Dr Ankit Gupta - Interventional Cardiologist

27/05/2026

Dr Ankit Gupta - Interventional Cardiologist

26/05/2026

17/05/2026

दिल के मामलों में देरी जानलेवा हो सकती है।

छाती में दर्द, सांस फूलना या अचानक बेचैनी जैसे symptoms को कभी नज़रअंदाज़ न करें। Heart attack aur cardiac emergencies में सही समय पर treatment मिलना बेहद जरूरी होता है।

Dr. O.P. Chaudhary Hospital (OPCH Healthcare) में Dr. Ankit Gupta और experienced cardiology team के साथ उपलब्ध है 24×7 Emergency Heart Care, advanced cath lab और expert cardiac treatment in Lucknow.

📍 Chaudhary Vihar, Raebareli Road, Sector 1, Lucknow
📞 Emergency Helpline: +91 7518111666

11/05/2026

29/03/2026

Technique-Focused: Single Radial Access for Successful Antegrade Recanalization of a Right Coronary Artery Chronic Total Occlusion in an Elderly Male: A "Low-Contrast" Approach to Minimize Renal Risk.

Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention (PCI) is a specialized procedure used to revascularize a coronary artery that has been completely blocked (TIMI 0 flow) for at least three months. Historically considered the most technically challenging subset of PCI, contemporary success rates have improved significantly due to advanced equipment and dedicated crossing algorithms.
* Access and Approach: While complex cases often require dual access (bifemoral or biradial) for contralateral injections to visualize the distal vessel, a single radial access can be utilized in selected cases to reduce vascular complications and improve patient comfort.
* Antegrade Technique: The antegrade approach is the most common initial strategy, particularly for lesions with a clear proximal cap. It involves "forward" wiring using specialized microcatheters and a wire escalation (AWE) strategy—starting with soft, polymer-jacketed wires to find microchannels and progressing to stiffer, high-penetration wires if needed.
* Low-Contrast Strategy: In elderly patients or those with renal impairment, a low-contrast technique is critical to prevent Contrast-Induced Nephropathy (CIN).








(Right Coronary Artery)

26/03/2026

⚡️ "Bailout Stenting Using Guide Extension Support for Calcified Triple Vessel Disease Following Malignant Arrhythmia During Lesion Preparation." ⚡️
Patient Profile:
👩‍🦳 65F
🏥 CC: Severe Chest Pain
📈 Troponin: High (NSTEMI)
📉 ECG: Anterior Wall Ischemia
🫀 EF: Preserved
Diagnostic Findings:
Coronary Angiography revealed Calcified Triple Vessel Disease (TVD).
The Procedure:
1️⃣ LAD Access: Attempted wire crossing. Faced resistance due to a steep calcified bend in the mid-LAD segment.
2️⃣ Support: Successfully crossed distal LAD using balloon support 🎈.
3️⃣ Lesion Prep:
* Started with NC Balloon → Inadequate expansion ❌
* Escaled to Cutting Balloon 🔪
* Switched back to NC Balloon for final preparation.
The Complication:
⚠️ During the 3rd phase of NC inflation, the patient went into Ventricular Tachycardia (VT) 📉.
🔍 Immediate Check: Urgent left injection to rule out perforation. Result: Slow flow (TIMI I-II) but no leak.
The Bailout:
🚀 Technique: Rapid deployment of a Drug-Eluting Stent (DES) using a Guide Extension catheter for extra support.
✅ Result: Post-dilation achieved TIMI III Flow with excellent final angiographic appearance.
Key Takeaways:
🔹 Calcified bends require aggressive but cautious lesion preparation.
🔹 Always be ready for electrical instability during high-pressure inflations in calcified vessels.
🔹 Guide extensions are life-savers for distal delivery in tough anatomy.

03/03/2026

Happy Holi

22/02/2026

-eluting balloons or drug-coated balloons are specialized angioplasty catheters that deliver anti-proliferative drugs directly to the vessel wall, inhibiting restenosis without leaving a permanent metallic stent.

"leave-nothing-behind"

Dr. Ankit Gupta
Director & Head Cardiovascular Sciences OPCH Healthcare
Lucknow

03/04/2023