Tuesday, Jul 14 2020 | Time 23:00 Hrs(IST)
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India


Apollo Hospitals scripts new era in cardiac care with 3 key innovations in medical technology

New Delhi, May 16 (UNI) Apollo Hospitals Enterprise Ltd (AHEL) on Thursday showcased the
group’s prowess in cardiac care in the largest cohort of cases treated with advanced cardiac interventional methods.
These include three key innovations – MitraClip, TAVI (Trans-catheter Aortic Valve Implantation) or
TAVR (Trans-catheter Aortic Valve Replacement) and MICS CABG or MICAS (Minimally Invasive Coronary Artery Bypass Surgery).
Dr Prathap C Reddy, Founder and Chairman, Apollo Hospitals Group said, "Globally, an estimated 17 million people die of cardiovascular disease every year. Today, we have the power of technology and we must harness this to empower us in the battle against this epidemic of heart disease.''
''Specialists in structural and interventional cardiology at Apollo Hopsitals have successfully performed
6 MitraClip procedures out of the 9 performed in India, over 85 TAVI/TAVRs with excellent clinical outcomes and a nation-leading 1250+ MICS CABGs with superior outcomes at par with international
standards, at only 1/2 or 1/3rd the cost compared to global price matrix,'' the statement said.
MitraClip comes as a godsend to patients with Heart Failure due to Mitral regurgitation. Mitral regurgitation is a major component, worsening outcomes in heart failure patients and contributing to the extremely high mortality of 50 per cent in 5 years. This revolutionary new device has been proven to drastically improve outcomes in these patients. The MitraClip has come as a blessing to heart
failure patients and simply repairs the mitral valve by clipping its leaflets together. The procedure is performed in a Cardiac Cath Lab via a vein in the leg. The recovery is dramatic with the patients feeling better the very next day.
Transcatheter Aortic Valve Implantation (TAVI) or Transcatheter Aortic Valve Replacement (TAVR) allows a cardiologist to replace a malfunctioning valve in a patient’s heart in a minimally invasive procedure without cutting open the chest. It is performed for a common heart valve disease called aortic stenosis that leads to significant mortality and morbidity in the elderly population.
Until recently, the diseased valve could only be replaced by open heart surgery which was difficult in old age.
TAVI has emerged as a promising alternative for open heart surgery giving elderly patients a second chance at life. TAVI repairs the valve without removing the old, damaged valve. A fully collapsible replacement valve is taken to the valve site through a catheter. Once the new valve
is expanded, it pushes the old valve leaflets out of the way and the tissue in the
replacement valve takes over the job of regulating blood flow.
MICS (Minimally Invasive Cardiac Surgery) CABG is changing everything about coronary bypass. Gone are the days of prolonged hospitalization and even longer recovery. Even following a triple vessel bypass, hospital stay is a mere 2 days as unlike conventional heart surgery, recovery is rapid, with faster mobilization and rehabilitation. 80 per cent of patients receive no blood transfusion. Post-surgery,
patients are walking within 24 hours of operation.
MICS is the most advanced method of bypassing blocked blood vessels in the heart without splitting or cutting through the breastbone (sternotomy).

The procedure ideal in diabetics and older patients who have poor resistance to infection and
poor fitness for traditional surgery.
UNI NY SHK2002
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