Al Qassimi Hospital realizes first TAVI in 45 min with success Sharjah-UAE: June 24, 2013 - Al Qassimi Hospital, the largest governmentally operated hospital in the emirate of Sharjah concluded the first TAVI using a core valve in the Asian region. Dr. Arif Al Nooryani, a UAE national interventional cardiologist, successfully concluded on June 23, 2013 along with two flown-in and internationally renowned heart specialists the first transcatheter aortic valve implantation (TAVI/ TAVR).
Preparations for the procedure were held locally and performed by a team of ten professionals, headed by three specialized interventionalists, anesthetists and nurses from the cardiac team. Doctors were Dr. Arif Al Nooryani, Chief Executive Officer, Consultant Interventional Cardiologist and Head of Cath Lab Unit at the Al Qassimi Hospital; Dr. Thomas Modeen, cardiothoracic and vascular surgery consultant MD, PhD, MBA from Lille University Hospital.
TAVI is known as a rare operation method, which is risky and costly. This type of procedure is preferred for patients whom surgeons consider not to be suitable for conventional surgery. Patients are commonly affected by severe symptomatic aortic stenosis (narrowing of the aortic valve opening), who are not eligible for traditional open chest surgery or inoperable candidates. TAVI is performed on a beating heart and does not require cardiopulmonary bypass (a technique that temporarily takes over the function of the heart and lungs during surgery, maintaining the circulation of blood and the oxygen content of the body).
The patient of Al Qassimi Hospital is specified as a UAE national, male, 88 years old with symptomatic history and diagnosed heart failure. The cost of a TAVI surgery in the United Arab Emirates is around AED 220,000 and in the case of the UAE National paid by the government.
Procedure: A two centimeter cut at the front neck will be opened and a wire crosses through the artery to the heart. A catheter about the size of a pen is carefully passed up to the heart to check its pressure and conditions prior to inserting the valve. In the meantime the valve (made of bovine (cow) tissue and supported on a metal stent and preserved in a small box) is prepared for approximately 15-20 minutes in cold/icy water. When the valve is ready for use, the surgeon inserts it into the wire and squeezes the valve through to the heart and deploys it inside the narrowed valve in the heart resulting in a normal functioning aortic valve.
The patient stays in the hospital up to four days for observation and is asked to visit the doctor for regular check-ups on a frequency of every three month.
Up to date 60,000 valves have been implanted worldwide and numbers are increasing due to its convenient and comparatively secure method. Al Qassimi Hospital is furthermore the only certified center in the United Arab Emirates for implementation of a device called watchman (a filter-like device, which looks like a jellyfish, protects sufferers from harmful blood clots, is used to protect from stroke). The hospital reports state 113 cases of TAVI completed with success and receives currently one to two requests per month.
Dr. Arif Al Nooryani is certified to perform this kind of intervention independently and is authorized in the learning program mentoring new medical professionals for those new surgical procedures.
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Posted by : Dubai PR Network Editorial Team Viewed 22857 times PR Category :Healthcare & Medicine Posted on : Tuesday, June 25, 2013 5:16:00 PM UAE local time (GMT+4)
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