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Cardiology is the branch of science (medical science), which deals with the disorders in the functions of heart. It involves medical diagnosis and treatment process that depends upon the defected. Some of the defects include coronary heart disease, heart failure, congenital heart disease, valvular heart disease, etc.,

Heart is the most primordial organ which is the circuit for blood circulation. Blood from the heart is pumped to various parts of the body through lungs and receives blood back into it. It plays a key role in the pumping process so that all parts of the body receive an adequate amount of blood. If any malfunction happens in this pumping process, it means to other parts of the body too.

We at Billroth, give our patience a complete care on various heart problems. Our services include, Cardiac catheterization is a procedure to diagnose and treat heart disease. In this process, a long flexible and thin tube called cather is injected into the blood vessel of the patient either through arm or thigh or through groin (upper neck). This cather gives a clear picture to the physician regarding the defect.

In this procedure the physician applies a specific dye in the cather which through the blood stream reaches the heart quickly. This dye helps the physician to study the coronary arteries of the patient through an x-ray. This test is named as angiography.

Cardiac catheterization has some great advantages like the doctor can view the detailed picture of the heart blood vessel. Also ultrasonic sounds are used in the process to check any blockage. This procedure causes very little or no pain to the patients. This non surgical therapy is widely used to clear blockages in the arteries. Stenting is another optional procedure used during angioplasty. The preceding procedure of angioplasty is cardiac catheterization.

Blood flows into the heart through coronary artery. It is the principle artery which carries blood to the heart. In some people, especially in older age groups coronary artery is narrowed and hardened which leads to coronary heart disease. When blood to the heart is blocked at this place, it leads to severe heart pain called angina.

Coronary angioplasty is crucial and most recommended procedure after the heart attack treatment. As the name suggests this therapy is used to clear blockages in the valves. Heart valves functions as a gateway to the flow of blood during pumping process. Hence if any blockage happens here it becomes a severe problem.

Balloon valvuloplasty is a therapy, where a balloon is used to stretch the valve and to break up the scars present in the valve. This therapy replaces the surgical procedure of opening the heart.

During this process the patient first undergoes catheterization where a cather is injected through the blood vessel. Another small cather which has a small balloon in its tip is also injected along the main cather.

The balloon contains a specific dye which helps the physician to see the whole procedure taking place inside. The balloon on reaching the valve will be inflated so that the valve gets opened. This inflation process continues until the block gets completely removed. Our doctor receives all information through an x-ray.

The whole procedure takes place after the patient is anesthetized. Heart function, blood pressure and other important criteria will be monitored at regular intervals. It means a complete blockage in the coronary artery. CTO has vastly improved in technology than the earlier treatment procedure. It involves steering of special guided wires and cathers across the blockage.

Some of the symptoms of coronary artery CTO are Nausea, cold sweat, fatigue, rapid and irregular heartbeat, dizziness or light headedness, angina or chest pain, pain in upper body and arm

Highlights of interventional procedures are:

Invasive/ Intervention Procedures

  • Daycare Coronary Angiography

  • Multi vessel Radial & Ulnar Coronary Angioplasties

  • Peripheral Angiography

  • Carotid & Renal Stenting

  • Balloon Mitral Valvotomy

  • Balloon Aortic Valvotomy

  • Device Closure of Septal defects

  • Pacemaker Implantations

  • Automatic Implantable Cardioverter

  • Defibrillator (AICD)

Our cardiac department is fully equipped with advanced technologies to provide comprehension treatment for our patients.

  • Flat panel cath lab for coronary angiography & coronary angioplasty (PTCA)

  • Primary stenting for acute MI (heart-attack)

  • Electrophysiology and ablation

  • Pacemaker implantation

  • Peripheral angiogram and angioplasty

  • Device closure treatment for ASD, VSD and PDA.

  • 24 Hours Coronary Care Unit

  • 4D Echo cardiogram

  • Holter monitoring

  • Nuclear Medicine

  • TMT/Computerised ECG

Interventional Pulmonology Procedures


Bronchoscopy can be defined as a diagnostic and therapeutic procedure that permits direct visualization of the tracheo bronchial lumen with the help of the bronchoscope, a specialized device.

Bronchoscopy is the most commonly used invasive procedure in pulmonology.

Bronchoscopy permits collection of respiratory secretion from the tracheo bronchial tree as well as tissue samples from the airway mucusa, lung parenchyma and lympnedes and other masses located immediately adjacent to but out side the tracheo bronchial lumen.

Bronchoscopy is also used as a therapeutic tool to treat the airway luminal obstruction caused by various diseases, bleeding from respiratory structures and several pulmonary disorders.

Diagonostic Indications

  • Unexplained Cough
  • Hemoptysis
  • Localised Wheeze (with suggestion of obstruction)
  • Stridor
  • Unexplained Chest Radiography Opacity.
  • Pulmonary infection (when not improving)
  • Immuno Compromised
  • Diffuse lung diseases Non-infectious
  • Intra thoracic Lympthadenopathy
  • Pulmonary Neoplasm
  • Foreign body
  • Burns
  • Vocal cord & Diaphragm Palsy

Therapeutic Indications

  • Removal of airway secretions, mucus plugs, clots and necrotic debris
  • Atelectasis
  • Foreign body
  • Neoplasms
  • Laser
  • Electro cautery
  • Endobronchial ultrasound
  • Argon Plasma Cogulation ( APC)
  • Cryotheraphy
  • Stenting
  • Lavage

Medical Thoracoscopy
Bronchial Asthma
10 Jun

Chest Medicine

  • 9 AM - 3 PM
  • Dr. Lakshmipathy
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