Cardiac Surgery

Paras Institute of Cardiac Sciences offers outstanding preventive, diagnostic and therapeutic services for cardiac and vascular diseases. Saving every life is the mission of the cardiology team, and 24 hour services for cardiac emergencies such as Heart attacks, Stroke, Arrhythmias and Congestive heart failure ensure that life-saving interventions are provided in time.  Specialists use internationally accepted diagnostic and treatment technologies and tools across the full spectrum of cardiovascular disease to determine each patient’s diagnosis and personalize treatment plans. The Preventive Cardiology programme provides risk assessment, lifestyle education and counseling, and the interventional team uses well developed protocol for Trans radial route to cardiac procedures, ensuring patients a speedier recovery and reduced risk of complications.

Interventional Cardiology:

  • Coronary Angiography via Radial Route.
  • Coronary Angioplasty via Radial Route.
  • Carotid Angioplasty .
  • Peripheral Angioplasty and Stenting
  • Percutaneous Valvular Interventions
  • Ballon Mitral Valvulotomy
  • Aortic Valvulotomy
  • 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:

  • 2D Doppler Echocardiography
  • ECG
  • Stress Echocardiography
  • TMT
  • Holter Monitoring

Cardiac Surgery:

  • Minimally Invasive Cardiac Surgery
  • Beating Heart CABG
  • Total arterial Revascularization (TAR-OPCAB)
  • Redo CABG
  • Mid CAB
  • 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:

  • Reconstructiev Surgeries

Trauma:

  • Emergency/Traumatic Thoracic & Vascular Surgeries

Facilities:

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

A New Way to Your Heart: Transradial Catheterisation

Paras Institute of Cardiac Sciences uses the transradial technique for performing cardiac catheterization. This uses the radial artery in the wrist instead of the femoral artery in the groin to gain access to arteries leading 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 catheterization is a procedure used to diagnose and treat conditions of the heart.. People who experience symptoms of heart disease such as chest pain, or an emergency event such as a heart attack, may need to undergo cardiac catheterization to determine the level of heart damage or disease. The procedure also may be used to open blocked arteries that limit blood flow through the heart and prevent oxygenated blood from travelling properly to the body. Cardiac Catheterization is performed on more than one million Indians each year.

A long, thin tube called a catheter is inserted into the body through various routes, and guided to the coronary arteries, chambers. Here, it is used to detect any blockages or abnormalities. Measure blood pressure and oxygen levels; Repair or replace heart valves; Detect and repair congenital heart defects; Perform an angioplasty or balloon valvuloplasty and correct arrhythmia.

What is Transradial Coronary Catheterization?

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. The transradial approach reduces the risk of bleeding, speeds up the recovery process, and improves patient comfort. The lack of skilled interventional cardiologists is the main reason for its limited use in India. In Paras Hospitals, experts perform 99% of the Coronary Cardiac Interventions using the transradial method. Patients can avail this internationally acclaimed procedure at a lower cost.


What are the advantages of the ‘Transradial Access’?

  • Faster recovery.
  • Less pain and bleeding.
  • No restriction of movement during procedure.
  • Fewer complications and lower risk of infections.
  • No requirement of blood transfusion.

Which patient would derive the maximum benefits?

  • Patients with respiratory and pulmonary issues.
  • Patients with spine problems including back pain who have difficulty in maintaining one position for hours..
  • Patients who are obese.
  • Elderly patients.

How does the transradial access benefit women?

Performing a cardiac operation through the transradial route is of enormous psychological benefit to conservative Indian women. Femoral access through the groin region during cardiac catheterization is a cause for apprehension in the majority, who would much rather opt for the transradial access routine through the wrist.

In which patients should transradial access catheterization be avoided?

Not everyone is eligible for a radial artery catheterization. To be a candidate, patients must have good blood supply to their hands, through both the radial artery and the ulnar artery.

Will it cost more?

No. Despite its multiple benefits, the cost of having a transradial catheterization is the same as that using other methods.

Benefits of the Transradial Approach

Arterial access is a crucial step of percutaneous cardiac procedure and poses the most common challenge for an interventional cardiologist during a catheterization procedure. The patient may also experience an adverse response in the form of a vagal reaction or painful spasm, increasing time taken for procedures and leading to significant complication. Percutaneous coronary intervention (PCI) is usually performed via the femoral, radial arteries. But the transradial approach, which is via the wrist, offers many advantages. The wrist approach is preferable in many cases because it is safer, has less access site complications like bleeding, enables a quicker recovery for patients who can go home very shortly after the procedure.

Comparison of Tranradial & Femoral Access Cardiac Cathterisation:

Transradial Access Femoral 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 infection More 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 procedure Patient has to be hospitalized for more than 6 hours post procedure
No restriction of movement post procedure Patients has to lie still and is often restricted from movement

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

The high success rate at Paras Institute of Cardiac Sciences has demonstrated that the minimally invasive approach is safe and broadly applicable for performing a wide range of complex heart procedures, including single or multiple heart valve procedures, bypass surgery, congenital heart repairs, and reoperations. Treatment for heart disease may depend on the number of arteries that are blocked or which arteries are blocked. Some people with blockages in their heart can be treated by stenting through angioplasty, whereas others may need a bypass. The treatment of choice also depends upon a person’s age, health status, and how the angina is affecting your quality of life. The cardiology team at Paras hospitals assesses and counsels each patient after making a personalized plan of treatment options and risks involved.

Bypass Surgery

Cardio thoracic vascular surgeons in Paras Institute of Cardiac Sciences are adept at performing bypass surgery without stopping the heart and putting a patient on a heart-lung machine. Not everyone with coronary artery disease needs bypass surgery. Bypass surgery is only recommended by a doctor if he perceives the benefits to be greater than the risks. Here are some of the reasons they may suggest this kind of surgery for you:

  • 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.

Minimally Invasive Cardiac Surgery (MICS)

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

Minimally invasive heart surgery is also called keyhole surgery. It is performed by making small incisions in the affected side of your chest. The size of these incisions is 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery. Surgeons operate from between the ribs rather than splitting up the breast bone to gain access to the heart. This helps the surgeon get a better view of the heart than open heart surgery and also reduces the pain experienced by the patient and guarantees quicker recovery. Unlike a traditional open heart surgery, a heart-lung machine isn’t needed in a key surgery, and a device is attached to your heart to stabilize it.

Is it right for you?

Not everyone is a candidate for minimally invasive surgeries. 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 before making a decision about whether this is the right choice or not to treat the following cardiac problems:

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

Benefits

  • Small incisions, less pain
  • Shorter ICU and hospital stay after surgery: Only 3 to 5 days after minimally invasive surgery VS 7 to 10 days after a traditional heart surgery
  • Low risk of infection, bleeding and blood transfusion
  • Division of the breastbone is not needed.
  • Less scarring
  • Shorter recovery time and faster return to normal activities: 1-2 weeks for recovery after minimally invasive surgery vs 6 to 8 weeks after a traditional heart surgery.

Our Cardiac Surgery Experts

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