Cardiac Intervention Clinic

The Interventional Cardiology Clinic specializes in minimally invasive, catheter-based procedures for diagnosing and treating heart conditions. These advanced treatments address a range of cardiovascular issues, such as myocardial infarction and vascular diseases, both acute and chronic. The clinic focuses on coronary artery disease, which involves the narrowing or blockage of coronary arteries due to atherosclerotic plaques. With state-of-the-art technology and continuous monitoring, the clinic ensures precise care for complex heart conditions.

Cardiac catheterization is a minimally invasive procedure where a thin tube, or catheter, is inserted into an artery or vein in the groin, neck, or arm and guided to the heart. Using X-ray imaging, a radiographic contrast dye is injected to identify abnormalities in the heart's blood vessels. For narrowed arteries, a balloon catheter covered with a stent is used. The balloon inflates to compress plaques against the artery walls, expanding the stent (balloon angioplasty). Once the stent is securely in place, the balloon is deflated and removed, leaving the stent to keep the artery open. Additional medical devices may be used to enhance treatment effectiveness.

In emergencies, treatment plans are thoroughly explained and discussed with patients and their families. Comprehensive patient education ensures understanding of alternative options, their pros and cons, as well as preparation and aftercare instructions.

Interventional cardiology offers less invasive procedures than traditional cardiac surgery, resulting in significant benefits such as reduced pain, shorter hospital stays, and quicker recovery times. Common interventional procedures include:

• Percutaneous Coronary Intervention (PCI): This procedure uses balloon angioplasty and stent implantation to open blocked coronary arteries, restoring blood flow efficiently.

• Fractional Flow Reserve (FFR): A guide wire-based method measuring blood pressure and flow in specific coronary artery sections for accurate diagnosis.

• Rotablation: A specialized catheter drills away plaque and calcified deposits in coronary arteries, improving blood flow and reducing blockages.

• Intravascular Ultrasound (IVUS): An advanced imaging technique using miniaturized ultrasound probes to assess artery walls and optimize stent implantation during PCI.

• Balloon Valvuloplasty: This minimally invasive procedure reopens stiff heart valves by inflating a balloon catheter, eliminating the need for surgical valve replacement.

• Congenital Heart Disease Treatments:

• ASD Closure: Catheterization is used to close atrial septal defects (holes between heart chambers).

• PDA Closure: Patent ductus arteriosus is treated by catheterization, closing the duct to prevent oxygenated blood from flowing back into the lungs.

• Peripheral Artery Disease (PAD): Catheter-based PCI with balloon and/or stent is performed on non-coronary heart vessels to restore circulation.

• These interventional cardiology procedures at Bangkok Hospital ensure advanced, minimally invasive solutions for cardiovascular health, offering shorter recovery times and excellent patient outcomes.

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