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

Times of India (Pune Edition)* 

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