Stitch Less Valve Replacement without open heart surgery becomes a reality in Paras Hospitals

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.

Gurgaon,27th March 2018: Having performed an advanced procedure called transcatheter aorticvalve replacement (TAVR) recently, Paras Hospitals Gurgaon has joined IvyLeague of hospitals which are known to conduct such surgeries in patientsunsuited for normal valve replacement surgery.15 years back anyone would havelaughed at the idea of valve replacement without open heart surgery but todayit is possible and not only that in Paras Hospitals, it was performed withoutthe use of open arteriotomy.

This distantdream has become a reality. Heart team lead by Dr. Amit Bhushan Sharma,Associate Director, Interventional Cardiology and Dr. Mahesh Wadhwani, Chief ofCTVS successfully performed the first TAVR at Paras Hopsitals, Gurgaon on 20th March,2018 on a patient who had severe narrowing of the heart valve and was shiftedfrom Jammu.

The patienthad gone into the repeated heart failure and was refused surgery in Jammu.Paras Hospitals, Gurgaon becomes one of the few centers in India, performingthis surgery. In India, only 25 to 30 such procedures have been conducted tilldate, with only some hospitals being equipped with the technology and trainedmedical staff to conduct surgeries using TAVR. This procedure is commonly usedin West as a first line therapy and in places in Western Europe like Germanyand Netherlands, it has over taken SAVR (Surgical aortic valvereplacement), But in India, lack of awareness and skilled doctors and adequateinfrastructure and high cost have ensured it as a rarity.

“We havealways believed in upgrading ourselves with advance medical learning,knowledge, infrastructure, and technology to be in a position to providepremium quality care to the patients. In an important step, a recent cardiacsurgery performed at our hospital in Gurgaon, a 64-year-old patient, AshokSharma, underwent TAVR successfully. This highly symptomatic patient who washardly able to walk even a few steps greatly benefited from this surgery and ismiraculously now able to perform all normal activities all within in a span of36 hours and not only that patient regained consciousness within minutes aftersurgery, says Dr. Amit Bhushan Sharma, Associate Director, InterventionalCardiology, Paras Hospitals, Gurgaon. He attributes the entire thesuccess to the heart team comprising of interventional cardiologist, cardiacsurgeon, ECHO team, Radiology team and supporting teams such ascardiacanaesthetists and intensivists .

Today TAVRtechnique approach is via the biggest artery which passes near the groin (thesame artery which is used for stenting). This is called as Trans-femoralapproach and the valve is just delivered like a stent. Two most advancedtechnologies in the world – Self expanding Valve and Balloon Expanding Valveare available in Paras Hospital, Gurgaon. All these techniques are performedinside the heart within a space that is fraction of a millimeter wide. Thiscalls for precision, experience and a steady hand in addition to the vigorousbattery of tests which the patient was subjected to before labelling himsuitable for the procedure, says Dr. Mahesh Wadhwani, Chiefof CTVS, Paras Hospitals, Gurgaon.

“There are multiple benefits of the procedure beingminimally invasive. It aids faster recovery, minimizes chances of infection, isless painful, involves shorter hospital stay for patients, less scarring orsurgery marks, and decreases chances of injuries to nearbytissue.  It is a fairly new US FDA-approved procedure for people withsymptomatic aortic stenosis, which means obstruction of blood flow inthe major valve of the heart, and is specially designed for those who may be athigh life risk in case a standard valve replacement is done.”

This cutting edge medical technology can keep yourheart as good as new as this re-establishes Paras Hospitals, Gurgaon in the field of CardiacSciences. 


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