Core Procedures
Dr. Haresh Mehta is a highly accomplished consultant cardiologist in Mumbai, with extensive expertise in structural heart interventions, performing over 800 Transcatheter procedures to date.
Renowned for his skill in overcoming complex technical challenges and innovating in coronary interventions, Dr. Mehta continuously rises to meet patients’ unique needs in advanced cardiac care.​
Complex Coronary Interventional Procedures
Complex Coronary Interventional procedures are advanced, minimally invasive techniques used to treat challenging coronary artery conditions. These procedures are often necessary for patients with severely blocked arteries, chronic total occlusions (CTOs), or complex artery anatomy that standard interventions cannot fully address. Utilizing specialized equipment and techniques, such as rotational atherectomy and intravascular imaging, these interventions enable cardiologists to clear blockages, restore blood flow, and reduce symptoms of coronary artery disease. Complex Coronary Interventional procedures offer an effective option for high-risk cases, enhancing patient outcomes by providing precise and targeted treatment for difficult-to-treat heart conditions.
Chronic Total Occlusion (CTO) Procedures
Chronic Total Occlusion (CTO) procedures are specialized interventional techniques aimed at treating arteries that are completely blocked for an extended period, typically over three months. These procedures are essential for patients who experience persistent symptoms despite medication, as traditional stenting or angioplasty alone may not be effective for fully blocked arteries. CTO procedures involve advanced methods, including using guidewires, microcatheters, and imaging tools, to carefully navigate and open blocked arteries, restoring blood flow to the heart. By addressing these complex obstructions, CTO procedures can significantly improve heart function, alleviate symptoms, and enhance quality of life for patients with long-standing coronary artery blockages.
High-Risk Protected Percutaneous Coronary Intervention (PCI)
High-Risk Protected Percutaneous Coronary Intervention (PCI) is a specialized procedure designed for patients with severe coronary artery disease who may be at elevated risk during standard PCI due to complex health conditions or advanced disease progression. This approach particularly benefits patients with weakened heart function, multi-vessel disease, or other complicating factors. High-risk protected PCI uses temporary support devices, such as hemodynamic support systems, to stabilize blood flow during the intervention, reducing procedural risk and enhancing safety. By utilizing these protective measures, this procedure enables cardiologists to perform intricate interventions effectively, improving outcomes and restoring blood flow in patients facing critical coronary challenges.
Structural Heart Interventions
Structural Heart Interventions are advanced, minimally invasive procedures that address abnormalities or defects within the heart’s structure, including issues with the heart valves, walls, and chambers. These interventions are critical for patients with conditions such as aortic stenosis, mitral regurgitation, or congenital heart defects, where traditional surgical options may pose higher risks. Using techniques like Transcatheter Aortic Valve Replacement (TAVR), MitraClip procedures, and septal defect closures, Structural Heart Interventions allow cardiologists to repair or replace damaged heart structures without needing open-heart surgery. These procedures help restore heart function, improve symptoms, and enhance the quality of life for patients, especially those who are not ideal candidates for conventional surgery.
Cardiac Rhythm Management
Cardiac Rhythm Management involves specialized procedures and devices to regulate abnormal heart rhythms, such as arrhythmias, where the heart beats too quickly, too slowly, or irregularly. This field includes the implantation and monitoring of pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. These devices help maintain a stable heart rhythm, preventing complications and reducing symptoms like dizziness, fatigue, and fainting. Cardiac Rhythm Management is essential for patients with arrhythmias or heart failure, as it helps improve heart function, lowers the risk of cardiac events, and supports long-term heart health.
Left Main Bifurcation Procedures
Left Main Bifurcation procedures are specialized interventional techniques for treating blockages at the left main coronary artery’s bifurcation, where it divides into two major branches. This area is critical, as blockages here can significantly impact blood flow to a large portion of the heart. Due to the complexity of treating bifurcations, these procedures often require advanced techniques, including specialized stenting strategies such as double stenting or kissing balloon inflation, to ensure effective blood flow restoration. Left Main Bifurcation procedures are crucial for patients with complex coronary artery disease, as they offer a targeted approach to treat high-risk blockages, enhancing heart function and reducing the likelihood of severe cardiac events.
Transcatheter Aortic Valve Replacement (TAVR)
Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure for treating aortic stenosis, a condition where the aortic valve becomes narrowed, restricting blood flow from the heart. TAVR is an alternative to open-heart surgery, especially beneficial for patients at high or moderate surgical risk. During the procedure, a new valve is carefully positioned within the existing, diseased valve via a catheter, usually inserted through a small incision in the leg. TAVR offers quicker recovery times and reduced risks compared to traditional surgery, improving heart function and relieving symptoms like shortness of breath and chest pain. It’s an effective solution for restoring proper blood flow and enhancing quality of life in patients with severe aortic stenosis.
Transcatheter Mitral Valve Replacement (TMVR)
Transcatheter Mitral Valve Replacement (TMVR) is a minimally invasive procedure designed to treat severe mitral valve disease, particularly mitral regurgitation, where the mitral valve does not close properly, causing blood to leak backwards into the heart. TMVR is ideal for patients who are not suitable candidates for open-heart surgery. The procedure involves inserting a new valve through a catheter, usually guided through a small incision in the leg, and positioning it within the existing mitral valve. TMVR offers a shorter recovery time and reduced risks compared to traditional surgery, helping restore effective blood flow, relieve symptoms such as fatigue and shortness of breath, and improve overall heart function and quality of life.
Transcatheter Tricuspid Valve Replacement (TTVR)
Transcatheter Tricuspid Valve Replacement (TTVR) is a minimally invasive procedure developed to treat severe tricuspid valve disease, often tricuspid regurgitation, where the tricuspid valve fails to close fully, allowing blood to flow backwards into the right side of the heart. TTVR is particularly beneficial for patients who are too high-risk for traditional open-heart surgery. During the procedure, a new valve is inserted through a catheter, typically guided through a small incision, and carefully positioned within the existing tricuspid valve. TTVR aims to restore proper valve function, improve blood flow, and relieve symptoms like swelling, fatigue, and shortness of breath, ultimately enhancing heart health and patient quality of life.
Mitral Transcatheter Edge-to-Edge Repair (TEER)
Mitral Transcatheter Edge-to-Edge Repair (TEER) is a minimally invasive procedure used to treat mitral regurgitation, a condition where the mitral valve doesn’t close properly, allowing blood to leak back into the left atrium. TEER involves using a catheter to place a device that stitches together the edges of the mitral valve, effectively reducing the leakage and improving valve function. This procedure is particularly beneficial for patients who are not candidates for traditional open-heart surgery, offering a safer, less invasive alternative with faster recovery times. By improving valve closure, Mitral TEER can alleviate symptoms such as shortness of breath and fatigue, enhancing heart function and overall quality of life.
Mechanical Circulatory Support (MCS)
Mechanical Circulatory Support (MCS) refers to a range of devices used to assist or temporarily take over the heart’s pumping function in patients with severe heart failure or cardiogenic shock. These devices, such as intra-aortic balloon pumps (IABP), ventricular assist devices (VADs), and total artificial hearts (TAHs), help improve blood flow, support organ function and stabilize patients who are not responding to conventional treatments. MCS is often used as a bridge to heart transplantation or as a long-term solution for patients who are not candidates for a transplant. By enhancing circulation and relieving strain on the heart, MCS can improve patient outcomes, support recovery, and help manage complex heart failure conditions.
Intravascular Ultrasound (IVUS) Imaging
Intravascular Ultrasound (IVUS) Imaging is a sophisticated technique used to visualize the inside of blood vessels, particularly coronary arteries, in real time. By using a specialized catheter equipped with an ultrasound probe, IVUS provides detailed cross-sectional images of the artery walls, allowing cardiologists to assess plaque buildup, vessel size, and the extent of blockages. This advanced imaging technique helps guide treatment decisions, ensuring precise placement of stents and other interventions during coronary procedures. IVUS is invaluable for detecting subtle abnormalities, planning complex interventions, and improving patient outcomes by enhancing the accuracy and safety of cardiovascular treatments.
Fractional Flow Reserve (FFR), Resting Full-Cycle Ratio (RFR), Instantaneous Wave-Free Ratio (iFR)
Fractional Flow Reserve (FFR), Resting Full-Cycle Ratio (RFR), and Instantaneous Wave-Free Ratio (iFR) are advanced diagnostic tools used to assess the severity of coronary artery blockages and guide treatment decisions during angiography. - FFR measures the pressure difference across a coronary lesion during a stress-induced procedure, helping determine whether a blockage is clinically significant and requires intervention. - RFR is a resting index that evaluates coronary flow without the need for induced hyperemia, providing an accurate assessment of coronary lesions without additional medication. - iFR uses the natural resting conditions of the heart to assess coronary pressure, similar to FFR, but without the need for adenosine administration, offering a quicker and more comfortable alternative. These tools are critical for guiding cardiologists in determining the necessity and type of intervention, such as stenting, by accurately identifying the impact of blockages on blood flow, improving patient outcomes, and reducing unnecessary procedures.
Rotablation
Rotablation is an advanced coronary intervention technique used to treat severely calcified coronary artery blockages that are difficult to address with traditional angioplasty or stenting methods. The procedure involves a small, diamond-coated burr attached to a catheter, which is threaded into the blocked artery. The burr rotates at high speed, grinding away the hardened plaque and calcium deposits, allowing for easier stent placement and improved blood flow. Rotablation is particularly beneficial for patients with complex, heavily calcified lesions, offering a safer and more effective option for restoring coronary artery function and enhancing heart health.
Optical Coherence Tomography (OCT) Imaging
Optical Coherence Tomography (OCT) Imaging is an advanced, high-resolution imaging technique used in cardiology to provide detailed, cross-sectional images of blood vessels, particularly coronary arteries. Using light waves, OCT captures high-definition images of the artery walls, plaque structure, and stent placement, allowing cardiologists to assess the extent of blockages and identify subtle vascular abnormalities. This non-invasive procedure enhances the precision of coronary interventions, such as stent deployment and plaque removal, by offering real-time, in-depth visualization of the vessel’s inner layers. OCT is essential for optimizing treatment plans, improving outcomes, and ensuring the safety of patients undergoing complex cardiovascular procedures.
