#HeartHealth: A FIRST-OF-ITS-KIND RETROGRADE CTO INTERVENTION SUCCESSFULLY PERFORMED in BAREILLY-KUMAON REGION at SRMS INSTITUTE OF MEDICAL SCIENCES

Breaking barriers in cardiac care, SRMS Institute of Medical Sciences (IMS), Bareilly has successfully performed the first-of-its-kind highly complex life-saving procedure Retrograde Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention (PCI) to the Left Anterior Descending (LAD) artery, in Bareilly-Kumaon Region.
The intervention was expertly carried out by Dr Deepesh Kumar Agarwal, Professor, Department of Cardiology, a Senior Interventional Cardiologist, strengthening SRMS IMS’s position as a regional leader in advanced tertiary cardiac care and reducing the need for patients to travel to metro cities for complex interventions.
A Critical Case, An Advanced Solution
The patient, Rajendra from Lakhimpur, had been undergoing treatment at multiple centres for nearly three months without a definitive solution. He was diagnosed with a chronic total occlusion, a complete blockage of the LAD artery. In such cases, conventional angioplasty often fails, leaving bypass surgery (CABG) as the only option. But Dr Deepesh Agarwal adopted the highly skilled retrograde approach, navigating through septal collaterals from the Right Coronary Artery (RCA) to access the blocked LAD and restored blood flow successfully.
A Life Saved Without Bypass Surgery
The procedure eliminated the need for open-heart bypass surgery. Blood circulation was restored, surgical risks were avoided, recovery was faster, and the patient’s life was saved. Today, the patient is stable, healthy, and fully able to carry out his daily and professional activities without limitation.


