Novel drug-coated balloon deployment strategy for 80 years old patient
Mumbai, 23rd February, 2016: Dr. Brajesh Kunwar, MD, DM-Cardiology (CMC, Vellore), Consultant Interventional Cardiology
When an 80 years old male was admitted to SevenHills Hospital with a heart concern, doctors, at first, thought that it was a regular case of a heart failure and a heart attack. On further investigation, it was revealed that the patient had severe blockages in the heart blood supply and his case was more complicated than it appeared to be because he suffered heart conduction defects (known as sick sinus syndrome) and also had a history of on and off bleeding from lower gastrointestinal tract (GI tract).
The gastrointestinal tract (GI tract) is an organ system that is responsible for transporting and digesting foodstuffs, absorbing nutrients, and expelling waste form the body.
As the patient was very old and was on ventilator support with poor general condition, he was not fit enough for a bypass surgery. Angioplasty with stent deployment was also not possible in view of repeated bleeding in stools, as stent deployment needs compulsory blood thinning drugs like ecosprin, clopidogrel etc.
Considering all of the above conditions, a novel technique of deploying a special balloon coated with special drugs (PACLITAXEL) was used to clear away the blockages. The patient also underwent a pacemaker implantation following this.
All of these procedures were carried out successfully, without any hassles. The patient is now discharged and does not require any blood thinning agent, which was any way prohibited in his case, due to the recurrent bleeding.
“Using a right and novel strategy can solve most of the complicated cases with little risk”, Dr. Brajesh concluded.