With age, diabetes and kidney disease, calcium can build up in the heart arteries and make them hard, almost like bone. A balloon or stent cannot open such arteries properly, so special tools are used first to crack or remove the calcium.
A tiny diamond-coated burr spins at very high speed and grinds hard calcium into microscopic particles, which the body clears safely.
Creates a smooth channel so that the balloon and stent can pass and open fully.
A special balloon sends sound (shock) waves into the artery wall and cracks the calcium — similar to how kidney stones are broken.
Softens deep calcium so that the artery can be widened safely and the stent can expand well.
A laser catheter uses short pulses of ultraviolet light to break down tough blockages that are hard to cross.
Helps with blockages that a balloon cannot cross, and with old stents that have not opened well or have narrowed again.
Your doctor may suggest this if you have:
Angiography and IVUS/OCT show how much calcium there is and how deep it lies.
Rotablation, IVL or laser is chosen depending on the type of calcium.
The calcium is cracked or removed so the artery can be opened.
A drug-eluting stent is placed and fully expanded; imaging confirms the result.
Chest pain lasting more than 10–15 minutes, severe breathlessness, sweating or fainting can be a heart attack. Call +91 85888 99099 or go to the nearest emergency immediately — do not wait for an appointment.
Procedures are performed at Max Super Speciality Hospital, Vaishali. Consultations are available at the hospital and at Dr. Minocha's clinic on Vikas Marg, near Karkarduma Metro — easy to reach from across East Delhi, Ghaziabad and Noida.
W-3, near Radisson Blu, Sector 1, Vaishali, Ghaziabad 201012
23 Hargovind Enclave, Vikas Marg, opp. Metro Pillar 123, New Delhi
Yes. Dr. Minocha performs rotablation, IVL and laser (ELCA) procedures at Max Super Speciality Hospital, Vaishali. Book a consultation at the hospital or at the clinic near Karkarduma Metro to discuss your reports.
It is a specialised technique with somewhat higher risk than simple angioplasty, which is why experience matters. The benefits and risks will be discussed with you before the procedure.
It works on a similar idea — sound waves break the calcium — but inside the heart artery, through a small balloon catheter.
Very hard calcium may not crack with a balloon. Forcing it can injure the artery or leave the stent under-expanded, which increases the risk of problems later.
Clinic appointments must be booked at least 2 days in advance.