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Past events at MIOT

Mrs. Nisreen Tahr Mawlood, a 63 year elderly women from the Northern Iraq had chest pain worsening over 3 months even on minimal activity. She underwent CT Coronary Angiogram in Iraq and was found to have multiple blockages in all three vessels. She was asked to undergo Cardiac bypass Surgery in view of multiple blockages.

Mrs. Nisreen Tahr Mawlood however, was very reluctant to undergo surgery for personal reasons and wanted to undergo Coronary Angioplasty (Balloon and Stent Procedure also called PCI/percutaneous coronary intervention). This however, was declined by the doctors in the Middle-East as they considered this to be very high risk and technically difficult. They did not feel they had the necessary expertise to do PCI in multiple complex vessel blockage (according to patient).

She therefore came to Chennai, having heard of MIOT’s new advanced Heart Centre with the latest Catheter Lab Technology (with Advanced Coronary Imaging such as OCT) and International trained Experts in Interventional Cardiology.

In Chennai, she met MIOT’s renowned Cardiothoracic Surgeon on the insistence of the Interventional Cardiologist. However, she and her family were still not keen to have bypass Surgery. She wanted to have PCI or persist with current treatment, even though she had significant chest pain. MIOT’s team of Interventional Cardiologist after much counseling offered her this procedure though she was warned about the high risk involved.

MIOT’s team of Experts in Interventional Cardiology undertook the procedures on 31.3.2012. It was a complex procedure done over 3 hours, using many advanced guide wires and balloons. (Obviously as this procedure was a substitute for Bypass). The Patient was implanted with Six Drug-eluting Stents (the latest imported third generation stents) in all three vessels. Two Stents were implanted in each artery with various techniques used such as “minicrush” for the blockages involving branching arteries. Following a successful procedure, a very satisfied and happy patient plans to return to Iraq tomorrow (4 days after her implant).

Thus, in present era, with the combination of fully trained Experts, Advanced technology of Drug coated Stents and Balloons, and modern infrastructure (latest Cathlab as available in MIOT), Multi vessel PCI offers a viable alternative for bypass surgery especially in those who are unwilling or too unwell to undergo major surgery. It is important to point out that there are some patients where bypass is the only option available through the percentage of patients in this category is falling rapidly.

This Story can only get better, as fully absorbable stents are on their way!!