Paras Health Udaipur Adopts Advanced Orbital Atherectomy Technique

Paras Health Udaipur has recently achieved a significant milestone by successfully performing a complex angioplasty using the Orbital Atherectomy (OAD) technique. Introduced in India just six months ago, this advanced procedure places Paras Health Udaipur among the leading cardiac centers adopting this state-of-the-art technology.

In a press conference, the hospital announced the first-ever IVUS-guided Orbital Atherectomy performed in Rajasthan (outside Jaipur). This technique was initially utilized in India in August 2024 on two patients in Delhi and Jaipur. The procedure at Paras Health Udaipur was led by Dr. Amit Khandelwal (Director and HOD, Cardiology), along with Dr. Nitin Kaushik (Intensivist), Dr. Jayesh Khandelwal (Non-Invasive Cardiology), and team member Dinesh.

Dr. Amit Khandelwal explained, "Traditional angioplasty is often ineffective against severe calcium deposits. Previously, we employed techniques like Rotablation and IVL (Intravascular Lithotripsy), but Orbital Atherectomy offers a more effective solution for complex cases. IVUS has been available in India for the past decade, and IVL for about 4-5 years, but Orbital Atherectomy is the latest and most advanced technique, reducing the need for high-risk bypass surgeries, especially in younger patients."

Dr. Manish Agarwal (Facility Director, Paras Health, Udaipur) stated, "This is a significant achievement for cardiac care in India. By introducing such cutting-edge technology in Rajasthan, we are reinforcing our commitment to providing world-class advanced treatments."

The patient, Gaurav Bhatnagar (name changed), 40, had undergone angioplasty in Lucknow six years prior but recently experienced chest pain, shortness of breath, and difficulty walking. Investigations revealed a 100% blockage in the left main artery and 95% blockages in two other arteries, all with severe calcium deposits. Considering his young age, bypass surgery posed a risk of disease recurrence. Orbital Atherectomy emerged as the most suitable option, ensuring long-term success.

Doctors first analyzed the calcium deposits using Intravascular Ultrasound (IVUS), then removed the obstruction with a specialized guided wire, and finally placed a stent to restore normal blood flow.