An experience with permanent cardiac pacing in children and adolescents

Kaul, Upendra; Mohan, Jagdish C.; Shrivastava, Savitri; Venugopal, P; Bhatia, M. L.

doi:10.1007/bf02957729

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The rising prevalence of cardiovascular diseases in India, contributing significantly to the nation's disease burden, is reflected in the high number of patients operated on for coronary artery bypass grafting (CABG) at our facility, similar to trends reported by Kaul et al [ 7 ]. Our surgical team, well-experienced with off-pump procedures, performed most CABG surgeries using this technique.…”

Section: Discussionsupporting

confidence: 84%

Assessing the Patient Outcomes and Performance of a Cardiothoracic and Vascular Surgery (CTVS) Unit During Its First Two Years in a Tier-2 City in India: A Comprehensive Audit and Analysis

Tiwari¹,

Sharma²,

Jaswal³

et al. 2023

Cureus

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This detailed article presents a comprehensive overview of the initial two-year experience in establishing a new cardiothoracic vascular surgery (CTVS) facility in a tier-2 city in India. The article discusses various aspects of setting up and operating a specialized healthcare facility. The first two years of developing the CTVS facility were included in the study period. The manpower included one cardiothoracic vascular surgeon, one cardiac anesthesiologist, two perfusionists, and two physician assistants, along with four other ancillary staff to assist in the smooth functioning of the operation theater. The CTVS recovery staff included 15 nursing officers. There was only one modular operation theater reserved for cardiothoracic vascular surgeries, along with a five-bed recovery room (CTVS intensive care unit). One-hundred-seventy-two procedures were done, including 122 open heart surgeries, 36 vascular procedures, and 14 thoracic procedures. The majority of patients were discharged by the seventh day postoperatively. Overall complication and mortality rates were 8% and 4.6%, respectively. This article also discusses relevant hospital policy, challenges faced, and future recommendations for similar endeavors. The findings highlight the successful implementation of the facility and its impact on providing specialized cardiac care to the local population.

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Section: Discussionsupporting

confidence: 84%

Assessing the Patient Outcomes and Performance of a Cardiothoracic and Vascular Surgery (CTVS) Unit During Its First Two Years in a Tier-2 City in India: A Comprehensive Audit and Analysis

Tiwari¹,

Sharma²,

Jaswal³

et al. 2023

Cureus

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“…It is of particular interest that surgeons performing CABG in India face unique challenges, which include late presentation, diffuse disease, smaller coronary artery size and reluctance/financial constraints of patients in undergoing major surgery. 24 Therefore, assessing the feasibility and outcomes of RA-assisted PCI in a developing country, where CABG may not be easily available, is imperative.…”

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confidence: 99%

Left Main Rotablation: Case Series From a Tertiary Care Centre in North India

Gupta,

Verma,

Sharma

et al. 2023

J Asian Pac Soc Cardiol

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Background: Calcified left main (LM) disease is an important subset of coronary artery disease, associated with a high risk and procedural complexity. Advances in percutaneous coronary intervention (PCI) are making it a viable alternative to coronary artery bypass grafting. Methods: This was a retrospective study of patients aged ≥18 years who underwent rotational atherectomy (RA)-assisted PCI of LM disease at a tertiary-care centre in North India from August 2018 to May 2023. PCIs also involved use of intravascular ultrasound and adjuvant plaque-modifying therapies, such as cutting balloons, and intravascular lithotripsy, as indicated. Procedural details and clinical outcomes were analysed. Results: The study included 55 consecutive patients. A total of 52 patients (94.5%) were men, and the mean age was 64.7 ± 9.0 years. The mean follow-up was 16.3 ± 11.2 months. The mean ejection fraction was 52.7 ± 8.2%. On angiography, the mean SYNTAX score was 34.9 ± 7.7, and true bifurcation lesions (Medina class 1,1,1 or 1,1,0) were present in 22 patients (40%). Adjuvant plaque modification therapy included a cutting balloon in 25 patients (45.5%), and intravascular lithotripsy in nine (16.4%). Intravascular ultrasound guidance was used in 46 patients (83.6%). Supported PCI was performed in six cases (10.9%). Angiographic success was achieved in 100% of the patients. One patient (1.8%) died in hospital due to an upper gastrointestinal bleed. On follow-up, one patient died (1.8%), and target vessel revascularisation was needed for three patients (5.5%). Conclusion: Rotational atherectomy-assisted PCI for calcific LM disease can be performed safely, with judicious use of intravascular ultrasound and adjunct plaque modification therapies, providing satisfying short- to medium-term outcomes.

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An experience with permanent cardiac pacing in children and adolescents

Cited by 2 publications

References 18 publications

Assessing the Patient Outcomes and Performance of a Cardiothoracic and Vascular Surgery (CTVS) Unit During Its First Two Years in a Tier-2 City in India: A Comprehensive Audit and Analysis

Assessing the Patient Outcomes and Performance of a Cardiothoracic and Vascular Surgery (CTVS) Unit During Its First Two Years in a Tier-2 City in India: A Comprehensive Audit and Analysis

Left Main Rotablation: Case Series From a Tertiary Care Centre in North India

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