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Times of India
21 February 2011
Pune, India

City–based cardiologist Shirish Hiremath performed live demonstration of four difficult CTO (Chronic total occlusion) angioplasty procedures for India Live 2011 — a national course on Percutaneous Cardio–vascular intervention (PCI) held in Mumbai.

The CTO, which was shown live in Mumbai, was performed at the Ruby Hall Clinic in Pune. PCI, commonly known as coronary angioplasty or simply angioplasty, is a therapeutic procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease.

"The growth of PCIs has been remarkable and will likely be sustained as new technologies have resulted in improved outcomes. Since the first human percutaneous transluminal coronary angioplasty (PTCA) procedure was performed in 1977, the use of PCI has increased dramatically, becoming one of the most common medical interventions performed," said Hiremath.

The technique, originally developed in Switzerland by Andreas Gruentzig, has transformed the practice of revascularisation for coronary artery disease (CAD), he said.

"With the combination of sophisticated equipment, experienced operators, and modern drug therapy, it has evolved into an effective nonsurgical modality for treating patients," said Hiremath.

Elaborating on CTO, Hiremath said, it was a Japanese technique.
Hiremath performed the four CTO cases with Dr Alfredo Galassi (Catania, Italy), Guest operator. C N Makhale was also one of the main cardiologists.

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