In a rare case,93-year-old A Jadson,who was admitted with disabling and refractory anginal chest pain in the Intensive Coronary Care Unit of the KEM hospital,successfully underwent a coronary angioplasty.
Dr Milind Gadkari,head of the department of cardiology at KEM hospital,said the doctors,including interventional cardiologist Dr Milind Kulkarni,took a bold and positive approach to perform the delicate and complex procedure of culprit vessel coronary angioplasty with intracoronary stent implantation.
It is rare for a person of her age to undergo such a procedure,said Gadkari. However,she was diagnosed with critical coronary artery disease six years ago and subsequently denied surgical and interventional option in view of her old age at another hospital. Her relatives witnessed her continuous agony over these years. Her condition further worsened over the last few days and she started getting anginal pain even in the ICU under medications,said Gadkari.
The procedure was performed at the Cardiac Catherisation Laboratory in KEM Hospital. The treatment was ably supported by anaesthetist Dr B D Bande,Dr Ruchira and intensivist Dr Leena Shah. Any interventional procedure in the elderly is always a big challenge to the cardiologist due to marked degenerative changes in vessels and kidneys,said Gadkari.
The vessels are calcified at many places. However,careful planning and hardware selection of the angioplasty procedure can make a major difference in the final outcome of the patient. A 30mm long ‘Integrity Coronary Stent System was used to track this tortuous and calcified tight obstructed long segment lesion in her important coronary artery.
The selection of correct angioplasty hardware made the job of stent deployment in the coronary artery in this complex tortuous vessel relatively easy. It brought dramatic pain relief to the patient.