Blocked coronary artery can now be opened up for stenting through the Rot-ablation procedure at Port Moresby General Hospital’s (PMGH) Catheterisation Laboratory (Cath Lab) under the Kumul Petroleum National Heart Centre Programme.
According to PMGH, the first procedure of the Rot-ablation was done at the Cath Lab of PMGH last week.
Head of Cath Lab and intervention cardiologist Dr Wesong Boko said Rot-ablation is a highly specialised procedure done in major advanced Cath Labs around the world.
“During cardiac catheterisation procedure, a calcified coronary artery will rupture the balloon which dilates the coronary artery lumen to guide the insertion of coronary artery stents.
“That means the coronary artery will not dilate, making it difficult for insertion of coronary stent.
“The patient will end up not having a stent.
“These patients are usually recommended for coronary by-pass surgery.
“At the PMGH Cath Lab, we diagnosed many patients with calcified coronary arteries.
“PMGH has yet to establish a coronary bypass surgery service therefore we opted for Rotablation procedure,” Boko said.
“In this procedure, a specialised equipment called Rot-ablator is used to pass the drill the same way cardiac catheter is passed to the calcified artery to drill out the calcified blockage.
“The balloon is easily passed after the calcified blockage is cleared for predilation of the coronary artery and subsequent
oko said, this was the first Rot-ablation procedure in PNG.
The procedure was done in a 61-year-old male from Central who presented with a calcified left anterior descending (LAD) artery.
This patient had a long length of the coronary artery calcified and therefore required two stents
“A happy patient by the name of Naime Pala was cheerful.
He could only afford to pay K3,000 to undergo the procedure.
“Which should otherwise have charged him K250,000 if he was to seek this service overseas, an amount he could not have raised.
Pala is grateful for doctors and nurses for conducting the high specialised procedure on him.
“Many patients throughout the country who could not afford to go overseas to seek treatment, continue to benefit from the Kumul Petroleum National Heart Centre,” Boko explained.
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