Cardiology

Paras HMRI Hospital Patna is the first hospital in Bihar to provide 24X7 Cardiac Care. The hospital is equipped with the latest technology for cardiac ailment diagnosis, treatment and management. In addition, the hospital is supported by cardiologists, cardiac surgeons, cardiac anesthetists and cardiac care intensivists of national and international repute.

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.

The teams of cardiologists specialize in providing the best care to patients suffering from arrhythmia, angina, heart attack, chest pain, rheumatic heart disease, tachycardia and irregular heart beat. Cardiologists specialize in treating and managing patients through novel and path breaking procedures such as angioplasty, pacemaker implantation, stenting operations, valve replacements, to list a few.

Paras Institute of Cardiology is well supported by the diagnostic technology to monitor heart rates, heart performance and irregularities. The hospital is supported by CT Angio, PET CT, Cath lab for angiography , Cardiac Lab for Electrophysiology – Holter Monitoring and RFA.

  • Paras HMRI Hospital, Patna is the first hospital of the region to formulate and provide angiography on day care basis- through the transradial technique.
  • Paras HMRI Hospital, Patna is the first hospital in the region to provide electrophysiology and heart rate monitoring.
  • Paras HMRI Hospital, Patna is the first hospital in the region to provide 24 X 7 cardiology support.

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:

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

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