Co\') te.n t fa y He..crrt Ce.-yrh-e'S

The Kamineni Heart & Vascular Centre

leader in care of patients with heart, vascular and thoracic conditions

The Kamineni Family Heart & Vascular Centre physicians, surgeons, nurses and other health careprofessionals are dedicated to providing the highest level of patient heart care. In order to achieve thisgoal, areas of expertise have been developed, combining research, education and clinical practice toprovide innovative and scientifically based treatments (the newest medications, lifestyle changes, and •.interventional or percutaneous, and surgical procedures) for heart, vascular and thoracic disease, We havephysicians and surgeons in every specialty. The end result - better care outcomes for our patients.

Kamineni Heart Ceritr~ has'gained National '& Internati~nal Recoqnition for their pioneering work inCardiology & Cardiac Surgery. '.' .

Cardiology:

Kamineni Hospital's Cardiology Department provides patientswiih expert di~g~lOSis,rapid access to thestate-of-the-art facilities, consultation with other specialties when needed, and the option of continuedcare with a Kamineni Hospital's interventional cardiologist.

Patients are referred from all over India to the Cardiology Department for diagnosis and treatment ofhigh-risk and complex forms of coronary artery disease, intractable angina (chest pain) and congenitaland valvular heart disorders, carotid artery disease and peripheral vascular disease which is done incollaboration with other specialist.

Services in Cardiology:

Angiography (Coronary, renal, peripheral, carotid, femoral & radial)Angioplasty (Balloon valvotomies, direct stenting, drug elutin stenting)Primary PTCA& stentingPacemaker implantation (permanent & temporary), ICDs & CRTsimplantsPeripheral angioplasty, Peripheral renal angioplastyCardiac catheterizationsIVF filter implantationDevice closure for septal defectsRFAblation for arthemiasNon invasive ECHO CardiographyNon invasive congenital ECHO CardiographyNon invasive stress testing

Non invasive 2H Holter study

· ,

Cardiology Milestones

Milestones: - No. of surgeries - 2038 per annum ( Need exact info from all three hospitals)

Rare & complex cases: Carotid Stent

ASD/VSD closure by device

Peripheral grafts for Aneurysm of Aorta

Peripheral Angioplasty

The first hospital chain India to perform Endoscopic Radial Harvesting procedure

The first hospital to perform Awake heart bypass surgery with Aortic valve replacement

First hospital to perform CABG( bypass Surgery) on a 9year old girl

The first hospital in India to perform vertebral Artery Angioplasty

Cardiothoracic:

Cardiac and thoracic surgeons at Kamineni Hospitals have specialized training in diagnosing and surgicallytreating diseases of the heart, lung, chest, esophagus, diaphragm and blood vessels (cardiac and thoracicdiseases). The Division of Cardiothoracic Surgery offers the full spectrum of cardiothoracic surgical services,including ventricular assist devices and heart and lung transplantation. Cardiothoracic surgeons performadvanced procedures including minimally invasive surgery and "off-pump bypass" heart procedures.

Services in Cardiothoracic:

Minimal invasive cardiac surgeriesValve repair / replacement surgeriesAneurysm repair surgeriesPeripheral vascular surgeries

Congenital heart surgeriesOn-Pump Coronary Artery Bypass SurgeryOff-Pump Bypass Surgery (Beating Heart Bypass Surgery)Conscious Off-Pump Coronary Artery Bypass Surgery- COPCAB (Awake Coronary Artery Bypass Surgery-

ACAB)

Redo Bypass SurgeryMVR with correction of AF using Maze III procedure

Vascular Surgery:

The Vascular Center at Kamineni Hospital offers comprehensive, leading-edge diagnosis and treatmentfor all types of diseases involving the arteries, veins and lymph vessels. Patients who have vasculardiseases receive the most appropriate care in a compassionate environment at the Vascular Department.

Patients visiting Kamineni Hospital for vascular surgery receive expert care from specialists who areleaders in conventional and state-of-the-art diagnostics and treatments.

Services in Vascular Surgery:

Thoracic & Abdominal Aortic AneurysmsThoracic & Pulmonary SurgeryAdult & pediatric Open Heart SurgeryVascular surgeries (Aorto bifermoral bypass & femoro-politial bypass)Cardiac Rehabilitation

The Heart Centre collaborates with various internal departments to provide complete care to patients on avariety of levels; they include supporting departments like:

Physiotherapy and RehabilitationDepartment of nutritionDiabetologyNephrology and DialysisDiagnostic Radiology- Cardiovascular Imaging: MR / CTCardiothoracic Anesthesiology

Pediatric Interventional Cardiology:

Cardiac SurgeryCABGsMinimally Invasive CABGs

Valve replacement for valvular heart diseaseASD, VSD closures & congenital heart defects repair

Closed heart surgeries & vascular surgeries

Sports Cardiology:

Complete Non- Invasive set up for cardiac rehabilitation & sports medicine, including

physiotherapy

Emergency cardiology:

14 bedded Intensive Coronary Care Unit to treat Acute MI & ACS patients with Step down ICUWe offer primary angioplasty with Step down ICU

15 bedded critical care unit & RICUwith Step down ICU

Separate Cardiac Surgery Critical Care Unit with Step down ICU

Women Cardiology:

Separate OPD for WomenPreventive cardiology clinic for women

We treat complex diseases like:

Adult congenital heart diseaseAdvanced Ishemic Heart diseaseAortaAtrial Fibirillation

Heart FailureHypertrophic Cardiomyopathy

Pericardial diseasesThrombosisVantricular ArthymiaWomen Cardio Vascular diseases

Common Diseases:

Coronary Heart DiseaseVascular Heart Disease

CardiomyopathiesSystemic HypertensionLipid DisordersDiabetic Heart DiseasesPulmonary EmbolismPulmonary HypertensionDVT

Research:

Drug Trials on OTO Mixaban

Trials on Taxes Stent versus Xience Stents

Involved in International study like Create TrialsOutcomes of minimal invasive cardiac surgery

Retrograde priming

Randomized study of Balloon Mitral Valvuloplasty (vs) Surgical closed mitral commissurotomy(

Immediate and Long term results)Phase iii Clinical investigation of E B Siders Button device for closure of atrial septal defects and patent

ductus arteriosus ( In collaboration with prof. E B Sideris, Univeristy of Athens, Greece & University of

Texas tech. USA)Indigenous development of Cardiovascular Catheters i.e., Diagnostic catheters, Coronary angioplastyBalloon Catheters, valvuloplasty balloon catheters in collaboration with defenceresearch development

Laboratory (DRDLl, HyderabadDevelopment of ASD & PDA closure devices in collaboration with DRDL, Hyderabad

Educational Programs:

• Technician course for per fusionist• General surgery post graduation rotation• Denovov Intra Coronary Stenting by Schatz - Palmaz Stents with Teirstein - California, May 1994• Denovo stenting with Palmaz Stents for Peripheral Vascular with Kayyur Parikh, California, june 1993

• Percutaneous Closure of ASD & PDA with button device with E.B.Sideris - USA, February 1993• Application of Medtronic - Wiktor Intra Coronary Stents Coronary dissections during PTCA with Paul

Kasrmer, USA, December 1992

• Percutaneous Balloon Mitral Valvuloplasty -Inove technique with Hung - Taiwan, February, 1992• Use of Percutaneous Cardiopulmonary Support system with Fayaz Shawl- USA, November 1991• Application of GIANTERCO- ROUBIN Intra Coronary Stents for acute occlusion during PTCAwith Gary

S. Roubin - USA, Larry Dean, USA, December 1990.

Community Programs:

• Conferences• CME - Ananthapur Physician Association

• Health talk• Cyclothone was done in association with Times of India? find details• Heart Walk was conducted with TV 9 ? find details

FacilitiesVaIvuloplasty

Mitral Valve repair

Equlpments• Tran esophageal echocardiograrn• Siemens cath lab with digital substryction

• Angiography

• Rotational angiography

• IE 33 philips ECHOcardiogr phy machine with 3D ECHO

• Tissue Doppler• Traneasopheal ECHOoption

I

Team Strength (Need Info)

TechniciansTrained NursesEmergency PhysiciansAnesthetistsSurgeon

\>-~f oAoo. '\~ '" ()- la,1JI•u~») LUtO"

\..-A

~ ..t>. \. to'Ji>c.~,

King Koti: 't Co-I• '~l

Dr Aejaz Baig -~ q 2<;?<; Pr e-' '!> 0-+ :Sf 'r ~, s&d (.Dr: Ashish ••. (\t"\l.c!.'d,..), t}Ne.c..co.'rc::lioto3i) ~. f"

Dr. B.G.K.Sudhakar MD., D.M. . r:tf'\l. , ,.10..#9_ ~ (t..Ai cJ..l) \ ),Dr. Ch. Umesh Chandra ~ q~ - ~ 4-'{ ~ .N .••• fl. ftf-Dr. Mohd. Wasif Azam MD., D.N.B.(Cardiology); MNAMS f-t- C-.Dr. Shailender Singh MD., D.M. (,\) ~~Dr. Sumeet Sinha MD., D.M.Dr. Thirugyanam MD., MSICP.FSCAI.,PhD.(USA)

list of all doctors:

LBNagar

Dr. M.R.M. Babu, D.M., MD.Dr. Sagar BHuyar M.D., D.N.B.Dr. Vinod Unni, MD., D.M.(Cardiology)

Publications

International

Percutaneous balloon Valvuloplasty compared with open surgical Commissurotomy for MittralStenosis( NEJM Oct is". 1994)

Percutaneous Mitral Valvuloplasty with dextrorotion and Mitral stenosis ( cath & Cardiovasculardiagnosis, Sept 1993)

Prosthetic valve occlusion - role of thrombolytic therapy - immediate and long term results ( Annais of

Thoracic surgery - 1993)

Open surgical Commissurotomy (vs) Balloon Mitral Valvuloplasty - result of a randomized trail ( NEJMOct 13th

, 1994)

Magnetic resonance imaging of Aortic aneurysm ( American Heart Journal July 1990)

National

Merophometric analysis of Coronary lesions in Patients with unstable angina - An arteriographic study ( Indian

Heart Journal, Vol. 43, 1991)