Lourdes Heart Institute

Last updated

Lourdes Heart Institute and Neuro Centre (LHINC) is a new block set up in Lourdes Hospital, Cochin, Kerala, India, to cater to tertiary level care for the entire spectrum of cardiovascular and neurological disease. It was inaugurated on 16 March 2007, by Mr. A. K. Antony, the Defence Minister of India. This institute was started to meet a long-felt need to provide cardiac and neurological interventional facilities, and especially to provide interventional neurological facilities for the treatment of strokes, including selective thrombolysis and primary angioplasty for stroke which was hitherto unavailable in this part of India.

Contents

Facilities

Lourdes Heart Institute has the first biplane digital flat panel cathetherisation laboratory in South Asia, which is especially suited for neurological and cardiological intervention work, including carotid stenting, intra-cerebral vessel stenting, primary angioplasty, valvotomy, electrophysiologic procedures and pediatric cardiology.

A new building was built behind the main Lourdes hospital block, with outpatient departments and invasive cardiology on the ground level, the cath lab and ICCU suites on the first level and rooms on the higher levels.[ citation needed ]

Treatments available

The LHINC Cath lab is capable of handling every type of interventional cardiology procedure, with the advantage of its biplane system, it has the unique capability of performing interventional procedures in less time with the advantage of using far lesser contrast than in a routine single plane cath lab, such a facility is rare, this being the first in South Asia, and even as late as December, 2007, there were only 8 such labs in the United States. [1]

Interventional cardiology

LHINC has round the clock, 24/7 availability of primary angioplasty which is the standard treatment for heart attacks and results in the best results and the lowest mortality and morbidity. Other facilities include regular, elective angioplasties, day care angiography, which is done via the artery in the wrist, the radial artery which allow the patient to be discharged in a few hours and does not require extended lying down, radial angioplasty; temporary and permanent pacemaker implantations; mitral valvuloplasty, which enables the opening of narrowed heart valves, without the need for open heart surgery, with a minimally invasive "pinhole" incision in the groin; Automated Implantable cardioverter-defibrillator or AICD implantation for the prevention of sudden cardiac death in individuals at high risk and non surgical closure of "holes in the heart".

Cardiac surgery

LHINC provides cardiac surgery in adult patients including coronary artery bypass surgery, both on pump and off pump surgery, aortic surgery, valve replacement and repair and endovascular aortic stent procedure. The unit did for the first time in Kerala, 'key hole' mitral valve replacement surgery on two patients.

Related Research Articles

Angioplasty Procedure to widen narrow arteries or veins

Angioplasty, is also known as balloon angioplasty and percutaneous transluminal angioplasty (PTA), is a minimally invasive endovascular procedure used to widen narrowed or obstructed arteries or veins, typically to treat arterial atherosclerosis. A deflated balloon attached to a catheter is passed over a guide-wire into the narrowed vessel and then inflated to a fixed size. The balloon forces expansion of the blood vessel and the surrounding muscular wall, allowing an improved blood flow. A stent may be inserted at the time of ballooning to ensure the vessel remains open, and the balloon is then deflated and withdrawn. Angioplasty has come to include all manner of vascular interventions that are typically performed percutaneously.

Coronary artery bypass surgery Surgical procedure to restore normal blood flow to an obstructed coronary artery

Coronary artery bypass surgery, also known as coronary artery bypass graftsurgery, and colloquially heart bypass or bypass surgery, is a surgical procedure to restore normal blood flow to an obstructed coronary artery. A normal coronary artery transports blood to the heart muscle itself, not through the main circulatory system.

Coronary catheterization Radiography of heart and blood vessels

A coronary catheterization is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter. It is performed for both diagnostic and interventional (treatment) purposes.

dextro-Transposition of the great arteries Medical condition

dextro-Transposition of the great arteries is a potentially life-threatening birth defect in the large arteries of the heart. The primary arteries are transposed.

Interventional cardiology

Interventional cardiology is a branch of cardiology that deals specifically with the catheter based treatment of structural heart diseases. Andreas Gruentzig is considered the father of interventional cardiology after the development of angioplasty by interventional radiologist Charles Dotter.

Coarctation of the aorta Medical condition

Coarctation of the aorta, also called aortic narrowing, is a congenital condition whereby the aorta is narrow, usually in the area where the ductus arteriosus inserts. The word coarctation means "pressing or drawing together; narrowing". Coarctations are most common in the aortic arch. The arch may be small in babies with coarctations. Other heart defects may also occur when coarctation is present, typically occurring on the left side of the heart. When a patient has a coarctation, the left ventricle has to work harder. Since the aorta is narrowed, the left ventricle must generate a much higher pressure than normal in order to force enough blood through the aorta to deliver blood to the lower part of the body. If the narrowing is severe enough, the left ventricle may not be strong enough to push blood through the coarctation, thus resulting in a lack of blood to the lower half of the body. Physiologically its complete form is manifested as interrupted aortic arch.

Cardiac catheterization Insertion of a catheter into a chamber or vessel of the heart

Cardiac catheterization is the insertion of a catheter into a chamber or vessel of the heart. This is done both for diagnostic and interventional purposes.

Catheterization laboratory

A catheterization laboratory, commonly referred to as a cath lab, is an examination room in a hospital or clinic with diagnostic imaging equipment used to visualize the arteries of the heart and the chambers of the heart and treat any stenosis or abnormality found.

Percutaneous coronary intervention Medical techniques used to manage coronary occlusion

Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. The process involves combining coronary angioplasty with stenting, which is the insertion of a permanent wire-meshed tube that is either drug eluting (DES) or composed of bare metal (BMS). The stent delivery balloon from the angioplasty catheter is inflated with media to force contact between the struts of the stent and the vessel wall, thus widening the blood vessel diameter. After accessing the blood stream through the femoral or radial artery, the procedure uses coronary catheterization to visualise the blood vessels on X-ray imaging. After this, an interventional cardiologist can perform a coronary angioplasty, using a balloon catheter in which a deflated balloon is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as stents can be deployed to keep the blood vessel open. Various other procedures can also be performed.

Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum Research Institute in India

Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Trivandrum, is an Institution of National Importance established by an Act of Parliament in 1980. It is under the Department of Science and Technology, Government of India, with an Institute Body and a Governing Body constituted as per the provisions of the Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Act, 1980. The Institute presents a unique model by connecting the different strands of Clinical Medicine, Biomedical Technology and Public Health to produce a seamless continuum of indisputable relevance to society.

Cordis develops and manufactures medical devices for diagnostics and interventional procedures to treat patients with coronary and peripheral vascular diseases.

Sri Jayadeva Institute of Cardiovascular Sciences and Research (SJICR), is headquartered in Bengaluru is a tertiary care autonomous institute run by the Government of Karnataka, in Bengaluru, Mysuru and Kalaburagi. At the Bengaluru campus, it presently has 1150 in-patient beds for cardiology, cardiothoracic surgery and pediatric cardiology, spread over two twin eight story buildings and is considered one of the largest dedicated heart hospitals in Asia. This new building which was opened in 2001 and was built at a cost of USD 17 Million(INR 130 Crore)

The history of invasive and interventional cardiology is complex, with multiple groups working independently on similar technologies. Invasive and interventional cardiology is currently closely associated with cardiologists, though the development and most of its early research and procedures were performed by diagnostic and interventional radiologists.

Coronary stent Medical apparatus implanted into coronary arteries

A coronary stent is a tube-shaped device placed in the coronary arteries that supply blood to the heart, to keep the arteries open in the treatment of coronary heart disease. It is used in a procedure called percutaneous coronary intervention (PCI). Coronary stents are now used in more than 90% of PCI procedures. Stents reduce angina and have been shown to improve survivability and decrease adverse events in an acute myocardial infarction.

The following outline is provided as an overview of and topical guide to cardiology, the branch of medicine dealing with disorders of the human heart. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in cardiology are called cardiologists.

Multan Institute of Cardiology (MIC) is a hospital located in Multan city in Pakistan. It was established by Chaudhry Pervaiz Elahi former chief minister of Punjab province of Pakistan in 2006.

Hybrid cardiac surgery

A hybrid cardiac surgical procedure in a narrow sense is defined as a procedure that combines a conventional, more invasive surgical part with an interventional part, using some sort of catheter-based procedure guided by fluoroscopy imaging in a hybrid operating room (OR) without interruption. The hybrid technique has a reduced risk of surgical complications and has shown decreased recovery time. It can be used to treat numerous heart diseases and conditions and with the increasing complexity of each case, the hybrid surgical technique is becoming more common.

National Institute of Cardiovascular Diseases (NICVD); Urdu نيشنل انسٹيٹيوٹ آف كارڈيو ويسكيولر ڈيزيزز in collaboration with the Government of Sindh are a chain of health care centers located in Sindh, Pakistan.

Percutaneous pulmonary valve implantation (PPVI), also known as transcatheter pulmonary valve replacement (TPVR), is the replacement of the pulmonary valve via catheterization through a vein. It is a significantly less invasive procedure in comparison to open heart surgery and is commonly used to treat conditions such as pulmonary atresia.

Samin Sharma American interventional cardiologist

Samin K. Sharma is an American philanthropist of Indian descent and an interventional cardiologist who co-founded the Eternal Heart Care Centre and Research Institute in Jaipur (EHCC). Sharma has served on New York State’s Cardiac Advisory Board since 2004. As of 2021, he is Senior Vice-President, Operations & Quality at The Mount Sinai Hospital in New York and runs the Dr. Samin K. Sharma Family Foundation Cardiac Catheterization Laboratory. As of 2018, he is Chairman Board of Trustees, Association of Indians in America (AIA). As of 2022, he has been an investigator on 86 grants and multi-center trials and authored 486 peer-reviewed articles that have been cited 21,734 times.

References

  1. "Archived copy". www.lufkindailynews.com. Archived from the original on 12 June 2007. Retrieved 6 June 2022.{{cite web}}: CS1 maint: archived copy as title (link)