Comprehensive Guide to Advanced Cardiac Care at Marengo CIMS Hospital

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Jan 25, 2026 - 13:40

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Comprehensive Guide to Advanced Cardiac Care at Marengo CIMS Hospital

Patient Education & Awareness Article – Cardiology Services

1. What makes Marengo CIMS Hospital a leader in cardiology care in India?

Marengo CIMS Hospital is known for being one of the best in cardiology care in India, offering a comprehensive programme for managing heart diseases with advanced diagnostics, minimally invasive procedures, and complex cardiac surgeries under one roof.

2. What heart treatments are available at Marengo CIMS Hospital?

The hospital provides a wide range of treatments including angiography, angioplasty, coronary artery bypass surgery (CABG), heart transplant, TAVR, EP study, valve replacement/repair, OCT, IVUS, FFR, and IVL technology.

3. What is Coronary Angiography?

Coronary Angiography is a specific type of coronary catheterization that helps visualize blockages, narrowing, thrombosis, or aneurysmal enlargement of coronary arteries using radiocontrast dye and X-ray imaging.

4. Why is Coronary Angiography performed?

It allows doctors to recognize occlusion, stenosis, restenosis, or abnormalities in coronary artery lumens and helps plan further treatment.

5. What is Coronary Angioplasty?

Coronary Angioplasty is a procedure done to help open up clogged arteries and is most commonly performed after a coronary angiogram when blockages do not improve with medications.

6. What is Percutaneous Coronary Intervention (PCI)?

PCI is a minimally invasive procedure used to improve blood flow in coronary arteries using balloon angioplasty and intracoronary stenting with drug-eluting stents (DES).

7. What is CABG or Heart Bypass Surgery?

Coronary Artery Bypass Grafting (CABG) is a surgical procedure that improves blood flow to the heart when coronary arteries are narrowed or blocked.

8. What is Fractional Flow Reserve (FFR)?

FFR measures the ratio of maximum blood flow in a diseased coronary artery to the theoretical maximum flow in a normal artery. An FFR of 1.0 is normal.

9. When is FFR considered abnormal?

An FFR value lower than 0.75–0.80 is generally associated with myocardial ischemia and indicates reduced blood supply to the heart muscle.

10. What is OCT-guided angioplasty?

Optical Coherence Tomography (OCT) guided angioplasty uses light waves to capture high-resolution images of coronary arteries, offering 10-fold higher resolution than IVUS.

11. How does OCT help during angioplasty?

OCT provides detailed imaging of coronary artery pathology, helping cardiologists assess plaque, stent placement, and vessel condition accurately.

12. What is Intravascular Ultrasound (IVUS)?

IVUS provides detailed cross-sectional images of the vessel wall layers—intima, media, and adventitia—from inside the artery.

13. Why is IVUS used in stent procedures?

IVUS helps determine vessel diameter, lesion length, proper stent deployment, and identifies possible complications during coronary interventions.

14. What is Intravascular Lithotripsy (IVL)?

Intravascular Lithotripsy is a minimally invasive procedure that uses sonic waves to break up calcified plaque inside blood vessels.

15. What is Rota-Lithotripsy or Rotational Atherectomy?

Rota-Lithotripsy uses a high-speed rotating burr to ablate and remove heavily calcified plaque from coronary arteries.

16. What is TAVI / TAVR?

Transcatheter Aortic Valve Implantation (TAVI/TAVR) is a minimally invasive procedure that replaces the aortic valve through blood vessels without open heart surgery.

17. Who benefits most from TAVI/TAVR?

TAVI is the standard treatment for adults with severe symptomatic aortic stenosis who are high-risk surgical candidates.

18. What are EVAR and TEVAR procedures?

EVAR treats abdominal aortic aneurysms, while TEVAR treats thoracic aortic diseases using stent-grafts placed through blood vessels.

19. What are Pacemaker and Heart Failure Device therapies?

These include cardiac pacemakers, ICD defibrillators for heart failure patients, and CRT combo therapy to improve heart pumping in electrical conduction disorders.

20. What advanced cardiac surgeries are performed at Marengo CIMS Hospital?

The hospital offers bypass surgery (CABG), valve replacement/repair, congenital heart surgery, aneurysm repair, and heart transplantation—achieving the highest transplant volume in Gujarat with a 92% success rate.