DR.HARSHAL INGLE

Dr. Harshal Ingle is a highly skilled Interventional Cardiologist based at Ruby Hall Clinic in Pune, with over 10 years of experience in the field. He holds an MBBS from Maha Health Sciences, an MD in General Medicine from Government Medical College, and a DNB in Cardiology from the National Board of Examinations. Dr. Ingle is recognized as a pioneer in renal denervation therapy, having performed one of only two such cases in Pune, showcasing his commitment to advancing cardiac care.

His expertise encompasses various interventional procedures, and he is dedicated to improving patient outcomes through innovative techniques and comprehensive cardiovascular management. Dr. Ingle is also actively involved in patient awareness initiatives aimed at promoting heart health and preventing cardiovascular diseases.

With a strong academic background and a passion for cardiology, Dr. Ingle is well-regarded among his peers and patients alike for his clinical acumen and compassionate approach to healthcare.

Novel Technique, Combined with Image-Guided OCT Imaging, Enables Successful Angioplasty in Patient with Triple Vessel Disease, Heavy Calcification

In a groundbreaking medical achievement, a team of cardiologists at Ruby Hall Clinic, led by Dr. Harshal Ingle, used a novel orbital atherectomy device, a diamond-coated "sandpaper-like" tool, guided through the arteries to the site of the blockage. The device's unique mechanism allowed for the effective removal of calcified lesions, enabling the successful placement of stents to restore blood flow.

The innovative procedure utilized orbital atherectomy, a novel technique that enabled the removal of heavy calcified lesions, paving the way for a minimally invasive and highly effective treatment. The combination of orbital atherectomy and image-guided OCT imaging has opened up new possibilities for treating complex coronary cases, said Dr. Harshal Ingle. "The breakthrough procedure offers patients a safer and more effective alternative to open heart surgery."

The patient's recovery was remarkable, with discharge from the hospital within just four days of the minimally invasive nature of the procedure, significantly reducing the risk of complications and promoted a faster healing process.

The patient, a 65-year-old male, was diagnosed with triple vessel disease, a condition where three major coronary arteries are blocked, significantly increasing the risk of heart attack. The severity of the blockages, combined with heavy calcification, made traditional angioplasty and stenting challenging.

To overcome these challenges, Dr. Ingle and his team used image-guided Optical Coherence Tomography (OCT) imaging, which provided high-resolution images of the blocked arteries. This allowed for precise placement of the orbital atherectomy device, ensuring effective removal of the calcified plaque.

For more information about orbital atherectomy and image-guided OCT imaging, contact Ruby Hall Clinic.

GOOD HEART CV ASSOCIATES

Orbital Atherectomy is a procedure where a thin wire is inserted into the artery along with a catheter. The tip of the catheter is diamond-coated burr which orbits back and forth through the lesion, using centrifugal forces to ablate the plaque. The high speed rotation is like a drill machine which breaks the calcified calcium causing the blockage. Energized by electricity it rotates with high speed ensuring cleaning of the blockage paving way for stent implant procedure. The procedure is necessary as it helps crack the calcium which is a result of deposited cholesterol for over a period of time and gets converted into hard calcium. To unlike some other procedures like rotational atherectomy where the diamond coating is only at the tip of the burr, Orbital Atherectomy involves orbital as well as rotational movement. Those with severe calcification with around 360 degree calcium are deep calcium, there is a need for debulking and therefore this technique is suggested. Those with less heart functionality, uncontrolled sugar, blood pressure or kidney ailments, this minimally invasive procedure is a good option. Once the angioplasty is completed, the patient is kept under observation in the cardiac care unit and on the second day shifted to the ward / room and made to walk or mobilized. And depending on the condition the patient is discharged in another day or two. After the weeks rest, the patients can start their routine.

What is Calcification?

Calcification of Cholesterol in the heart is a serious medical condition as cholesterol deposits or fatty substances which deposit in the heart vessels over a period of time undergo a process of calcification and become hard plaque structures. This can harden over a period of time and can obstruct the blood flow, arteries can become stiff and narrow and restricted blood flow can affect vital organs including heart. The build up of calcium deposits is often referred as Coronary Artery Calcification and can increase the risk of cardiovascular diseases like Atherosclerosis, Coronary Artery Disease (CAD) or heart attack. Calcification can be caused by various factors including high cholesterol levels, Age, Hypertension, Diabetes, smoking, improper diet and genetic factors. Early diagnosis and treatment is crucial as this condition if left untreated can cause chest pain, heart attack, heart failure, stroke. Ancillary or plaque rupture. The condition can be diagnosed with CT scan, X-ray, blood tests and angiography. Apart from medical treatment, correcting the lifestyle including diet, exercise, weight management and giving up bad habits like smoking is essential. After the surgery, adopting a healthy lifestyle, monitoring cholesterol and blood pressure levels, and seeking appropriate medical treatment can significantly reduce the impact of this condition and improve overall cardiovascular health.

For more information about orbital atherectomy and image-guided OCT imaging, contact Ruby Hall Clinic, Interventional Cardiology, MD Med Dr. N B Cardiology, Cardiac OPD no. 7, Ruby Hall Clinic, Sassoon Road, Mob: 91995983960

Ruby Hall Clinic is proud to announce the successful inauguration of its first CATH LAB in Shirur Taluka, Pune. The state-of-the-art facility, launched on 26th September 2024 at the Matoshree Madanbai Dhariwal Hospital’s Cardiac Centre, is a result of a collaborative effort between Fiat India Automobiles Private Limited (FIAPL)—a joint venture between Tata Motors and Stellantis—and the Grant Medical Foundation (Ruby Hall Clinic).

I invited as Keynote speaker for Empowering Cardiovascular Wellness at ACB with Shri Amol Tambe Sir SP IPS

"Revolutionizing Hypertension Treatment: Renal Denervation Therapy Offers Hope for Patients with Resistant Hypertension"

In a landmark achievement for hypertension treatment, Sandeep (name changed), a 55-year-old patient battling with severe hypertension for several years. Despite taking six types of commonly prescribed medication, his blood pressure remained uncontrolled, with his systolic blood pressure consistently  reaching between 200 to 240 mm Hg and diastolic blood pressure in the range of 110 to 130 mm Hg.  Doctors diagnosed his condition as Resistant hypertension and adviced him a Novel therapy of Renal denervation.

This innovative procedure targets the renal sympathetic nerves, effectively reducing their overactivity, which is a significant contributor to high blood pressure. This procedure involves inserting a catheter through right groin into the renal arteries. Where radiofrequency pulses are used to burn the sympathetic nerves. Which helps reduce high blood pressure in patients who do not respond to common medications.

This innovative procedure was the first of its kind successfully performed in Pune by renowned interventional cardiologists Dr. Harshal Ingle and Dr. C.N. Makhale.

Post-procedure assessments revealed remarkable results: Sandeep’s blood pressure medications were completely stopped, showcasing the therapy's efficacy. Studies have demonstrated that renal denervation can lead to sustained reductions in blood pressure, allowing patients to manage their condition with fewer medications. 

This minimally invasive approach not only offers hope for patients like Sandeep but also signifies a shift in hypertension management strategies, potentially transforming the lives of many who face similar challenges. 

As research continues to support its long-term benefits of renal denervation therapy, this breakthrough at RubyHall Clinic stands as a beacon of hope for many patients and a promising option in the fight against resistant hypertension. 😇

The first successful coronary angiography done at Rubyhall Clinic Shirur marks a significant milestone in the region's medical capabilities, particularly in cardiac care.

Angiography is a medical imaging technique that employs X-ray technology and contrast dye to visualize blood vessels. The most common type is coronary angiography, which focuses on the arteries supplying blood to the heart. This procedure helps identify blockages or abnormalities that could lead to serious conditions like heart attacks or strokes.

The successful completion of the first angiography in Rubyhall Clinic Shirur represents a leap forward in local healthcare services. It not only demonstrates the capability of local medical professionals but also enhances access to advanced cardiac care for residents who previously might have had to travel long distances for such procedures.

This advancement is particularly important given that timely diagnosis and treatment of cardiovascular diseases can significantly improve patient outcomes. With this new capability, Shirur can expect better management of heart-related ailments, leading to improved health and quality of life for its residents.

Future Implications

The introduction of cardiac Cathlab services at Rubyhall clinic Shirur could pave the way for further developments in cardiac care and interventional procedures. It may encourage more healthcare investments in the region, ultimately leading to enhanced medical infrastructure and training opportunities for healthcare providers.

In summary, the first angiography performed successfully at Rubyhall Clinic Shirur signifies not only a technical achievement but also a hopeful step towards better healthcare accessibility and quality in the region.

Times of India (Pune Edition)* 

Transformative Therapy for Resistant Hypertension: Renal Denervation Brings New Hope for 55-Year-Old Patient.

The training included in-depth sessions on OCT imaging, which provided detailed insights into plaque characteristics, aiding in optimal stent placement. I also gained practical knowledge of orbital atherectomy, a vital technique for treating calcified lesions effectively.

I'm excited to apply these advanced techniques to improve patient outcomes in cardiac care! 🩺💖 #Cardiology #AdvancedTraining #OCT

I am a dedicated and driven individual with a profound passion for patient care, particularly in the field of Cardiology. Choosing to pursue a career in healthcare has been one of the most fulfilling decisions of my life.

My core values—responsibility, diligence, and an insatiable curiosity—guide my journey as a healthcare professional. I aspire to work in a dynamic and educational environment that not only challenges me but also allows me to make a meaningful contribution to enhancing the health and well-being of individuals. With a commitment to continuous learning and improvement, I am eager to play a vital role in advancing patient care and promoting heart health.