Till now, only 25 to 30 such procedures have been done across the country, and only 1 hospital apart from Paras has performed it in Gurgaon region.
The path-breaking procedure was performed by Dr. Amit Bhushan, Unit Head and Associate Director – Interventional Cardiology, Paras Hospitals, Gurgaon, and an eminent cardiologist with over 1000 transradial angioplasties to his credit.
In the TAVR procedure, the device is typically inserted via an artery in the leg and guided into a heart just like a stent, with benefits of almost instantaneous recovery, conscious sedation, almost negligible rate of infection, and is less painful and meant for people who are at intermediate or at high risk of open heart surgery.
Paras Hospitals, Gurgaon has successfully performed a complex and path breaking procedure – transcatheter aortic valve replacement (TAVR) recently. This procedure is performed in select highly specialized cardiac hospitals in India and in Gurgaon, Paras Hospitals is now a leading hospital specializing in the same.
Paras Hospitals, Gurgaon and its team of cardiologists successfully performed the valve replacement on a 64-year-old man without the use of open arteriotomy. Such commendable medical feats has helped establish the Institute of Cardiac Sciences at Paras Hospitals, Gurgaon as a premier centre, providing specialized affordable, accessible, quality healthcare to the common man.
This leading procedure was performed by Dr. Amit Bhushan Sharma, Associate Director, Interventional Cardiology and Dr. Mahesh Wadhwani, Chief of CTVS successfully at Paras Hospitals, Gurgaon on 20th March, 2018 on a patient who had severe narrowing of the heart valve and was shifted from Jammu. The patient had gone into the repeated heart failure and was refused surgery in Jammu due to the high risk involved.
According to Dr. Amit Bhushan, “It gives us immense pleasure to share that Paras Hospitals, Gurgaon has now become one of the few centers in India, performing TAVR procedure. In India, only 25 to 30 such procedures have been conducted till date, with only some hospitals being equipped with the technology and trained medical staff to conduct surgeries using TAVR. This procedure is commonly used in West as a first-line therapy and in places in Western Europe like Germany and Netherlands, it has overtaken SAVR (Surgical aortic valve replacement). However in India, lack of awareness and skilled doctors along with adequate infrastructure and high cost has ensured it as a rarity. We have always believed in upgrading ourselves with advanced medical learning, knowledge, infrastructure, and technology to ensure that the best quality care is delivered to our patients.”
Dr. Amit Bhushan, further adds, “In this case, TAVR procedure was performed on a 64-year-old patient, Ashok Sharma successfully. This highly symptomatic patient who was hardly able to walk even a few steps greatly benefited from this surgery and is miraculously now able to perform all normal activities, all within in a span of 36 hours. Moreover, the patient was able to regain consciousness within minutes after surgery.”
Dr. Amit Bhushan, Associate Director, Interventional Cardiology, attributes the entire the success to the heart team comprising of interventional cardiologist, cardiac surgeon, ECHO team, Radiology team and supporting teams such as cardiac anaesthetists and intensivists.
“Today TAVR technique approach is performed via the biggest artery which passes near the groin (the same artery which is used for stenting). This is called as Trans-femoral approach and the valve is just delivered like a stent. Two most advanced technologies in the world – Self-expanding Valve and Balloon Expanding Valve are available in Paras Hospitals, Gurgaon. All these techniques are performed inside the heart within a space that is a fraction of a millimetre wide. This calls for precision, experience and a steady hand in addition to the rigorous battery of tests which the patient was subjected to before labelling him suitable for the procedure,” shares Dr. Mahesh Wadhwani, Chief of CTVS, Paras Hospitals, Gurgaon.
Dr. Mahesh adds, “There are multiple benefits of the procedure being minimally invasive. It aids faster recovery, minimizes chances of infection, is less painful, involves shorter hospital stay for patients, less scarring or surgery marks, and decreases chances of injuries to nearby tissue. It is a fairly new US FDA-approved procedure for people with symptomatic aortic stenosis, which means obstruction of blood flow in the major valve of the heart, and is specially designed for those who may be at high life risk in case a standard valve replacement is done.”
Paras Institute of Cardiac Sciences has in the past also performed various complex and path breaking procedures to become one of the leading institutes in Delhi NCR providing affordable, accessible, quality cardiology and cardiac surgery treatment. Minimally Invasive Cardiac Surgery, Day Care Angioplasty, Transradial Cardiac Catheterization and Heart Tumour Excision Surgery are few of the other medical feats accomplished by the Institute, which are routinely performed by the reputed team of cardiologists and cardiac surgeons.