Latest news with #Hemendra
The Wire
5 days ago
- Health
- The Wire
Heart Valve Replaced Without Surgery Through Arm Artery – First Ever Percutaneous Trans-Axillary TAVI in India
Jaipur – For the first time in India, doctors at Rajasthan Hospital, Jaipur have successfully replaced a heart valve through the artery in the arm without surgery, using a breakthrough technique called Percutaneous Trans-Axillary TAVI. The patient, a 78-year-old man (name changed to Hemendra), had severely blocked arteries in both legs due to calcium buildup, which made the conventional transcatheter valve implantation through the femoral artery impossible. Dr. Ravindra Singh Rao, Vice Chairman of Rajasthan Hospital, and his team performed this innovative and life-saving procedure, claiming it as the first such case in India. Normally, TAVI (Transcatheter Aortic Valve Implantation) is done by passing an artificial valve through the femoral artery in the thigh. However, in Hemendra's case, this route was blocked, and his heart was functioning at only 25% capacity. He also had difficulty breathing, worsening kidney function, and had previously undergone two stent procedures. The Arm Artery: An Alternative Route Refusing to give up, Dr. Rao's team opted for a rare and complex approach. Using ultrasound guidance, they precisely punctured the subclavian artery near the collarbone in the left arm. A small tube (sheath) was inserted, followed by placement of a percutaneous suture system to secure the access point. A larger delivery system was then advanced through the artery, allowing the team to successfully implant the new artificial heart valve. After valve deployment, the artery was sealed using a ProGlide closure device. Until now, the subclavian artery route for TAVI in India was used only through open surgery. This case marks the first ever percutaneous (completely non-surgical) trans-axillary TAVI in the country. A New Life for the Patient The patient's symptoms improved almost immediately after the procedure. His breathing eased, kidney function normalized, and heart efficiency improved significantly. He was discharged from the hospital just five days later, fully stable. A Landmark in Indian Medical History Dr. Ravindra Singh Rao stated, 'In India, around 3–5% of patients suffering from aortic stenosis may have blocked femoral arteries, making the standard TAVI approach unfeasible. For such patients, this alternative arm artery route can be life-saving.' This achievement is not only a milestone for Rajasthan but also a remarkable step forward for Indian cardiology. The success of the percutaneous trans-axillary TAVI has demonstrated that with innovation and courage, even the most complex medical challenges can be overcome. Key Highlights: • First-ever heart valve replacement through the arm artery without surgery in India • Conventional femoral route was blocked due to severe calcification • Patient's heart functioning only at 25%; kidneys also deteriorating • Innovative approach led to full recovery; patient discharged in 5 days • Sets a new path of hope for patients with similar vascular limitations This groundbreaking success showcases the world-class capabilities of Indian interventional cardiology and opens new horizons in minimally invasive heart procedures. Dr Kailash Chandra, Dr Govind Narayan Sharma and Dr Prashant Varshney's support were helpful during procedure. (Disclaimer: The above press release comes to you under an arrangement with NRDPL and PTI takes no editorial responsibility for the same.).
Hans India
21-05-2025
- Hans India
Man gets lifer for raping minor
Baripada: A POCSO court in Mayurbhanj district on Monday sentenced a 30-year-old man to life imprisonment for raping a 12-year-old girl last year. The POCSO court judge, Santosh Kumar Nayak, also imposed a fine of Rs 10,000 on the convict, Hemendra Naik. If he fails to pay the amount, he would have to undergo an additional six months in prison, special public prosecutor Manaranjan Pattnaik said. The court directed the District Legal Services Authority of Mayurbhanj to pay Rs 3 lakh as compensation to the survivor, he said. The judgment was based on the statements of the girl and nine witnesses, besides the medical report, the public prosecutor said. The incident took place on June 4, 2024 while the minor had gone to a nearby weekly market. Hemendra lured the girl with chocolate and took her to a lonely place and raped her, police said. On the basis of a written complaint filed by the survivor's father, Jashipur police station registered a case under sections of the IPC and POCSO Act and arrested Hemendra, they said.
