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Dr. Ashish Agarwal is a distinguished name in the field of cardiology in Delhi. With years of experience and unwavering dedication to patient care, he currently serves as the Director, Department of Cardiology at Akash Super Speciality Hospital, Dwarka, New Delhi. As a Senior Consultant Cardiologist, he is well-regarded for his ability to manage and treat complex cardiac conditions with precision and compassion.
Dr. Ashish Agarwal brings a comprehensive and patient-centric approach to cardiac care, combining cutting-edge diagnostics with evidence-based treatment strategies. His clinical acumen and in-depth knowledge of cardiovascular medicine make him a trusted choice for patients across Delhi NCR and beyond.
Driven by his mission to provide world-class heart care services, Dr. Ashish Agarwal continues to lead the department at Akash Hospital with integrity, innovation, and a deep sense of responsibility toward improving heart health in the community.
From preventive to advanced interventional treatments, Offering complete heart care under one roof.
Dr. Ashish Agarwal is renowned for successfully managing high-risk and complex cardiac cases.
Dr. Ashish Agarwal clinic is equipped with state-of-the-art diagnostic tools and cardiac imaging systems.
He known for empathetic approach, commitment to patient well-being at every step of the journey.
Family was very apprehensive about worsening kidney function because baseline creat was 1.5. Patient showed confidence in new techniques and gave consent to go ahead. Total contrast used was just 5 ml in entire angioplasty Minimal-contrast PCI refers to a coronary intervention performed using the smallest possible amount of iodinated contrast, typically ≤20 mL (often less then 10 mL in CKD patients), while still ensuring safety and procedural success. It is mainly used in patients with moderate-to-severe chronic kidney disease (CKD) to reduce the risk of contrast-induced nephropathy (CIN).
Rotablation is primarily indicated to modify heavily calcified coronary lesions to allow adequate balloon dilation and optimal stent deployment.
A 71-year-old female patient presented to the emergency department with symptoms suggestive of acute coronary syndrome. Coronary angiography revealed severe, complex left coronary artery disease involving the left system, traditionally best managed with Coronary Artery Bypass Grafting (CABG).
After a detailed Heart Team discussion, CABG was strongly advised considering the complexity of the lesions. However, after understanding the risks and benefits, the patient declined surgical intervention and opted for a percutaneous solution.
A 90-year-old elderly gentleman, a lung cancer survivor, with known chronic kidney disease (CKD), presented to our emergency department with symptoms suggestive of acute coronary syndrome (ACS). Given his age and complex medical history, he was categorized as an extremely high-risk patient from the outset.
Managing acute coronary syndrome (ACS) in extremely elderly patients with multiple comorbidities remains one of the greatest challenges in interventional cardiology. This case represents a remarkable example of how advanced techniques, meticulous planning, and experienced execution can lead to excellent outcomes—even in the highest-risk scenarios.
Interventional cardiology often presents situations where anatomical complexity, patient instability, and time-critical decision-making converge. One such challenging scenario is the management of densely calcified coronary artery lesions, especially when conventional balloon angioplasty fails. This case exemplifies how rapid team coordination, procedural adaptability, and advanced plaque modification techniques can transform an otherwise stalled intervention into a successful outcome.
The patient presented with severe coronary artery disease involving a heavily calcified vessel, compounded by critical clinical instability. During coronary intervention, the lesion demonstrated extreme resistance, such that even the smallest available 1 mm balloon could not cross the stenotic segment.
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