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Transforming The Treatment Paradigm

Fascinating new innovations in every aspect of treatment of heart disease are making procedures least invasive and safer. For years, heart attack and coronary artery blockages could only be treated by opening up the chest and doing the bypass surgery. Even now, for the surgery to correct disease of heart valves, the chest has to cut open, the defective valve has to be removed and replaced with a new artificial valve. Beyond angioplasty (the revolutionary non-surgical method to treat heart blockages), one of the biggest non-surgical technological innovations has happened in the area of valve replacement. The first such non- surgical catheter based replacement in the cath lab was done for the aortic valve, which is the main valve connecting the left ventricle to the rest of the body. This valve usually degenerates after the age of 65 and occasionally at younger age as well. Once the valve becomes narrow, the only way to treat has been to replace the valve by opening up the chest wall and putting the patient on cardiopulmonary bypass to replace it. But at the age of 75 or 80, this method is fraught with numerous risks and 30-35 percent of patients canu2019t even undergo surgery. However, if they donu2019t have the valve replaced they may die within a couple of years.

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Transforming The Treatment Paradigm

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  1. treatment of heart disease TRANSFORMING THE TREATMENT PARADIGM Transcatheter Aortic Valve Replacement (TAVR) TAVR Beyond angioplasty (the revolutionary non-surgical method to treat heart blockages), one of the biggest non- surgical technological innovations has happened in the area of valve replacement. TRANSCATHETER MITRAL VALVE REPAIR Mitra-Clip mitral valve repair without open heart surgery is one of the innovative scientific advancements of recent times. In another first in India in 2018, we for the first time in India successfully performed the catheter based procedure of MitraClip to repair a leaking heart valve without surgery IMPELLAHEART PUMP This device can be inserted into the heart cavity to pump out blood from left ventricle to rest of the body and functions on a small motor. It supports patient with blocked arteries. This miniaturised submersible water pump like device is very fascinating. THE WAY FORWARDS The foremost priority should be to make these lifesaving advancements in science and technology available and affordable to the common man. This can be made possible through ‘made in India’ initiative, which is very much the case now. TAVR TECHNIQUES Makes a small incision in the femoral artery in the groinInjects contrast dye and uses X-rays to monitor the procedureInserts a thin tube called a catheter in the artery and threads it toward your aortic valvePlaces a catheter-based pacemaker on the right side of your heart to control your heart rateGuides the new valve into place inside the old one. Source: https://www.fortisescorts.in

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