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Adult
Patient Services
I. Cardiology
The Department of Cardiology
as a highly sensitive area displays the
latest in diagnostic and intensive care
technology with extremely skilled and knowledgeable
adult and Paediatric cardiologists and clinicians
with services that include:
Diagnostic and Interventional
Cardiology
Advanced methods of diagnosis
and treatment are carried out on a routine
basis with the help of the following equipment
and procedures
Preventive Cardiology & Cardiac
Rehabilitation
II. Cardiac Surgery
Progressive, passionate
and persevering, a highly skilled team of
cardiothoracic surgeons, anesthetists, intensive
care specialists and dedicated critical
care nurses operate in tandem at the Department
of Cardiothoracic and Vascular Surgery.
The department houses state-of-the-art porcelain
operating suites with separate adult and
Paediatric intensive care units. With the
ever-changing scenario of surgical techniques
and technology, the dedicated team at Frontier
Lifeline keeps up with the changing trends
in Cardiothoracic and Vascular Surgery in
order to give the best, brilliant and biggest
successes in the most intricate surgeries
for congenital and acquired heart diseases,
thoracic, vascular diseases and organ transplantation.
The surgical procedures include:
- Coronary Artery Bypass Surgery with
Endoscopic Vessel Harvesting
- On pump, including multiple endarterectomies
- Off pump
- Minimally Invasive CABG
- Mitral valve repair/replacement
- Aortic valve repair/replacement
- Aortic surgery
- Ross procedure
- Re-do Coronary and Valve surgery
- Aneurysm Repairs
- Homograft
- Xenograft
III. Vascular Surgery
Paediatric
Patient Services
I. Cardiology
- Balloon Pulmonary Valvotomy
- Ballon aortic Valvuloplasty
- Device closure of ASD, VSD, PDA
- Coil Embolisation of MAPCA
ii. Cardiac Surgery
The entire gamut of cardiac
diseases from neonates to adolescents is
skillfully and competently handled.
Dedicated operating rooms
and Post- operative ICUs with state-of-the-art
equipment and experienced staff, provide
24/7 cardiac care of the highest order.
Cyanotic and Acyanotic Heart Diseases
(Simple & Complex)
- Atrial and Ventricular septal defects,
which can also have closures with catheters
- PDA and Coarctation of aorta
- Arterial switch in neo-nates
- Truncus repair using valved conduits
(porcine or bovine valves)
- HLHS
- AV Canals
- Fontan procedures
- Adult Congenital Heart Surgeries
Transplantation
Services
In 1995, aided by the most advanced technology, cardiac care and surgical skills, Dr. K. M. Cherian performed the first heart transplant in India at his International Centre for Cardio-thoracic and Vascular Diseases in Chennai. This was made possible only after the landmark legislation for brain death which passed the law permitting transplantation of human organs in the country. With phenomenal experience and far-sightedness, he also conducted the first bi-lateral lung transplant, the first pediatric heart transplant as well as the first heart and lung transplant in India.
The
Next Generation of Cardiac Diagnostics
Every thing you should know about
64 SLICE CT Cardiac Imaging
64-slice CT coronary angiogram
is the latest non-invasive modality for
imaging coronary arteries. It is done on
a multislice CT scan which has 64 rows of
detectors to give a high sub-millimeter
resolution of 0.6X0.6X0.6mm.
What type of information
does the CT cardiovascular scan provide?
With the advent of multi-slice detectors
and high powered computer programs, we are
able to reconstruct the anatomy of the heart
arteries .We can look at the size of the
arteries, see exactly where blood flows
and determine if there is a blockage .The
number of detectors is important because
the heart, unlike other structures, is beating
and is in constant motion and hence acquisition
must be fast.
What are the possible indications for undergoing
CT cardiovascular scan?
- Borderline or inconclusive Treadmill
test
- Coronary risk assessment in patients
with abnormal baseline ECG
- High risk individuals
- Follow-up post CABG/ PTCA to study
coronary bypass grafts/ stents.
- To study aortic diseases, MAPCAs and
their course in lung, cardiac tumors
- Pre-operative risk assessment in intermediate
risk group and elderly individuals
- Triaging in patients with atypical
chest pain with high risk of coronary
artery disease
How is the CT cardiovascular
scan performed?
It is a non-invasive diagnostic test similar
to any CT scan and is performed as an outpatient
procedure. A drug like beta blocker, to
control the heart rate, is given prior to
the procedure. Iodinated contrast is injected
through a peripheral vein by a syringe pump
at a rate of 4-5ml/min. The scan is triggered
as soon as contrast opacifies the aorta.
The enire scan is completed within 5-10
seconds. CT scanner rapidly spins around
the patient about four times a second. It
obtains 64x4 i.e 256 images (slices) of
the heart in a second.
Frontier Lifeline has made
this diagnostic service available to patients
who come for our preventive cardiology clinic
as well as for routine outpatients, at an
exclusive price.
Appointments can be made at the Reception
Counter.
Digital
Pacemaker and AICD Implantation
Revolutionizing Cardiac Care :
The Next Generation of Digital Pacemakers
in Frontier Lifeline
Digital technology advances,
not only in our daily life, but also in
the field of medicine. Frontier Lifeline
has introduced digital pacemakers produced
by Vitatron, a Netherlands-based company,
which has revolutionized the field of cardiology.
Dr Joy Thomas, our eminent Senior Consultant
Cardiologist and Electrophysiologist, shares
several established advantages of digital
pacemakers as compared to analog pacemakers.
- It has the capacity to date and time–stamp
every heart beat.
- It provides better understanding and
knowledge of the patient’s heart
rhythm, which is interfaced to a computer
programme in a matter of seconds.
- Information sheets about the heart
rhythm are printed out for data retrieval
and analysis.
- The digital pacemaker can be programmed
to respond in different ways, which aids
in better care for the patient.
- Therapy Advisor – This system
provides doctors with a list of instant
suggestions for the patient, based on
what the pacemaker had documented.
- The digital pacemaker lasts longer
than the analog, with an average life
of more than nine years compared to five
years.
- Patients need not undergo minor surgery
for the change of batteries.
- It is very cost-effective, being much
cheaper than analog pacemakers are.
So far, we have implanted
more than a dozen patients with digital
pacemakers at Frontier Lifeline, of which
six of them are dual chamber pacemakers.
These pacemakers are being followed up meticulously
in an international survey, in which Frontier
Lifeline is one of the centres recognized
worldwide, to contribute towards the DIRECT
Registry.
Electro
anatomic “CARTO” Mapping for
analyzing and treating heart rhythm disorders
Introduction of 3-D Mapping System
(Ensite Nav-Ex) For Arrythmias
Frontier Lifeline has
introduced the state-of-the-art 3-D mapping
system for arrhythmias. Earlier, drugs were
the only choice of treatment for arrhythmias.
With recent advances in the field of cardiology,
and with the emergence of electrophysiology,
any intractable arrhythmia can be accurately
diagnosed and treated.
This novel system detects
the exact location of any abnormal focus,
and depicts the 3-dimensional electro-anatomic
map of the heart. Furthermore, the procedure
reduces the amount of exposure to harmful
radiation to both the patient and the operating
staff. Another added advantage of this system
is that, conventional catheters that are
routinely used can be employed along with
this system.
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