Pediatric Cardiology Procedures & Equipments

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Pediatric cardiology

Services Offered

Equipment & Procedures

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Q & A

Equipment:

A: Non-invasive:
1. Advanced Pediatric and Fetal echo Lab:
Launched in 2008, this lab has 2 Philips IE 33 echo machines exclusively for Pediatric cardiac imaging (2D, 3D, TEE ) and Fetal echocardiography. The lab has a work-station with the advanced Q-lab software for offline processing of 3D images, a digital library for image archiving in DVDs, electronic databases of the echo reports and a dedicated staff consisting of 2 nursing assistants and a secretary.
Additional echo machines:
	Philips 5500 Echocardiogram machine with three dedicated probes (Shared with adult services for post operative patients) with Pediatric and adult multiplane TEE probes. Two portable machines for community based activities ( Siemens Cypress Machines (partially supported by a donation from children's heart link)
2. Exercise Machines
	CPX machine (Exclusively for pediatric work), Treadmill (Shared)
3. Electrophysiology and arrhythmias: (Shared with adult cardiology).
4. Head up Tilt Test
5. Holter
Additional Imaging Equipment Available through the Radiology and Nuclear Medicine Department:
	Siemens multi-slice 64 slice CT scan Siemens Sonata: MRI and MR angiography Gamma Camera (Siemens)
CATHLAB
	The Artis Zee from Siemens Germany, the specifically designed to meet the demands of cardiac imaging today and future. Built on three pillars Imaging excellence with precision Enhanced workflow and flexibility Investment confidence Capable to do Interventional cardiology Electrophysiology Paediatrics General vascular applications Excellent image quality Artis Zee imaging chain with state of the art flat detector technology enhances image quality and significantly improved clarity at lower possible radiation levels. This makes the complex interventional procedures faster and better. IC stent package in Artiz Zee enhances the visibility of desployed stent. DSA online to perform vascular interventions. Zee enhanced work flowed during examination, post examination: The tableside control provides complete control With modular system control Graphical user interface Mouse like joystick Integrated hemodynamic recording system Maximum coverage of patient with positions flexibility
B: Invasive
	Two Siemens Hi-Cor catheterization laboratories Facility for comprehensive electrophysiology and catheter ablation therapy Electronic databases and digital library of the cath studies.
C: Dedicated Pediatric Cardiac Intensive Care facility
With supporting monitors and ventilators, Inhalational Nitric Oxide.

List of Procedures:

Catheter Interventions:

Closure of many heart defects needs an operation for their treatment and often this is an open-heart operation. Today newer developments in cardiac catheterization technology allow closure of selected patients with heart defects without an operation. This avoids the trauma of surgery and allows very rapid recovery. The procedures are performed in the cardiac catheterization laboratory and require no more than a needle prick in the groin. Examples of heart defects that can be closed in the catheter laboratory include

Atrial septal defects (ASD): AIMS has one of the largest experience in trans-catheter ASD device closure in India ( > 800 cases)
Patent Arterial Ducts (PDA): Using cost-effective techniques developed at AIMS over 2000 PDA closures have been performed in the catheterization laboratory at AIMS. This is one of the largest experiences in the World.
Ventricular Septal Defects (VSD): The technique as been modified at AIMS to allow closure of some of these defects at reduced cost to the patient
Other Defects:Coronary artery fistula, pulmonary arterio-venous malformation Additional procedures performed in the catheter laboratory at AIMS include balloon dilation procedures for valve obstruction at all ages, stenting of coarctation, pulmonary artery and, PDA. Recently, we have performed hybrid procedures for complex CHDs like hypoplastic left heart where the surgeon and the cardiologist combine together.

Pacemaker implantation in children: AIMS has comprehensive facilities for pacemaker therapy in children

Pediatric Electrophysiology: Comprehensive EP facility is available at AIMS for children of all ages.

Comprehensive Surgical Support:A strong team of dedicated pediatric cardiac surgeons are available at AIMS. This includes four dedicated full-time pediatric cardiac surgeons. On an average 4 operations are performed for children with congenital heart disease every day. The open heart procedures include closure of atrial and ventricular septal defects, repair of tetralogy of Fallot, repair of total anomalous pulmonary venous connection, arterial switch operation, the Senning operation, the Fontan procedure (including the extra-cardiac Fontan operation), the Glen procedure and, repair of common AV canal defects. The closed heart procedures include BT shunt, coarctation repair and, PDA ligation and interruption
Open-heart operations are also regularly performed in the very young. Neonatal operations such as the arterial switch procedure and repair of obstructed TAPVC have also been performed with success rates matching international standards.