Orbital atherectomy was invented by Dr. David L. Martin and Dr. David R. Keating. It was first used in clinical practice at the Minneapolis Heart Institute at Abbott Northwestern Hospital in Minneapolis, Minnesota, United States.

The procedure employs a rotating diamond-coated crown to safely remove plaque from blocked or narrowed arteries. Its development has contributed to the advancement of minimally invasive treatment options for arterial blockages. You can get the Orbital Atherectomy Treatment in India in different methods.

To know more, read the below content.

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What is Orbital Atherectomy?

Orbital atherectomy is a minimally invasive procedure used to treat heart-related diseases like coronary artery disease (CAD). CAD occurs when plaque builds up inside the coronary arteries, restricting blood flow to the heart muscle. Orbital atherectomy is specifically designed to remove this plaque and restore blood flow.

During the procedure, a special device called an orbital atherectomy system is used. The system consists of a thin, flexible catheter with a diamond-coated crown at its tip. The catheter is inserted into the blocked coronary artery through a small incision in the leg or wrist.

Types of Orbital Atherectomy

There are different types of orbital atherectomy treatment in India, including:

• Diamondback 360: The Diamondback 360 is a commonly used orbital atherectomy system. It features a diamond-coated crown that rotates at a high speed and sands away the plaque in the arterial walls.

• Jetstream Atherectomy System: The Jetstream Atherectomy System is another type of orbital atherectomy device. It utilizes high-speed saline jets combined with a rotating catheter to remove plaque from the artery walls.

• Pantheris Atherectomy System: The Pantheris Atherectomy System is a unique type of atherectomy device that combines orbital atherectomy with image-guidance technology. It includes a catheter with a built-in imaging system that allows real-time visualization during the plaque removal process.

• Phoenix Atherectomy System: The Phoenix Atherectomy System is designed specifically for the treatment of chronic total occlusions (CTOs). It incorporates orbital atherectomy with differential sanding technology to remove hard and calcified plaque in CTOs.

Tests Done Before Orbital Atherectomy

Below-mentioned are some of the tests that are done before Orbital Artherectomy:

• Ankle-Brachial Index (ABI): The ABI is a non-invasive examination that contrasts the blood pressure in the arms and ankles. A decreased ratio can be a sign of peripheral vascular disease and point to additional testing being necessary.

• Doppler Ultrasound: This examination measures blood flow in the arteries and looks for any blockages or narrowing using sound waves. It aids in locating and assessing the vascular disease’s severity.

• Angiography: A contrast dye is injected into the blood vessels during angiogram, and the arteries are then imaged using X-rays or other imaging methods. This examination aids in pinpointing the precise position, size, and severity of arterial blockages or calcified lesions.

• Computed Tomography Angiography (CTA): Detailed cross-sectional images of the blood arteries are produced by the non-invasive imaging technique known as CTA. It can aid in determining calcified plaques and the amount and location of vascular disease.

• Magnetic Resonance Angiography (MRA): MRA produces finely detailed pictures of the blood arteries using magnetic fields and radio waves. Blood flow evaluation, vascular disease detection, and calcified lesion identification are all possible uses for it.

How Is Orbital Atherectomy Performed?

Orbital Atherectomy Treatment in India is performed by following procedure:

• Preparation: The area to be treated (often the leg) is cleaned and sterilized when the patient is laid out on an operating table. The area is given a local anesthetic to make it numb.

• Access: A tiny skin incision is made by the doctor, and a catheter—a thin, flexible tube—is inserted into the artery. According to where the arterial blockage is located, other entry points may be used instead of the femoral artery in the groin to implant the catheter.

• Guide to wire placement: Through the catheter, a guide wire is inserted and directed to the location of the artery blockage. The atherectomy device travels along the guide wire.

• Atherectomy device insertion: Through the catheter and over the guide wire, the doctor inserts an orbital atherectomy device. The apparatus consists of a crown- or crown-like-shaped structure covered in diamonds that is affixed to the end of the catheter.

• Plaque removal: The crown of the atherectomy device is activated and starts rotating quickly as soon as it is positioned at the blockage site. In essence “drilling” through the deposits, the revolving crown abrades and slowly sands away the plaque.

• Continuous flushing: Saline or similar fluid is continuously pushed via the catheter throughout the procedure to cool the rotating crown and clear away debris created by the plaque removal process.

• Completion and closure: The atherectomy device and catheter are removed once the required level of plaque removal has been accomplished, and pressure is then applied to the incision site to stop the bleeding. The doctor may choose to stitch the incision or to insert a closure device in specific circumstances.

• Recovery: For a little period, the patient is observed to make sure there are no complications. After the surgery, the majority of patients can return to their regular activities fairly quickly, while recovery times can vary based on individual conditions.

Benefits of Orbital Atherectomy

Below-mentioned are the following benefits of Orbital Atherectomy:

• Improved blood flow: By eliminating plaque and calcium deposits, orbital atherectomy aids in restoring adequate blood flow through the damaged arteries. This can reduce the leg pain, chest pain, and shortness of breath brought on by PAD and CAD.

• Minimally invasive: A tiny catheter is used during the surgery, and it is introduced into the artery through a very small incision.

• Precise plaque removal: The orbital atherectomy device washes away the plaque from the artery walls using a revolving diamond-coated crown. Plaque may be removed with precision and control with this method, with the least amount of artery harm.

• Treating calcified plaque: When treating severely calcified plaque, which might be difficult to remove with conventional methods, orbital atherectomy is especially effective. The calcifications are easier to remove because of the device’s rotational motion, which aids in their breakdown.

• Potential for complete plaque removal: When compared to alternative treatment options, orbital atherectomy has the potential to efficiently remove a sizable amount of plaque from the arteries.

• Less need for stenting: The use of smaller stents or a reduction in the necessity for stenting may be possible in some circumstances after ocular atherectomy. It may lower the incidence of stent-related problems such restenosis by eliminating plaque and resulting in a smoother artery surface.

Orbital Atherectomy Treatment Cost in India

Orbital Atherectomy Treatment Cost in India depends on the severity of the plaque formation along with the hospital chosen for the treatment, ranging between USD 3167 – USD 5482.

Orbital Atherectomy Cost in India Varies Across Different Cities:

Orbital Atherectomy Treatment Cost In Kolkata: USD 3000 – USD 3060
Orbital Atherectomy Treatment Cost In Chennai: USD 2802 – USD 5238
Orbital Atherectomy Treatment Cost In Delhi: USD 3045 – USD 5360

Orbital Atherectomy Treatment Hospitals In India

1. AMRI Hospital Salt Lake, Salt Lake, Kolkata
2. Fortis Hospital Anandapur, Kolkata
3. Apollo Hospitals, Chennai
4. Fortis Escorts Hospital, Faridabad, Delhi NCR
5. Fortis Malar Hospital, Chennai
6. Max Super Speciality Hospital, Saket Delhi, Delhi NCR
7. Medanta The Medicity, Gurugram, Delhi NCR
8. Max Super Speciality Hospital, Vaishali, Delhi NCR
9. MGM Healthcare, Chennai
10. Sarvodaya Hospital, Mumbai

FAQs on Orbital Atherectomy Treatment Cost In India

1. What is the difference between orbital and rotational atherectomy?

• Rotational Atherectomy: A specific catheter with a diamond-coated burr at its tip is used in rotational atherectomy, also known as rotational or rotablation. The burr is used to abrade and pulverize the calcified plaque inside the artery and is attached on a high-speed spinning shaft. The burr grinds away the hardened plaque as it spins, resulting in minute particles that can be removed from the body by being flushed via the bloodstream. By doing this operation, the plaque burden will be lessened and the artery’s blood flow will be improved.

• Orbital Atherectomy: A different method that makes use of a different mechanism is orbital atherectomy. It involves the application of a catheter with a crown that has been diamond-coated. Tiny concentric rings with diamond coating make up the crown, which is joined to a flexible shaft. The crown of the orbital atherectomy device does not rotate quickly, in contrast to rotational atherectomy. Instead, it revolves eccentrically within the artery, resulting in the appearance of a “orbiting halo” studded with diamonds. The plaque or calcium deposits are gradually removed as the crown orbits, leaving behind minute particles that can be removed by the circulation.

2. Is orbital atherectomy safe?

The treatment of heavily calcified coronary arteries, which can present problems during percutaneous coronary procedures (PCI) including angioplasty and stenting, is known as orbital atherectomy. A spinning diamond-coated burr is utilized during the treatment to scrape the calcified plaque from the artery walls.

The overall health of the patient, the expertise and experience of the surgeon, and the careful patient selection all affect how safe an orbital atherectomy will be. Orbital atherectomy can be a safe and efficient therapeutic option when carried out by a skilled surgeon on the right individuals.

3. What is the most commonly used system used for orbital atherectomy?

The Diamondback 360 Orbital Atherectomy System, created by Cardiovascular Systems, Inc. (CSI), is the most widely used system for orbital atherectomy. The Diamondback 360 System is a peripheral arterial disease (PAD) therapeutic tool that has received FDA approval. It treats the accumulation of calcified plaque in the arteries by using a minimally invasive procedure termed orbital atherectomy.

Choose GoMedii for the best Orbital Atherectomy Treatment in India

If you are looking for the best orbital atherectomy treatment in India, you are at the right place and time! Trust GoMedii with your treatment; we assure you of a top-notch, hassle-free process.

We have tie-ups with one of India’s most reputed hospitals to get you the best treatment at an affordable cost. Furthermore, to avail of our packages, You Can Contact us on our Website and WhatsApp (+91 9654030724) or call us at 9599004811. Additionally, you can also email us at connect@gomedii.com. Our team will respond to you on a priority basis.

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