Atrius Cardiac Care • Principal Director – Cardiology|Gurugram • Delhi NCR • 4 Hospital Affiliations
Direct Helpline: +91-8130370096
Dr. Manjinder Sandhu - Atrius Cardiac Care
CASE STUDY • 72-Year-Old Male

Chronic Total Occlusion (100% blockage) with heavy arterial calcification

Procedure Performed: Rotational Atherectomy (Rotablator) & Radial Angioplasty with IVUS

Clinical Summary

Patient presented with severe disabling exertional angina (CCS Class III). Angiogram revealed a 100% calcified blockage in the right coronary artery, previously advised open bypass surgery.

Primary Anatomical Challenge

Extremely hard calcified tissue preventing standard angioplasty wire and balloon passage.

Interventional Strategy & Outcome

Dr. Sandhu used high-speed Rotablator atherectomy to drill through calcified plaque, followed by IVUS-guided drug-eluting stent deployment. Complete 100% vessel recanalization achieved via wrist access.

Patient Feedback

I was terrified of open-heart surgery at my age. Dr. Sandhu opened my blocked artery through my wrist without a single stitch. I was walking the very next morning!

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