Cardiac Sciences

Cardiac Sciences -- Paras Healthcare
  • Overview
  • Milestones
  • Treatment and Procedures
  • Transradial Interventional Cardiology Technique
  • Minimal Invasive Cardiac Surgery

Paras Institute of Cardiac Sciences has been set up with a holistic approach to heart care based on ethics, quality care and professional support, backed by latest technology. It prides itself for quality in terms of design, technology, patient care , medical, paramedical & infrastructural facilities.

Well staffed by a team of internationally trained doctors and other staff, the institute offers well defined protocols and individualized care to the people suffering from cardiac problems.

The mission of Paras Institute of Cardiac Sciences is to save every heart. We aim to achieve this with a team of well qualified & experienced invasive and non invasive Cardiologists, Cardio-thoracic surgeons, Cardiac anesthetists, physicians, radiologists and trained nurses & technical staff. These eminent and dedicated medical professionals provide international standards of care, under one roof- ensuring that comprehensive cardiac care is provided to all.

At Paras Institute of Cardiac Sciences we also understand the importance of the ‘Golden Hour’. There is a need to rush the patient to a fully equipped heart hospital, within one hour of onset of the cardiac symptoms. At Paras Institute of Cardiac Sciences our efforts are to provide compassionate, state of the art & proficient care to the people suffering from heart ailments at all times with ethics, passion and dedication.

  • Paras Hospitals Gurgaon is the first hospital of India to successfully perform Day Care Angioplasty. Dr Tapan Ghose, Director & HOD Cardiology performed the procedure.
  • Paras Hospitals, Gurgaon and Paras HMRI, Patna are specialized centers where Minimally Invasive Cardiac Surgery is performed by Cardiac Surgeons of national and international repute.
  • Paras Hospitals, Gurgaon is the first hospital of the region to formulate a ‘ Transradial Program’ and medical protocol. As per the same every patient is by default treated through the transradial technique. In case of emergency situation the cardiology team performs primary transradial angioplasty, which is highly recommended by international cardiology societies.
  • Dr Tapan Ghose, Director & HOD Cardiology, Paras Hospitals, Gurgaon poster was selected at the prestigious TCT Conference, Washington DC in 2014. He has also presented at various conferences and meetings of the Cardiology Society of India (CSI).
  • Dr Tapan Ghose, Director & HOD Cardiology, Paras Hospitals, Gurgaon has been awarded the ‘Cardiologist of the Year 2014’ award by the India Health Achievers Award, New Delhi.
  • Paras HMRI Hospital, Patna, is the first hospital of the region to have a fully equipped cardiac facility- Cath Lab and well equipped Cardiac OT.
  • Paras HMRI , Patna is the first hospital of Bihar to perform Minimally Invasive Cardiac Surgery. The surgery was performed by Dr SK Sinha, Director CTVS, Paras Healthcare.
  • Paras HMRI, Patna is also the first hospital of the region to formulate and provide angiography on day care basis- through the transradial technique.

INTERVENTIONAL CARDIOLOGY:

  • Coronary & Radial Angiography
  • Coronary Angioplasty
  • Carotid Angioplasty
  • Peripheral Angioplasty and Stenting

Percutaneous Valvular Interventions, including:

  • Ballon Mitral Valvulotomy
  • Aortic Valvulotomy
  • Percutaeneous Aortic Valve Replacement
  • Percutaneous Aortic Aneurysm Repair by Stent Grafts
  • Septal alcohol ablation in Hypertrophic Cardiomyopathy

Electrophysiology

  • Electrophysiology studies
  • Radio frequency ablation for supra ventricularand ventricluar tachyarrhythmia
  • Pacemaker implantation
  • ICD and combo device implanatation

Non Invasive Cardiology:

  • ECG
  • Stress Cardiology
  • TMT
  • Holter Monitoring
  • Colour Doppler

CARDIAC SURGERY:

  • Minimally Invasive Cardiac Surgery
  • Beating Heart CABG
  • Total arterial Revascularization (TAR-OPCAB)
  • Redo CABG
  • Mid CAB
  • Awake Open Heart Surgery
  • Valve Replacement/ Valve Repair
  • Congenital Surgery/Congenital Defects
  • ASD/VSD/TOF/PDA
  • Thoracic surgery
  • Lung Tumour Resection
  • Lobectomy
  • Pneumonectomy
  • Segmentectomy
  • Decortication of lung

Vascular Surgery:

  • Reconstructive Surgeries

Trauma:

  • Emergency/Traumatic Thoracic & Vascular Surgeries

FACILITIES:

  • 24X7 advanced life support ambulances
  • Cardiac Care units 9CCu)
  • Interventioonal Cardiology
  • Flat panel Cath lab
  • Catheterisation laboratories
  • EPS & RF Ablation
  • Non invasive investigations
  • Heart- line contact for emergencies

WE HAVE NOW FOUND A NEW WAY TO YOUR HEART

TRANSRADIAL CATHETERISATION

Diagnosed with cardiac disease?

Recommended an angiography?
Do you have fears concerning the same?

At Paras Institute of Cardiac Sciences, we take your heart care personally. We adopt the latest clinical advancements and provide you the choice of having an intervention in 20 minutes and a recovery in an hour.

What is the new route to the heart?

Latest clinical advancements have devised an approach for performing cardiac catheterization by using the radial artery in the wrist instead of the femoral artery in the groin to gain access to arteries leading up to and into the heart.

Termed as ‘Transradial Access’ this gentler approach has a number of advantages over the femoral cardiac catheterization procedure.

What is Cardiac Catheterization?

Cardiac CatheterizationCardiac catheterization is a procedure used to diagnose and treat conditions of the heart. During a transradial catheterization procedure, a long, thin tube called a catheter is inserted into the radial artery of the arm and guided to the heart. When the catheter reaches the heart, it can be used to:

  • Detect any blockages or abnormalities
  • Take a blood or muscle sample
  • Measure blood pressure and oxygen levels
  • Repair or replace heart valves
  • Detect and repair congenital heart defects
  • Perform an angioplasty
  • Perform a balloon valvuloplasty
  • Correct arrhythmia

According to recent studies it has been estimated that India, with more than 1.2 billion people, is estimated to account for 60 percent of heart disease patients worldwide and out of the same atleast 82 million have some form of established cardiovascular disease. In many cases, people who experience chest pain or who experience an emergent event-such as a heart attack- undergo cardiac catheterization to determine what level of heart damage or disease may be. The procedure also may be used to open blocked arteries that are limiting blood flow through the heart and preventing oxygenated blood from travelling properly to the body. Cardiac Catheterization is performed on more than one million Indians each year.

What is Transradial Coronary Catherization?

For many years, the preferred entry point for a cardiac catheterization has been in the groin area through the femoral artery. However, an innovative option is called radial catheterization, which involves insertion of the catheter through the radial artery in the wrist.

In a typical cardiac catheterization, a cardiologist inserts a small thin tube into the femoral artery near the groin and advances it into the aorta to assess cardiac function and the coronary arteries. The same procedure, when it is performed through the wrist via the radial artery, is called transradial cardiac catheterization.
The transradial approach reduces the risk of bleeding, significantly speeds recovery, and improves patient comfort.

What are the advantages of the ‘Transradial Access’?

The main advantages are:

  • Faster recovery
  • Easier site access-wrist
  • Less bleeding
  • No restriction of movement-no compulsion of lying on your back still for hours
  • Less pain
  • Fewer complications
  • Lesser chances of infection
  • No requirement of blood transfusion

How does transradial access benefit older patients?

This technique is most beneficial for older patients. Patients with the following complications can benefit the most:

  • Patients with respiratory and pulmonary issues- who have cough and breathing problems.
  • Patients with spine problems- backpain- who have difficulty in lying down in one position for hours.
  • Patients who are obese

How does the transradial access benefit the women?

Indian women are by majority conservative and refrain from showing their private parts for any reason. The femoral access is through the groin region, thus making women apprehensive about the cardiac catheterization. However the transradial access through the wrist empowers the women-it not only provides her a better access route but also gives her the comfort & privacy.

In Paras Hospitals, due to awareness, women now opt for the ‘Transradial Access’ and benefit from the same.

How often are patients treated for their cardiac problems through the ‘Transradial Access’?

In Paras Hospitals, 90% of the cardiac interventions are performed by the state- of-the-art transradial procedure. The entire cardiology department is skilled to perform all tranradial coronary interventions. This technique is used extensively in Europe, China & Japan. Fewer skilled interventional cardiologists are a major reason for its limited use in India.

Can all patients have transradial access cathterisation?

Unfortunately, not all patents can have radial artery cathterisation. To be a candidate, patients must have good blood supply to their hands, through both the radial artery and the ulnar artery. The blood supply from both arteries has to be good.

Does this procedure involve any complications?

The most important advantage of this technique is its fewer complications. The transradial access provides lower bleeding site complications and lesser chances of infection.

The easier access site makes the patients more comfortable and reduces the risk of any hematoma formation.

Is the cost for this treatment more?

No. It should be noted that principally the procedure being performed is cardiac cathterisation, hence although the skill and precision required for performing the same through transradial access is more, the cost in Paras Institute of Cardiac Sciences is the same. It is the earnest endeavour of the cardiologists in Paras Hospitals to provide you the care and the comfort of international standards at affordable costs.

After how many hours can a patient get discharged after the procedure?

Post cardiac cathterisation through transradial access, a patient can sit, walk and move around after 15-20 minutes. This time duration is for the patient to normalize. In comparison to the femoral cardiac catheterization, the patient can sit comfortably and perform all work related activities. The patient shall have only a band aid to cover the site of access.

COMPARISON OF TRANRADIAL & FEMORAL ACCESS CARDIAC CATHTERISATION:

TRANSRADIAL ACCESSFEMORAL ACCESS
Easier access site- wrist.The patient is more comfortable as the access site is approachable.Access site- groin.Patient feels uncomfortable as the groin is the private area.
Less bleeding.Can lead to bleeding
Lesser chances of infectionMore chances of infection due to more bleeding
Lesser pain- as a smaller compression device is used.More pain- as the femoral site has to be compressed for many hours to stop the bleeding.
Quicker recovery- patients can resume activities after 2 hours of the procedurePatient has to be hospitalized for more than 6 hours post procedure
No restriction of movement post procedurePatients has to lie still and is often restricted from movement

NOW BY PASS SURGERY SIMPLIFIED

BY PASS WITHOUT ANY BONE DAMAGE!

With the advancements in technology and medical research cardiac surgeons have formulated a new efficient way of performing bypass surgery. Cardio thoracic vascular surgeons in Paras Institute of Cardiac Sciences perform bypass surgery without stopping the heart and putting a patient on a heart-lung machine.

When do you require By Pass Surgery?

Not everyone with coronary artery disease needs bypass surgery. Some people can be helped by angioplasty with stents. Others use medical therapy, which involves making lifestyle changes and taking medicines. Some people use both of those treatments. Your doctor is likely to recommend bypass surgery only if you will benefit from it and if those benefits are greater than the risks.

Your doctor may advise bypass surgery if:

  • Your left main heart artery is very narrow.
  • All three arteries of the heart are blocked or the amount of blood flowing through them is very low.
  • Your doctor thinks that bypass surgery will be more successful than angioplasty with stents.
  • You also need surgery to repair or replace a heart valve damaged by heart valve disease.
  • You have diabetes and two or more blocked arteries.
  • Your heart is having trouble pumping. This is called a decreased ejection fraction.

Your choice may depend on the number of arteries that are blocked or which arteries are blocked. At Paras Hospitals patients are counseled and are explained the risks and all the treatment modalities. The patients are explained that the best treatment for them may also depend on your age, your health, and how much your angina is affecting your quality of life. Better and more advanced surgery methods are also advised to patients.

What is minimal invasive cardiac surgery (MICS)?

Minimally invasive heart surgery (also called keyhole surgery) is performed through small incisions (in that sides of your chest), by using specialized surgical instruments. The incision used for minimally invasive heart surgery is about 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery. In this surgery the CTVS surgeons operate on the heart between the ribs and hence do not split/divide the breast bone for heart access. This helps the surgeon by giving him a better view of the heart than open heart surgery and helps the patient as it reduces pain and guarantees quicker recovery.

A heart-lung machine is also not needed for this surgery, and a device is attached to your heart to stabilize it.

CTVS Surgeons in Paras Institute of Cardiac Sciences have achieved an unmatched, research-based level of experience and skill with minimally invasive heart surgery. The cases performed to date have demonstrated that it is a safe and broadly applicable technique for performing a wide range of complex cardiac procedures, including single or multiple valve procedures .As a result the minimally invasive technique is considered the preferred approach for most of these patients.

What kind of surgeries can be performed by the minimal invasive cardiac surgery?

The CTVS team at Paras Institute of Cardiac Sciences has cumulative experience of performing more than 500 minimal invasive cardiac surgeries on patients from all over the world.

The minimally invasive heart surgery procedures performed at Paras Institute of Cardiac Sciences have demonstrated that it is a safe and broadly applicable technique for performing a wide range of complex heart procedures, including single or multiple heart valve procedures, bypass surgery, congenital heart repairs, and reoperations.

Most patients are candidates for minimally invasive heart surgery which has become the preferred approach at Paras Institute of Cardiac Sciences for the majority of our heart surgery patients, including:

  • Mitral Valve Repair and Replacement
  • Aortic Valve Replacement
  • Atrial Septal Defects
  • Coronary Artery Bypass
  • Atrial Myxoma Removal

What are the benefits of minimally invasive cardiac surgery?

The benefits of minimally invasive and robotic heart surgery techniques include:

  • Small incisions
  • Small scars
  • Less pain and trauma
  • Shorter ICU and hospital stay after surgery: The average stay is 3 to 5 days after minimally invasive surgery, while the average stay after traditional heart surgery is 7 to 10 days
  • Low risk of infection
  • Low risk of bleeding and blood transfusion
  • Quicker return to normal activity
  • Shorter recovery time and faster return to normal activities/work: The average recovery time after minimally invasive surgery is 1 to 2 weeks while the average recovery time after traditional heart surgery is 6 to 8 weeks.
  • Division of the breastbone is not needed.

Who can have Minimal Invasive Cardiac Surgery?

Not everyone is a candidate for these surgical techniques. The CTVS surgeon will review the results of your diagnostic tests before your scheduled procedure to determine if you are a candidate for minimally invasive surgery. The surgical team will carefully compare the advantages and disadvantages of minimally invasive techniques versus traditional surgery techniques.

What are the Post Operative advantages?

Upon returning home, many patients resume their normal lives in much less time after minimally invasive cardiac surgery. They require minimal assistance and report needing little or no pain medication. Often, they begin cardiac rehabilitation sooner and consistently maintain their regimen. In as little as two weeks, patients have resumed day-to-day activities and even returned to their jobs.

Minimally invasive cardiac surgery dramatically improves cosmetic results. Rather than a 10-inch scar down the middle of the chest, the minimally invasive approach results in a substantially smaller, less visible incision on the side of the chest. For many women, the scar is almost unnoticeable as it is underneath the breast.

Why choose Paras Institute of Cardiac Sciences for minimal invasive cardiac surgery?

  • Experience. CTVS surgeons at Paras Institute of Cardiac Sciences have performed more than 500 minimally invasive heart surgeries .
  • Specialized teamwork.: Paras Institute of Cardiac Sciences has a reputed team of cardiologists and cardiac surgeons who specialize in transradial as well as minimally invasive heart surgery . The doctors work closely to provide integrated, coordinated and ensure a full, smooth recovery after surgery.
  • Cutting-edge medicine. Paras Institute of Cardiac Sciences CTVS surgeons and researchers actively study potential new techniques, advanced technology and new developments for minimally invasive heart surgery in clinical and laboratory research.
  • Pediatric expertise. Paras Institute of Cardiac Sciences is one of the few medical centers experienced in performing minimally invasive heart surgery in children. 

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Paras Institute of Cardiac Sciences has been set up with a holistic approach to heart care based on ethics, quality care and professional support, backed by latest technology. It prides itself for quality in terms of design, technology, patient care , medical, paramedical & infrastructural facilities.

Well staffed by a team of internationally trained doctors and other staff, the institute offers well defined protocols and individualized care to the people suffering from cardiac problems.

The mission of Paras Institute of Cardiac Sciences is to save every heart. We aim to achieve this with a team of well qualified & experienced invasive and non invasive Cardiologists, Cardio-thoracic surgeons, Cardiac anesthetists, physicians, radiologists and trained nurses & technical staff. These eminent and dedicated medical professionals provide international standards of care, under one roof- ensuring that comprehensive cardiac care is provided to all.

At Paras Institute of Cardiac Sciences we also understand the importance of the ‘Golden Hour’. There is a need to rush the patient to a fully equipped heart hospital, within one hour of onset of the cardiac symptoms. At Paras Institute of Cardiac Sciences our efforts are to provide compassionate, state of the art & proficient care to the people suffering from heart ailments at all times with ethics, passion and dedication.

Team That Cares