Complex Coronary Lesions Treatment

Expert Care for the Most Challenging Heart Blockages

Complex coronary lesions, including Left Main artery disease and Bifurcation lesions, require a high level of skill, advanced technology, and precision techniques to achieve the best outcomes.

At her Sector 63, Mohali practice, Dr. Honey Sharma, a highly experienced Interventional Cardiologist, specializes in diagnosing and treating complex coronary artery blockages using cutting-edge interventional methods, ensuring safer procedures and long-term success for her patients.

What Are Complex Coronary Lesions?

Coronary lesions refer to blockages in the arteries that supply blood to the heart muscle. When these blockages occur in certain critical locations or involve multiple branches, they are considered complex.

Types of Complex Lesions

1. Left Main Coronary Artery Disease – Blockage in the left main artery, which supplies blood to over two-thirds of the heart muscle.

2. Bifurcation Lesions – Narrowing at a point where a main artery branches into two smaller vessels.

Why Are Left Main and Bifurcation Lesions High-Risk?

• The Left Main artery is a major lifeline for the heart—any significant blockage here can cause severe damage or be life-threatening.

• Bifurcation lesions require special strategies because two vessel branches are involved, making stent placement more challenging.

Causes of Complex Coronary Lesions

• Atherosclerosis (plaque buildup in the arteries)

• Diabetes mellitus

• High cholesterol and hypertension

• Smoking

• Genetic predisposition

• Previous cardiac procedures leading to restenosis

Symptoms That May Indicate Complex Lesions

If you experience any of the following, you should consult a cardiologist immediately:

• Chest pain or discomfort (angina)

• Shortness of breath

• Fatigue on exertion

• Dizziness or fainting

• Symptoms during emotional stress or physical activity

Diagnosis of Left Main and Bifurcation Lesions in Mohali

Dr. Honey Sharma uses advanced diagnostic tools to accurately assess lesion severity:

• Coronary Angiography (CAG)

• Intravascular Ultrasound (IVUS) – Provides high-resolution artery imaging

• Optical Coherence Tomography (OCT) – Enables detailed stent placement precision

• Fractional Flow Reserve (FFR) – Measures blood flow to determine if a blockage requires intervention

Treatment Options for Complex Coronary Lesions

1. Percutaneous Coronary Intervention (PCI)

Also known as angioplasty with stenting, PCI is often the preferred approach when performed by an expert like Dr. Sharma.

Techniques used for Left Main/Bifurcation PCI include:

• Provisional Stenting – Stenting the main branch first, followed by the side branch if needed

• Double Stenting Techniques – Including Culotte, DK-Crush, and T-Stenting for complete coverage

• Rotational Atherectomy (Rota-Ablation) – For heavily calcified plaques

• Intravascular Lithotripsy (IVL) – Uses shockwaves to break up calcium for better stent expansion

2. Coronary Artery Bypass Grafting (CABG)

In certain high-complexity cases, surgery may be considered. However, with modern PCI techniques, many patients can avoid open-heart surgery.

Why Choose Dr. Honey Sharma for Complex Coronary Lesion Treatment in Mohali?

• Super-specialization in Interventional Cardiology (DrNB) from Fortis Hospital, Mohali

• Years of expertise in Left Main and Bifurcation stenting

• Proficient in OCT/IVUS imaging-guided PCI for optimal results

• Skilled in managing high-risk, calcified lesions

• Minimally invasive approach for faster recovery and reduced hospital stays

Benefits of Advanced PCI for Complex Lesions

• Less invasive than open-heart surgery

• Shorter hospital stay (usually 1–2 days)

• Quicker recovery and return to daily activities

• High procedural success rates with imaging-guided techniques

• Lower complication risks when performed by an experienced interventionalist

Recovery and Follow-Up

After treatment, Dr. Sharma ensures comprehensive follow-up care including:

• Medication optimization (antiplatelet therapy, statins, etc.)

• Lifestyle counseling (diet, exercise, smoking cessation)

• Regular check-ups and repeat imaging if required

Frequently Asked Questions (FAQs)

1. What makes Left Main lesions so dangerous?
The Left Main artery supplies a large portion of the heart muscle; blockage can lead to massive heart attacks or sudden death.

2. Can bifurcation lesions be treated without surgery?
Yes, with advanced stenting techniques and proper expertise, many bifurcation lesions can be treated with PCI.

3. How long does a complex PCI procedure take?
Depending on complexity, it may take 1–3 hours.

4. Is recovery slower after complex lesion treatment?
Most patients recover quickly and can resume light activities within a few days.

5. Are results permanent?
With proper stenting, medication, and lifestyle changes, long-term success is very high.

Mohali’s Trusted Cardiologist for Complex Coronary Lesions

If you’ve been diagnosed with Left Main coronary artery disease or Bifurcation lesions, getting treated by a specialist like Dr. Honey Sharma can make all the difference.