, the required interventions are performed
Our cardiologists at Manipal Hospitals, EM Bypass, will determine based on the data whether any surgery or conventional treatments, such as medications, can manage any identified blockages.
Post Procedure:
Patients are monitored for a few days to see if any complications like bleeding or discomfort arise.
Our cardiologists at Manipal Hospitals, EM Bypass, will review results and discuss treatment options if necessary
Patients can resume their normal activities as advised by our cardiologists at Manipal Hospitals, EM Bypass
Mild bleeding or bruising at the catheter site
Temporary chest discomfort
Rare allergic reactions to anaesthesia, contrast dyes, or other medications
Blood vessel injury.
Coronary Lesion Physiological Assessment and Imaging Treatment at EM Bypass, Kolkata, is considered very safe. If any risks arise, our cardiologists at Manipal Hospitals will ensure they address them all.
The differentiation between whether to undergo FFR/IVUS or a regular angiogram depends on the patient's condition. While a regular angiogram shows the outline of the heart’s artery, FFR and IVUS offer additional information regarding blood flow and artery wall structure. Such information helps our doctors to develop accurate treatment decisions.
Not necessarily. You don't have to undergo Stent Placement unless these tests tell you that you may need one. Otherwise, medications alone are sufficient if the blockage doesn't interfere with the blood flow.
In most cases, the test takes between 30 to 60 minutes. The duration may vary depending on factors such as whether a single method or a combination is used, whether the blockages are in a single vessel or multiple vessels, the type of access (wrist or groin), and whether the procedure is purely diagnostic or includes treatment.
The recovery duration in most cases takes only a few hours, and patients can return home on the same day. Our doctors at Manipal Hospitals, EM Bypass, will let you know the expected recovery duration and also provide important instructions.
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