2-day international workshop on ‘Chronic Total Occlusion’ starts at Max Hospital


Dr Yasushi Asakura, Co-Director of Cardiovascular Medicine Toyohashi Heart Center, Aichi in Japan along with other doctors during the demonstrative session under 2-day international workshop on treatment options for CTO (Chronic Total Occlusion – 100% blocked arteries) which started at Max Super Speciality Hospital, Mohali on Monday. As many as 50 doctors across country are taking part in the workshop.

Mohali, April 28, 2014: The 2-day international workshop on treatment options for CTO (Chronic Total Occlusion – 100% blocked arteries) started at Max Super Speciality Hospital (MSSH), Mohali today. The workshop was being conducted by Cardiology Department of MSSH in conjunction with Dr Yasushi Asakura, Co-Director of Cardiovascular Medicine Toyohashi Heart Center, Aichi in Japan. The CTO was a long, complex blockage composed of calcium and other fibrous materials obstructing a coronary artery for more than three months and causing conditions that included ischemia, angina, and poor left ventricular function. It was a challenging blockage condition which required the skill of an experienced interventionists. At workshop, Dr Asakura, who was one of the world renowned pioneers of this technique, demonstrated the technique to around 50 doctors who thronged at workshop across the country.
Mastered by him, Dr Asakura was teaching this technique in number of medical centers across the world. Speaking during occasion, Dr Asakura said that now 100% blocked arteries could be opened with angioplasty with bypass surgery was not required so far. Japanese have developed highly specialised wires, balloons and catheters that were specifically used for treating these blocks. Since the Japanese believed that their soul would depart if their chest was opened during surgery thus forcing them to avoid bypass surgeries. That’s why the technique has highly developed in Japan, quipped Dr Asakura in lighter veins.
Dr Sudheer Saxena, Principal Consultant & Coordinator, Department of Cardiology, MSSH said that 1/3 of the patients with blocks in their coronary arteries have at least one artery that was completely blocked. These 100% blocks would remain one of the main reasons for referring a patient to undergo a bypass surgery. Performing an angioplasty in these arteries required a high level of skill and specialized hardware. Unlike the routine angioplasty, these blocks were made up of hardened tissues that were difficult to cross using routine guide wires and balloon catheters.”
He said, Retrograde technique of opening of CTO has several benefits to the patient. The most important was that the patient with one artery total blockage would not require coronary artery bypass surgery. There would be less medication required and the heart would function better and improve the quality of life. This was a complex angioplasty method that was being done at only a few centres in North India. This minimally invasive technique which has to be performed by team of skilled interventional cardiologists promised to offer the best possible outcomes for patients with CTO. Also the impact of drug eluting stents on restenosis has improved long-term outcomes after successful re-canalisation in CTO. Successful revascularisation was associated with improved long-term survival, reduced symptoms, improved left ventricular function and reduced need for coronary bypass surgery. The success of angioplasty in such cases depended upon specialised training, experience and innovative devices designed specifically for CTOs, he asserted.

Monday, April 28, 2014