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Robot-assisted totally endoscopic coronary bypass surgery
AbstractTotally endoscopic coronary artery bypass (TECAB) surgery can exclusively be undertaken with the aid of operative robots. In the past two decades, surgical remote manipulator systems —predominantly the daVinci® devices—have brought us the reality of endoscopic internal mammary artery harvesting and coronary bypass anastomoses via minimally invasive thoracic port access. Single up to quadruple TECAB interventions are recently feasible; the procedure can be delivered either a s beating heart applying endoscopic vacuum stabilizer or under cardioplegic arrest on heart-lung machine. Significant surgical team learni...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 13, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

A multifaceted intervention to improve treatment with oral anticoagulants in atrial fibrillation (IMPACT-AF): an international, cluster-randomised trial
This study was a two-arm, prospective, international, cluster-randomised, controlled trial. Patients were included who had atrial fibrillation and an indication for oral anticoagulation. Clusters were randomised (1:1) to receive a quality improvement educational intervention (intervention group) or usual care (control group). Randomisation was carried out centrally, using the eClinicalOS electronic data capture system. The intervention involved education of providers and patients, with regular monitoring and feedback. The primary outcome was the change in the proportion of patients treated with oral anticoagulants from bas...
Source: The Lancet - August 29, 2017 Category: General Medicine Source Type: research

Clinical – microbiological characterization and risk factors of mortality in infective endocarditis from a tertiary care academic hospital in Southern India
CONCLUSIONS This study reiterates the persistent dominance of rheumatic heart disease in the population studied and α − haemolytic Streptococci as the commonest responsible microorganism.
Source: Indian Heart Journal - August 17, 2017 Category: Cardiology Source Type: research

Artery of Percheron Infarction in a Patient with Atrial Fibrillation: A Rare Stroke Syndrome.
We report the clinical and MR imaging findings in a patient who developed infarction in the typical distribution of the artery of Percheron. PMID: 28799320 [PubMed - in process]
Source: Journal of the Association of Physicians of India - August 13, 2017 Category: General Medicine Tags: J Assoc Physicians India Source Type: research

Acute ischemic stroke treatment using mechanical thrombectomy: A study of 137 patients
Conclusion: MT is safe treatment and equally effective for both AC and PC LVO. With careful patient selection, clinical outcome in PC was comparable to AC despite delayed presentation and higher baseline NIHSS.
Source: Annals of Indian Academy of Neurology - August 10, 2017 Category: Neurology Authors: Rakeshsingh K Singh Vishal Annaji Chafale Rakesh Shyam Lalla Keyurkumar Chandrakantbhai Panchal Anil Pandurang Karapurkar Satish Vasant Khadilkar Pawan K Ojha Yogesh Godge Rakesh K Singh Rajesh Benny Source Type: research

Clinical features, risk factors, and short-term outcome of ischemic stroke, in patients with atrial fibrillation: Data from a population-based study
Conclusions: Ten percent of stroke patients had AF. They were older, had multiple risk factors and worse outcome. There was no gender difference in this large cohort.
Source: Annals of Indian Academy of Neurology - August 10, 2017 Category: Neurology Authors: G William Akanksha Kaur Paramdeep Singh Gagandeep Bansal Rajinder S Paul Birinder Singla Monika Singh Shavinder J Samuel Clarence J Verma Shweta Meenakshi Sharma D Pandian Jeyaraj Source Type: research

Percutaneous left atrial appendage closure in AF using Amplatzer Cardiac Plug: First single center experience from India.
We report the first single center experience, from India, of percutaneous LAA closure with Amplatzer Cardiac Plug in 10 patients of non-valvular AF. These patients had contraindications for OAC or had high risk of bleeding or labile international normalized ratio (INR) on therapy. RESULTS: We successfully deployed the devices in all of the cases with no major complications perioperatively and on short-term follow-up. We also report a comprehensive review on the technique of percutaneous LAA closure using Amplatzer Cardiac Plug, including some novel modification with our experience of doing percutaneous mitral balloon ...
Source: Indian Heart J - December 1, 2015 Category: Cardiology Authors: Shetty RK, Naveen Chandra GS, Agarwal S, Nayak K, Sudhakar Rao M Tags: Indian Heart J Source Type: research

The Indian consensus guidance on stroke prevention in atrial fibrillation: An emphasis on practical use of nonvitamin K oral anticoagulants.
Abstract The last ten years have seen rapid strides in the evolution of nonvitamin K oral anticoagulants (NOACs) for stroke prevention in patients with atrial fibrillation (AF). For the preparation of this consensus, a comprehensive literature search was performed and data on available trials, subpopulation analyses, and case reports were analyzed. This Indian consensus document intends to provide guidance on selecting the right NOAC for the right patients by formulating expert opinions based on the available trials and Asian/Indian subpopulation analyses of these trials. A section has been dedicated to the curren...
Source: Indian Heart J - December 1, 2015 Category: Cardiology Authors: Dalal J, Bhave A, Oomman A, Vora A, Saxena A, Kahali D, Poncha F, Gambhir DS, Chaudhuri JR, Sinha N, Ray S, Iyengar SS, Banerjee S, Kaul U, SPAF Academy India experts Tags: Indian Heart J Source Type: research

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