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Man aged 80, with atrial fibrillation, was handled with intracardiac echo-guided LA appendage closure -
A teen was additionally handled for ventricular tachycardia, which originated from the center’s summit, utilizing the identical expertise
Kauvery Hospital Alwarpet Chennai, a number one multi-specialty healthcare chain in Tamil Nadu, carried out India’s first Intracardiac Echo-Guided Lambre Left Atrial Appendage (LAA) closure.
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Kauvery Hospital Alwarpet , Chennai
Left atrial appendage closure is a surgical or minimally invasive process to shut the left atrial appendage (LAA), a small sac within the muscle wall of the left atrium. Eradicating it or closing it off can scale back the danger of stroke and get rid of the necessity to take blood-thinning remedy.
As a result of the left atrial appendage is a bit of pouch, blood collects there and might type clots within the LAA and atria. When the center pumps out blood clots, they’ll trigger a stroke. The guts can proceed to do its job with a closed left atrial appendage.
The 80-year outdated particular person had a historical past of bypass surgical procedure for blood vessel blocks, extreme pulmonary hypertension (excessive stress in proper facet of coronary heart), coronary heart failure, diabetes, hypertension, gastric ulcer, and obstructive sleep apnea together with atrial fibrillation and former minor stroke.
Atrial fibrillation is an irregular coronary heart rhythm which will increase the danger of stroke resulting from blood clots from the center. To cut back the danger of stroke, blood thinners are given, however these brokers can improve the danger of bleeding from the abdomen or contained in the mind.
As the person, aged 80, already had an episode of large gastric ulcer bleed, the affected person was supplied a LAA closure machine known as LAMBRE, which was efficiently implanted with intracardiac echo steerage by Dr. Rajaram Anantharaman, Dr. Deep Chandh Raja and crew at Kauvery Hospital. He was discharged on the second day with none blood thinners.
Intracardiac echocardiography (ICE) is a novel imaging modality capable of present high-resolution real-time visualization of cardiac constructions, and likewise facilitates steady monitoring of catheter location throughout the coronary heart.
“Essentially the most acceptable therapy choice for such excessive threat sufferers with atrial fibrillation and better bleeding threat is closing the LAA with a tool, by way of a blood vessel within the groin, and not using a surgical procedure. Sufferers who’re at larger threat for basic anesthesia or trans-esophageal echo, can have this process achieved underneath native anesthesia with gentle sedation utilizing Intracardiac Echo steerage,” says Dr. Rajaram Anantharaman, Senior Marketing consultant Interventional Heart specialist, Kauvery Hospital, Alwarpet, Chennai.
Talking concerning the process, Dr. Deep Chandh Raja, the medical lead cardiac Electrophysiologist at Kauvery Hospital, Alwarpet stated, “The 80-year affected person was a beneficiary of each the applied sciences particularly LAA closure and intracardiac echo. At our middle, extra sufferers with coronary heart rhythm issues are additionally getting benefitted from the intracardiac echo expertise. We have now simply handled a 16-year teenager, a non-resident Indian from Australia, for a fancy situation known as Ventricular Tachycardia, which was originating from the ‘Coronary heart’s Summit’, which is a really difficult level of the center, utilizing 3-D ablation system and intracardiac echo.”
Talking on this, Dr. Aravindan Selvaraj, Co-founder & Govt Director, Kauvery Hospital stated, “We have now been capable of present the best options for advanced cardiac circumstances with our crew of internationally skilled interventional cardiologists and cardiac electrophysiologists. Our Hybrid Working Room has facilitated performing cardiac procedures with excessive security for the sufferers. Developments just like the ‘Intracardiac Echocardiography’ is a boon to deal with advanced circumstances of the center, with higher precision. I respect Dr Rajaram Anantharaman, Dr Deep Chandh Raja and Cardiology crew for making the most effective use of the expertise, thereby, making a distinction within the lives of people.”
For extra data, please go to: www.kauveryhospital.com.