History:- The technique was first developed in 1927 by the Portoguese physician and neurologist Egas Moniz to provide contrasted x-ray cerebral angiography, in order to diagnose several kinds of nervous diseases, such as tumors, coronary heart disease and arteriovenous malformations.
Technique:- Depending on the type of angiogram access to the blood vessels is gained most commonly through the femoral artery, to look at the left side of the heart and the arterial system or the jugular or femoral vein, to look at the right side of the heart and the venous system. Using a system of guide wires and catheters, a type of contrast agent (which shows up by absorbing the x-rays), is added to the blood to make it visible on the x-ray images.
Uses Of Coronary Angiography:- One of the common angiograms performed is to visualize the blood in the coronary arteries. A long, thin, flexible tube called a catheter is used to administer the x-ray contrast agent at the desired area to be visualized. The catheter is threaded into an artery in the forearm or leg and the tip is advanced through the arterial system into the major coronary artery. X-ray images of the transient radiocontrast distribution within the blood flowing within the coronary arteries allows visulization of the size of the artery openings.
Neuro-vascular angiography: - Another increasingly common angiographic procedure is neuro-vascular digital subtraction angiography in order to visualize the arterial and venous supply to the brain. Intervention work can also be performed
Peripheral Angiography:-Angiography is also commonly performed to identify vessel narrowing in patients with leg claudication of cramps, caused by reduced blood flow down the legs and to the feet; in patients with renal stenosis (Which commonly causes high blood pressure) and can be used in the head to find and repair stoke. These are all done routinely through the femoral artery, but can also be performed through the brachial or radial (arm) artery. Any stenosis found may be treated by the use of angioplasty.
Complication Of Coronary Angiography: - Coronary angiography is common and major complications are rare. These include Cardiac arrhythmias, kidney damage, blood clots (which can cause heart attack or stroke), hypotension and pericardial effusion. Minor complication can include bleeding or bruising at the side where the contrast is injected, blood vessel damage on the route to the heart from the catheter (rare) and allergic reaction to the contrast.
Cerebral Angiography: - Major complication in Cerebral Angiography are also rare but include stroke, an allergic reaction to the anesthetic other medication or the contrast medium, blockage
Tuesday, June 29, 2010
Tuesday, May 4, 2010
Thousands of Cancer patients have been benefitted from the Ayurvedic Medicine “Karktol” by Dr. Nandlal Tiwari of Jaipur.
70 years old Dr. Nandlal Tiwari has emerged as a ray of hope for the cancer patients. He developed an ayurvedic medicine ‘Karktol’ for the cancer patients that have been very beneficial for these patients.
Dr. Tiwari thought of developing a cancer medicine while he was working in the tea gardens. There he learned about treating the diseases by plants. He prepared a list of 8 plants which proved effective in the treatment of cancer.
Actually since long time, people had been relying on western practices for the treatment of cancer which has operation as the last resort of its treatment. Many times the whole breast had to be removed for the treatment of breast cancer. But today Dr. Nandlal TIwari has proved through his medicine ‘Karktol’ that ayurveda too has a treatment for cancer.
The Ayurvedic medicine of cancer karktol has been developed after intensive research and experience of 40 years by Dr. Tiwari. This medicine is completely Ayurvedic, so it is completely beneficial, it has no side effect.
Dr. Tiwari has treated thousands of terminal cancer patients. In this respect he got recognition in different countries. In his own country and state he got only negligence. Frustrated by this negligence he burned 20 years old record of patients being recovered from terminal cancer. But his children again encouraged him because many inquiries were generating from USA and UK. They had known that his medicine could treat terminal cancer.
In addition 111 breast cancer patient women are using karktol and found it effective. Those women who have been operated for breast cancer or using chemotherapy can also use karktol.
It is proud of Ayurveda as well as India that Dr. Nandlal Tiwari has given his unforgettable contribution for the development of successful cancer treatment medicine Karktol. Today this medicine is copyright registered in 180 countries.
Possibly most of the women don’t know that breast cancer is not only painful but it is fatal. The western treatment of it is very costly as well as painful and it is not guaranteed for success.
So test your breast every month yourself and if you find any bulge, get it tested by professional. If it is breast cancer, start the treatment without any delay. Try to cure it in the very first stage. Don’t let it go in second or third stage.
Many women with breast cancer are afraid of injections and operation. They want to live too. For such women karktol by Dr. Nandlal Tiwari has come up as a boon. It is under budget. One month dose of this medicine comes for a nominal charge. Karktol comes in capsule form and has to be taken one daily after each 6 hours for 80 days. Through the regular use of this medicine cancer patients get required benefit.
Dr. Nandlal Tiwari stands for applaud for the development of this rare medicine of cancer ‘karktol’. He has been treating patients world over. He should be praised for his work as the doctor is seen as a God who treats those in need and gives them long life.
A Hymn in Ayurveda mean, “No one is immortal in this world, so death cannot be delayed but the diseases can be treated.”
Dr. Nandlal Tiwari is doing this good work. He has treated cancer through his talent. Now there is a need for the awareness against cancer so that people get timely treatment and live a long life.
Today many cancer patients are emerging due to the habit of Gutka and tobacco. Dr. Tiwari’s medicine may be the one for them.
Dr. Tiwari’s record suggests that during 1985 to 1990 Dr. Tiwari treated 1000 patients out of whom 429 were breast cancer patients, 157 prostate cancer patients and 162 were blood cancer patients.
This achievement shows that for cancer patients a boon is available on earth and that is ‘Karktol’.
For further information contact:
Dr Nandlal Tiwari Cancer Research Centre
Sector 2, House no. 13, Malviya Nagar, Jaipur, Rajasthan 302017
Phone: 91+141 2521385, 2521224 Fax: 91-0141-4004443
Website: www.cancermedi.com, Email: info@cancermedi.com
Clinic timings: Only on Mondays, 8 am - 9 am and 2 pm - 3 pm
Dr. Tiwari thought of developing a cancer medicine while he was working in the tea gardens. There he learned about treating the diseases by plants. He prepared a list of 8 plants which proved effective in the treatment of cancer.
Actually since long time, people had been relying on western practices for the treatment of cancer which has operation as the last resort of its treatment. Many times the whole breast had to be removed for the treatment of breast cancer. But today Dr. Nandlal TIwari has proved through his medicine ‘Karktol’ that ayurveda too has a treatment for cancer.
The Ayurvedic medicine of cancer karktol has been developed after intensive research and experience of 40 years by Dr. Tiwari. This medicine is completely Ayurvedic, so it is completely beneficial, it has no side effect.
Dr. Tiwari has treated thousands of terminal cancer patients. In this respect he got recognition in different countries. In his own country and state he got only negligence. Frustrated by this negligence he burned 20 years old record of patients being recovered from terminal cancer. But his children again encouraged him because many inquiries were generating from USA and UK. They had known that his medicine could treat terminal cancer.
In addition 111 breast cancer patient women are using karktol and found it effective. Those women who have been operated for breast cancer or using chemotherapy can also use karktol.
It is proud of Ayurveda as well as India that Dr. Nandlal Tiwari has given his unforgettable contribution for the development of successful cancer treatment medicine Karktol. Today this medicine is copyright registered in 180 countries.
Possibly most of the women don’t know that breast cancer is not only painful but it is fatal. The western treatment of it is very costly as well as painful and it is not guaranteed for success.
So test your breast every month yourself and if you find any bulge, get it tested by professional. If it is breast cancer, start the treatment without any delay. Try to cure it in the very first stage. Don’t let it go in second or third stage.
Many women with breast cancer are afraid of injections and operation. They want to live too. For such women karktol by Dr. Nandlal Tiwari has come up as a boon. It is under budget. One month dose of this medicine comes for a nominal charge. Karktol comes in capsule form and has to be taken one daily after each 6 hours for 80 days. Through the regular use of this medicine cancer patients get required benefit.
Dr. Nandlal Tiwari stands for applaud for the development of this rare medicine of cancer ‘karktol’. He has been treating patients world over. He should be praised for his work as the doctor is seen as a God who treats those in need and gives them long life.
A Hymn in Ayurveda mean, “No one is immortal in this world, so death cannot be delayed but the diseases can be treated.”
Dr. Nandlal Tiwari is doing this good work. He has treated cancer through his talent. Now there is a need for the awareness against cancer so that people get timely treatment and live a long life.
Today many cancer patients are emerging due to the habit of Gutka and tobacco. Dr. Tiwari’s medicine may be the one for them.
Dr. Tiwari’s record suggests that during 1985 to 1990 Dr. Tiwari treated 1000 patients out of whom 429 were breast cancer patients, 157 prostate cancer patients and 162 were blood cancer patients.
This achievement shows that for cancer patients a boon is available on earth and that is ‘Karktol’.
For further information contact:
Dr Nandlal Tiwari Cancer Research Centre
Sector 2, House no. 13, Malviya Nagar, Jaipur, Rajasthan 302017
Phone: 91+141 2521385, 2521224 Fax: 91-0141-4004443
Website: www.cancermedi.com, Email: info@cancermedi.com
Clinic timings: Only on Mondays, 8 am - 9 am and 2 pm - 3 pm
Thursday, March 25, 2010
Rasta Future Ka: BBC Hindi’s Highway Hindustan journey
As India’s Highways Minister, Kamal Nath, has announced the plans to build 20 kilometres of roads a day from June 2010, BBC Hindi is embarking on a three-week journey across India to find out how this construction may change the nation. As part of the ambitious multimedia project, Highway Hindustan - Rasta Future Ka, from Monday 22 March, a team of BBC journalists will cover about 2,500 kilometres, travelling along India’s Golden Quadrilateral highway network which connects Delhi, Mumbai, Kolkata and Chennai.
With live interactive radio shows and text, blogs, audio and video features online on bbchindi.com, the BBC teams will investigate the effects of the construction on the lives of individuals and communities alike. The following issues are in the BBC’s spotlight:
• What difference will these roads bring to the lives of farmers who have so far sold their produce to the middleman or in the local market? Will they be able to sell their produce in better markets?
• Will they help bridge the divides in a country that is home to several languages, different regions and religions and make way for a more cosmopolitan and tolerant environment?
• Will it bring about an auto boom – and mean the demise of mass transit system in India?
• Will affected villages become hubs for HIV or centres of opportunity?
• What would be the impact on environment?
Head of BBC Hindi, Amit Baruah, says: “India is one of the world’s fastest-growing economies, and adding 20 kilometres of road to the country’s landscape every day will no doubt result in some astounding changes. With Highway Hindustan , BBC Hindi is mounting an ambitious programming on radio and online, providing our audiences with credible reports and in-depth analysis of the economic, ecological, social and political angles of this major story.”
The Highway Hindustan project consists of two journeys along the Golden Quadrilateral highway network: from Varanasi to Singur, near Kolkata, and from Chennai to Mumbai. The BBC teams’ itinerary includes stops in Varanasi, Gaya, Dhanbad, Singur/Kolkata, Chennai, Bangalore, Hubli, Pune and Mumbai.
Highway Hindustan is part of BBC Hindi’s news and current-affairs programming, produced from London and Delhi, and is available on shortwave, medium wave and via mobile phones. The BBC also offers special ‘infotainment’ output for India’s FM market, in Hindi and Tamil, available via partner stations across India, in the UAE and in the US. Hindi-speakers globally can get the latest news and analysis, audio as well as video features from India and elsewhere on the BBC's constantly updated Hindi-language news website bbchindi.com, which is now available on mobile phones as well.
Details of the journey is as follows :
Varanasi - 21/22 March 2010
Dehri-on-Sone - 23-25 March 2010
Dhanbad - 26-27 March 2010
Kolkata - 28-30 March 2010
Chennai - 31 March-2 April 2010
Bangalore - 3-4 April 2010
Chitradurga - 5 April 2010
Hubli - 6 April 2010
Kolhapur - 7 April 2010
Pune - 8 April 2010
Mumbai - 9-10 April 2010
Notes to editors
BBC Hindi programmes are produced from London and Delhi, set in a rolling format, with news, current affairs and features. The interactive morning and evening programmes, Namaskar Bharat, Tees Minute and Din Bhar, Is Waqt, bring news, analysis and interviews on a range of issues, from current affairs and careers to showbiz and sports. BBC Hindi is available on shortwave, medium wave, FM, internet radio and via cable television. Hindi-speakers globally can get the latest news and analysis, audio as well as video features from India - the BBC's constantly updated Hindi-language news website bbchindi.com, which is now available on mobile phones as well. The BBC’s special output for India’s FM market includes infotainment updates in Hindi and Tamil languages. This programming is available via partner stations in India such as :
BIG 92.7FM Agra, Ajmer, Aligarh, Allahabad, Amritsar, Asansol, Bareilly, Baroda, Bhopal, Bhubhaneshwar, Bikaner, Chandigarh, Cuttack, Delhi, Goa, Guwahati, Hissar, Indore, Jalandhar, Jammu, Jamshedpur, Jhansi, Jodhpur, Kanpur, Kolkata, Kota, Mumbai, Patiala, Rajkot, Ranchi, Rourkela, Shimla, Sholapur, Srinagar, Surat , Udaipur. Hello Radio 106.4 in Chennai, Kovai, Madurai, Trichy, Nellai, Tuticorin and Pondicherry; 95 FM Tadka in Jaipur ; 94.3 Tomato FM in Kolhapur; 94.3 Radio Misty in Siliguri , Radio Misty Sikkim 95 FM in Gangtok; Rangila FM 104.8 in Raipur. Also available via 105.4 FM Radio Spice in Dubai, UAE;in the US via HumDesi Radio in Chicago, Los Angeles, New York City, San Jose and Washington DC, and East FM in Nairobi and Mombasa.
BBC World Service is an international multimedia broadcaster delivering 32 language and regional services. It uses multiple platforms to reach 188 million listeners globally, including shortwave, AM, FM, digital satellite and cable channels. It has around 2,000 partner radio stations which take BBC content, and numerous partnerships supplying content to mobile phones and other wireless handheld devices. Its news sites include audio and video content and offer opportunities to join the global debate. For more information, visit bbcworldservice.com. To find out more a
With live interactive radio shows and text, blogs, audio and video features online on bbchindi.com, the BBC teams will investigate the effects of the construction on the lives of individuals and communities alike. The following issues are in the BBC’s spotlight:
• What difference will these roads bring to the lives of farmers who have so far sold their produce to the middleman or in the local market? Will they be able to sell their produce in better markets?
• Will they help bridge the divides in a country that is home to several languages, different regions and religions and make way for a more cosmopolitan and tolerant environment?
• Will it bring about an auto boom – and mean the demise of mass transit system in India?
• Will affected villages become hubs for HIV or centres of opportunity?
• What would be the impact on environment?
Head of BBC Hindi, Amit Baruah, says: “India is one of the world’s fastest-growing economies, and adding 20 kilometres of road to the country’s landscape every day will no doubt result in some astounding changes. With Highway Hindustan , BBC Hindi is mounting an ambitious programming on radio and online, providing our audiences with credible reports and in-depth analysis of the economic, ecological, social and political angles of this major story.”
The Highway Hindustan project consists of two journeys along the Golden Quadrilateral highway network: from Varanasi to Singur, near Kolkata, and from Chennai to Mumbai. The BBC teams’ itinerary includes stops in Varanasi, Gaya, Dhanbad, Singur/Kolkata, Chennai, Bangalore, Hubli, Pune and Mumbai.
Highway Hindustan is part of BBC Hindi’s news and current-affairs programming, produced from London and Delhi, and is available on shortwave, medium wave and via mobile phones. The BBC also offers special ‘infotainment’ output for India’s FM market, in Hindi and Tamil, available via partner stations across India, in the UAE and in the US. Hindi-speakers globally can get the latest news and analysis, audio as well as video features from India and elsewhere on the BBC's constantly updated Hindi-language news website bbchindi.com, which is now available on mobile phones as well.
Details of the journey is as follows :
Varanasi - 21/22 March 2010
Dehri-on-Sone - 23-25 March 2010
Dhanbad - 26-27 March 2010
Kolkata - 28-30 March 2010
Chennai - 31 March-2 April 2010
Bangalore - 3-4 April 2010
Chitradurga - 5 April 2010
Hubli - 6 April 2010
Kolhapur - 7 April 2010
Pune - 8 April 2010
Mumbai - 9-10 April 2010
Notes to editors
BBC Hindi programmes are produced from London and Delhi, set in a rolling format, with news, current affairs and features. The interactive morning and evening programmes, Namaskar Bharat, Tees Minute and Din Bhar, Is Waqt, bring news, analysis and interviews on a range of issues, from current affairs and careers to showbiz and sports. BBC Hindi is available on shortwave, medium wave, FM, internet radio and via cable television. Hindi-speakers globally can get the latest news and analysis, audio as well as video features from India - the BBC's constantly updated Hindi-language news website bbchindi.com, which is now available on mobile phones as well. The BBC’s special output for India’s FM market includes infotainment updates in Hindi and Tamil languages. This programming is available via partner stations in India such as :
BIG 92.7FM Agra, Ajmer, Aligarh, Allahabad, Amritsar, Asansol, Bareilly, Baroda, Bhopal, Bhubhaneshwar, Bikaner, Chandigarh, Cuttack, Delhi, Goa, Guwahati, Hissar, Indore, Jalandhar, Jammu, Jamshedpur, Jhansi, Jodhpur, Kanpur, Kolkata, Kota, Mumbai, Patiala, Rajkot, Ranchi, Rourkela, Shimla, Sholapur, Srinagar, Surat , Udaipur. Hello Radio 106.4 in Chennai, Kovai, Madurai, Trichy, Nellai, Tuticorin and Pondicherry; 95 FM Tadka in Jaipur ; 94.3 Tomato FM in Kolhapur; 94.3 Radio Misty in Siliguri , Radio Misty Sikkim 95 FM in Gangtok; Rangila FM 104.8 in Raipur. Also available via 105.4 FM Radio Spice in Dubai, UAE;in the US via HumDesi Radio in Chicago, Los Angeles, New York City, San Jose and Washington DC, and East FM in Nairobi and Mombasa.
BBC World Service is an international multimedia broadcaster delivering 32 language and regional services. It uses multiple platforms to reach 188 million listeners globally, including shortwave, AM, FM, digital satellite and cable channels. It has around 2,000 partner radio stations which take BBC content, and numerous partnerships supplying content to mobile phones and other wireless handheld devices. Its news sites include audio and video content and offer opportunities to join the global debate. For more information, visit bbcworldservice.com. To find out more a
Monday, March 1, 2010
Examidea would prepare for PET and PMT online.
Examidea prepared by Nanosoftech would prepare the students for PMT and PET. Director of the society Chetna Shrimali told that the process would be online and the students would be able to enter the test through nearest cyber cafe and home computer.
She said that total 20 tests would be taken. It would contain 1000 questions that will include all subjects. Tests will start from 27 March 2010. The fees will be 200 rupees.
Every student will be given a password through they will be able to take the test. Chetna Shrimali believes that the students clearing these exams will definitely be able to compete in PET and PMT because real subject experts Dr. M. G. Kekre for Chemistry, Mr. A. L. Tiwari for Physics and Induja sir for maths have helped in preparing these questions.
For more information log on to www.examidea.in
For more detail
Sandeep Khedekar 8878756868
Friday, February 26, 2010
UTV New Media’s ‘Audio Cinema’ creates a sensation
~ Acquires over 1.3 million subscribers within eight months of its launch ~
~ Sholay, Hum are the favourite movies amongst the MP audiences ~
Bhopal: UTV New Media Ltd. announced that they have witnessed an unprecedented growth with their first of its kind movie-on-your-phone service, Audio Cinema, with the overall number already clocking over 1.3 million subscribers in just 8 months of launch. Madhya Pradesh is a key market and in the month of January alone, has garnered around five lakh subscribers across operators making this service a phenomenal success in this region.
| Top 5 movies in Bhopal |
| Sholay |
| Ramayan |
| Hum |
| Krantiveer |
| Tezaab |
Audio Cinema is a service which offers movie enthusiasts, an abridged audio version of their favourite movies with dialogues, peppered with narration, along with the gist of the story. At affordable per-minute prices depending on the operator, the service can be availed by mobile phone and landline users by dialing in to 505999555.
Amongst the Madhya Pradesh audiences, the popular Audio Cinema movies’ list includes blockbusters such as Sholay, Krantiveer, Hum, Tezaab, Ramayana via capsule based releases (Hindi). Audio Cinema has movie buffs hooked on to their phones with new movies released after every four days.
IDEA Cellular is one of the leading mobile operators which offer ‘Audio Cinema’ to its large base of subscribers in the region.
Commenting on the success of Audio Cinema on their network, Mr.
Talking on the scope of Audio Cinema, Mr. Manish Agarwal, CEO, UTV New Media said, “India is a Bollywood crazy nation and with the mobile penetration in India witnessing a constantly rise – Audio Cinema is a perfect product to blend both these factors, opening up yet another entertainment avenue for our audiences. Such is the potential of this service, that we have the large telecom players claiming that Audio Cinema the next big thing on mobile after Caller Ring Back Tones (CRBTs). We are happy to partner with IDEA to make this service available for its subscribers in the region.”
“There is huge demand and market for this product in the Madhya Pradesh, especially in
Audio Cinema is available through various service providers including IDEA, Airtel and Reliance. As few of the innovative features associated with this initiative, users can fast forward, rewind
the movie and also go back to the menu for the films listing. Listeners can choose their preference from a long list of film titles, coupled with their preferred language option, anytime, anywhere.
About UTV New Media
UTV New Media Ltd., the digital arm of UTV, which officially came into fold since May 2008, addresses digital space in domains such as business, finance, entertainment (TV, films, music), gadgets and technology. The Company has put together capabilities to deliver content for user specific device. Youth have always been the primary target group of the Company and this focus is reiterated by the Company’s focus on two devices that command most attention of the youth - the computer and the handset
Thursday, February 25, 2010
Carotid Stenting A successful technique to prevent Paralysis
Dr. Shailendra Trivedi
Cardiologist and Angioplasty specialist
Carotid Stenting is a new modality to treat blockage in the Carotid artery of body by means of deploying a small mash like tube in that blood vessel. This procedure is suitable for patients of cerebrovascular disease who are either predisposed to paralysis or have had a reversible paralytic attack due to deposition of cholesterol containing blocks in the Carotid arteries. These arteries are situated on either side of our neck and one of its main branches supplies a large part of our brain. Formation of blood clot or partial blockade of this vessel leads to what we call as Ischemic stroke. It can lead to serious damage to a part of the brain or may even lead to loss of life.
When the carotid arteries are diseased cholesterol particles and platelets can flow along the blood stream (called embolisation) to brain and manifest as transient paralytic attacks called TIAs. Research has shown us that 30-40% of patients who develop paralysis have this kind of transient paralytic attacks before they develop a dense or disabling paralysis. It has also been proved that the cause for 75% of Ischemic strokes lies in the carotid arteries.
A few of the symptoms of TIAs are transient paralysis of upper/lower limbs, sudden blackout in front of one eye or temporary blindness of one eye, difficulty in pronouncing words, asymmetry of the face, confused state of mind etc. This is also important to note that most of these symptoms are on the opposite side of the diseased carotid artery and corresponding portion of the brain.
Most important of the risk factors leading to paralysis is High Blood pressure or Hypertension. This is the very reason one should not neglect his/her elevated blood pressure and take regular medications along with life style changes as prescribed by physician.
If one has any of the above mentioned symptoms an immediate consultation with a physician is necessary. On his advice the patient has to undergo a few tests of which Carotid ultrasound and Doppler examination is the best screening test. One may need to undergo MR angiography, CT angiography and a conventional catheter angiography to complete the diagnosis and decide about the further management of the patient.
The mainstay of treatment of Carotid artery disease is medical therapy but in the few patients when it fails to control the paralytic attacks then patients need mechanical interventions like either carotid stenting or surgical removal of block known as carotid endartrectomy. Carotid stenting is gradually being accepted as equally good alternative to surgery in the developed world and more patients are getting the benefits of this procedure. This treatment modality is definitely indicated for patients who carry a high risk of surgery like those who have bilateral carotid disease or totally occluded other carotid artery, or those with associated serious heart disease or those with short necks or those with severe disease of neck bones etc. Although as with any other modality of treatment carotid stenting also carries risk of some complications but with improvement in technology, understanding of disease and operator skills the rate of complications is getting less and less. After a successful carotids stenting procedure the patient is back to work in a matter of 3-4 days and escapes from major surgical procedure.
About Dr. shailendra Trivedi :
Dr. Shailedra Trivedi M.D. in Medicine from M.G.M. Medical College, Indore (M.P.) has been serving the people of Indore for more than 10 years. He also conducted awareness programmes in society. He is immediate past Secretary of the Cardiological Society of India, Indore branch, where regular clinical meetings, CME programmes, workshops etc as part of educational activities are organized. Now he is working CHL Apollo Hospital, Indore as Consultant & Interventional Cardiologist.
Cardiologist and Angioplasty specialist
Carotid Stenting is a new modality to treat blockage in the Carotid artery of body by means of deploying a small mash like tube in that blood vessel. This procedure is suitable for patients of cerebrovascular disease who are either predisposed to paralysis or have had a reversible paralytic attack due to deposition of cholesterol containing blocks in the Carotid arteries. These arteries are situated on either side of our neck and one of its main branches supplies a large part of our brain. Formation of blood clot or partial blockade of this vessel leads to what we call as Ischemic stroke. It can lead to serious damage to a part of the brain or may even lead to loss of life.
When the carotid arteries are diseased cholesterol particles and platelets can flow along the blood stream (called embolisation) to brain and manifest as transient paralytic attacks called TIAs. Research has shown us that 30-40% of patients who develop paralysis have this kind of transient paralytic attacks before they develop a dense or disabling paralysis. It has also been proved that the cause for 75% of Ischemic strokes lies in the carotid arteries.
A few of the symptoms of TIAs are transient paralysis of upper/lower limbs, sudden blackout in front of one eye or temporary blindness of one eye, difficulty in pronouncing words, asymmetry of the face, confused state of mind etc. This is also important to note that most of these symptoms are on the opposite side of the diseased carotid artery and corresponding portion of the brain.
Most important of the risk factors leading to paralysis is High Blood pressure or Hypertension. This is the very reason one should not neglect his/her elevated blood pressure and take regular medications along with life style changes as prescribed by physician.
If one has any of the above mentioned symptoms an immediate consultation with a physician is necessary. On his advice the patient has to undergo a few tests of which Carotid ultrasound and Doppler examination is the best screening test. One may need to undergo MR angiography, CT angiography and a conventional catheter angiography to complete the diagnosis and decide about the further management of the patient.
The mainstay of treatment of Carotid artery disease is medical therapy but in the few patients when it fails to control the paralytic attacks then patients need mechanical interventions like either carotid stenting or surgical removal of block known as carotid endartrectomy. Carotid stenting is gradually being accepted as equally good alternative to surgery in the developed world and more patients are getting the benefits of this procedure. This treatment modality is definitely indicated for patients who carry a high risk of surgery like those who have bilateral carotid disease or totally occluded other carotid artery, or those with associated serious heart disease or those with short necks or those with severe disease of neck bones etc. Although as with any other modality of treatment carotid stenting also carries risk of some complications but with improvement in technology, understanding of disease and operator skills the rate of complications is getting less and less. After a successful carotids stenting procedure the patient is back to work in a matter of 3-4 days and escapes from major surgical procedure.
About Dr. shailendra Trivedi :
Dr. Shailedra Trivedi M.D. in Medicine from M.G.M. Medical College, Indore (M.P.) has been serving the people of Indore for more than 10 years. He also conducted awareness programmes in society. He is immediate past Secretary of the Cardiological Society of India, Indore branch, where regular clinical meetings, CME programmes, workshops etc as part of educational activities are organized. Now he is working CHL Apollo Hospital, Indore as Consultant & Interventional Cardiologist.
Monday, January 18, 2010
Dr. ShailendrTa rivedi’s appreciable contribution to the medical world of Indore.
Born in 1960 in Indore, 49 years old Dr. Shailedra Trivedi has been serving the people of Indore for more than 25 years. M.D. in Medicine from M.G.M. Medical College, Indore (M.P.) and D.M. (Cardiology) from L.P.S. Institute of Cardiology of G.S.V.M. Medical College, Kanpur (U.P.). Dr. Trivedi completed his fellowship program in Interventional Cardiology from Prince Charles Hospital, Brisbane, Australia in 2001.
He has been fulfilling his duties in providing specialized services in cardiology since 1994 when he started his career as Senior Resident, DNB Trainee at Institute of Cardiovascular Diseases, Madras Medical Mission (MMM), Chennai. His work included Routine clinical and diagnostic work up, invasive and non-invasive, of all cardiac patients & management of cardiac emergencies, post op care etc. Had hands on experience on Transthoracic Echocardiography (more than 3000 cases), TEE (more than 100 cases), TMT & Holter Analysis (>500 cases), Diagnostic cardiac catheterization & Coronary Angiography (>100 cases). From November 96, He shifted to Institute of Cardiology, G.S.V.M. Medical College, Kanpur as D.M(card) trainee as a Sr. Resident. Here He was responsible for detailed work up of out patients & in patients including ICU care, Active participation in academic activities of the department and Non-invasive & Invasive assessment of these patients. He performed more than 50 diagnostic angiograms & catheterisations and more than 15 PPI. In 1999 he joined Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai as a Staff Cardiologist where he took the responsibility of taking total care of all acute emergencies, chronic cases, preoperative and post operative care independently. He handled Non-invasive and Invasive procedures (coronary angiogram 8-10 cases/week, pediatric cardiac catheterization 4-5 cases per week) and Coronary and non-coronary interventions 2-4 per week. In January 2001 he got a chance to complete his fellowship at The Prince Charles Hospital, Brisbane, Australia, where he worked as a trainee fellow with Prof JHN Bett. Who had an excellent hand on training in interventional work by performing >700 diagnostic procedures, > 400 interventions as first asstt/first operator. He also actively participated in the academic activities of dept. and patient care along with cardiology trainees. He returned to Indore in 2002 at CHL Apollo Hospital as Consultant Interventional Cardiologist. Here he worked as full time independent Consultant. He started the cathlab and interventional work in a 100 bed new hospital, Performed 545 Diagnostic procedures, 68 coronary interventions, 24 BMV and other misc. interventions over a period of nearly 18 months. Then He joined Bombay Hospital as Consultant & Interventional Cardiologist. Here he established another new unit in the city, a 160 bed facility with all state of art equipments. He performed nearly 350 diagnostic procedures and 90 interventional procedures over 10 month’s period. He was also involved in teaching the resident staff, nurses. In 2004 he once again joined CHL Apollo Hospital as Consultant & Interventional Cardiologist. Now he is working again with the same unit as full time consultant, performing 40 to 50 diagnostic procedures, 12 to 15 coronary interventions, 4-6 non coronary procedures every month.
Since 2002 he is involved in delivering lectures and organising scientific sessions in Cardiology for the Family physicians, Internists and various speciality groups to help improve medical care of cardiac patients in the city and adjoining districts of state. He also conducted awareness programmes in society. He is immediate past Secretary of the Cardiological Society of India, Indore branch, where regular clinical meetings, CME programmes, workshops etc as part of educational activities are organised.
As a teaching and training professional his contribution is reflected in his active involvement in various training activities on national and international platforms. He has taught many undergraduates and post graduates during M.D., D.N.B & D.M. course. At MMM he regularly took sessions for D.N.B. trainees, Physician Assistants and Nurses. He was actively involved in Echocardiography training program held several times every year participated by doctors from all over India and also from abroad at MMM. At present he undertook teaching sessions for nursing staff and residents of the CHL Apollo hospital to update them on recent advances in cardiology. He held faculty positions at “CIT 2006, 2007 and CIT 2008” in conjunction with TCT and Euro PCR” held at Beijing in March 2007 and Singapore Live 2006 and 2009” held at Suntec city Singapore on international platform and Transradial angioplasty course organised at Holyfamily Hospital, Mumbai in Oct 2005 and “Advanced cardiac therapeutics 2008 and 2009” held at Madras Medical Mission, Chennai on national platform.
Dr. Trivedi has attended various reputed national and International training programmes. Some of these are
Indo-American Update on Echocardiography held at Bombay in December 90 chaired by Prof. N.C. Nanda of Atlanta University.
Percutaneous Complex Intervention workshop held at Madras Medical Mission 1994- Course Director Jean Macro of Toulouse France.
Workshop on Paediatric Echocardiography & Morphology of Complex CHD chaired by Dr. Paul Weinberg in February 1999.
Workshop on Adult Peripheral Vascular Interventions chaired by Dr. Luigy Inglese & Dr. George Joseph, February 1999.
Workshop on Adult Cardiac Surgery Emerging Trends (Batista Prcedure, MIDCAB, Surgery for LA reduction), chaired by Dr Batista & Dr Benneeti, March 1999.
World Congress in cardiac Sciences – Dec 95, International faculty Dr. Christian Bernard, Sir Donald Ross, Dr. Devega etc
Coronary Interventional Teaching Programme organized by Medtronic and AVE at S.S.K.M.Hospital, Calcutta in August 1999.
Radiation safety course at The Prince Charles hospital, Brisbane as a part of Fellowship training programme. February 2001.
Annual meeting of Cardiac society of Australia and New Zealand held at Auckland in August 2001. Also presented a paper on “Same day percutaneous intervention” which was the earliest experience of Percutaneous Radial interventions at The Prince Charles hospital, Brisbane, Australia.
“TCT 2002” held at Washington DC convention centre.
Observer with Prof Mark Wholey at Shadyside Hospital of Pittsberg University in particular reference to Carotid Artery Stent procedure. Sept 2002.
“Singapore Live” course 2003 as a delegate.
“Euro PCR 2004” course at Paris. Attended the “Training village” sessions on Carotid artery stent, Bifurcation stent and Small vessel stent.
“Vascular interventions 2004” course at Cairo, Egypt. Presented the cases of interest and actively participated in interactive sessions.
“TRICO” the first Transradial interventional course held at Ahmedabad India conducted by Prof. Saito and organised by Sterling hospital and Dr Tejas Patel.
International summit on Coronary artery disease and cardiovascular interventions held at Mumbai in February 2005.
“TCT Asia Pacific” course at Seoul April 2005.
“CCT 2005 From Asia to the world” held at Kobe, Japan in Sept. 20005.
“TCT 2006” held at Washington convention centre in Oct 2006. Attended Hands on workshops on Carotid Stent and new Proximal Protection device.
Worked as observer at Cardiac catheterisation lab of Mount Senei hospital, New York under guidance of Dr Samin Sharma for a fortnight in Nov 2006.
Participated in hands on work shop in animal lab and Mentice on Carotid Stenting at Johnson & Johnson’s centre in New Delhi under the guidance of Dr A Karapurkar, an established Neurointerventionalist in the country.
Dr. Trivedi remained a versatile personality. He has showed his presence in various publications. His first publication was “A 5 year angiographic follow up study of Radial artery grafts used for CABG surgery; A single institution study. Circulation 2004.” Then he published “Use of “Radi pressure wire” in assessment of coronary lesions – Under publication in International Journal of Cardiology“. “Allograft vaculopathy in cardiac transplant recipients: An initial experience. IHJ 1999; 51 : 546” was his third publication. After that his works have been published as various abstract publications. Some of them are:
Comparison of Transoesophageal Echocardiography and Transthoracic Echocardiography in the evaluation of patients of Infective Endocarditis. IHJ 1994 ; 46: 229
Echocardiographic Profiles of AV Canal Defects : An Indian Perspective IHJ 1996;48; 539
Role of Potassium Channel Modulators in Ischemic Preconditioning. IHJ 1997; 49 :669.
Intracoronary abciximab for acute intrastent thrombosis in patients with unstable coronary syndromes undergoing prcutaneous intervention. IHJ 1999; 51: 604.
Aortic arch and branching anomalies in congenital heart disease. IHJ 1999: 51: 618.
Is patent ductus arteriosus a favourable factor in predicting left ventricular compatibility for late arterial switch operation? IHJ 1999: 51: 622.
Institutional review of pacemaker implantation and follow up in paediatric age group. IHJ 1999; 51: 671.
A study of serial short term lipid profile changes in patients undergoing CABG surgery. IHJ 1999; 51: 708.
Clinical decision making is influenced by the Radi Pressure Wire in patients with intermediate coronary lesions at Angiography. World congress of cardiology 2002, Sydney.
Correlation of coronary angiographic profile and Troponin I levels in patients with acute chest pain syndrome. World congress of cardiology 2002, Sydney.
Transradial approach for bifurcation stent implantation using kissing balloon technique (poster presentation) at Singapore Live 2006.
The success graph of Dr. Trivedi doesn’t stop here. He has the life membership of various reputed organizations as
Cardiology Society of India
Associations of Physicians of India
Indian Medical Association
Indo-French Interventional Cardiology Foundation.
His personality gives a living inspiration to newcomers in medical field. He will always work as a milestone in this field. He gave our city a national as well as an international recognition. When asked about his further interest in medical field, he tells that he wants to work in the field of advanced research work in coronary and peripheral interventions with special reference to coronary and carotid stents, IVUS, and modalities to prevent restenosis after catheter based interventions.
For more details please coordinate-
Shivam Yadav
He has been fulfilling his duties in providing specialized services in cardiology since 1994 when he started his career as Senior Resident, DNB Trainee at Institute of Cardiovascular Diseases, Madras Medical Mission (MMM), Chennai. His work included Routine clinical and diagnostic work up, invasive and non-invasive, of all cardiac patients & management of cardiac emergencies, post op care etc. Had hands on experience on Transthoracic Echocardiography (more than 3000 cases), TEE (more than 100 cases), TMT & Holter Analysis (>500 cases), Diagnostic cardiac catheterization & Coronary Angiography (>100 cases). From November 96, He shifted to Institute of Cardiology, G.S.V.M. Medical College, Kanpur as D.M(card) trainee as a Sr. Resident. Here He was responsible for detailed work up of out patients & in patients including ICU care, Active participation in academic activities of the department and Non-invasive & Invasive assessment of these patients. He performed more than 50 diagnostic angiograms & catheterisations and more than 15 PPI. In 1999 he joined Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai as a Staff Cardiologist where he took the responsibility of taking total care of all acute emergencies, chronic cases, preoperative and post operative care independently. He handled Non-invasive and Invasive procedures (coronary angiogram 8-10 cases/week, pediatric cardiac catheterization 4-5 cases per week) and Coronary and non-coronary interventions 2-4 per week. In January 2001 he got a chance to complete his fellowship at The Prince Charles Hospital, Brisbane, Australia, where he worked as a trainee fellow with Prof JHN Bett. Who had an excellent hand on training in interventional work by performing >700 diagnostic procedures, > 400 interventions as first asstt/first operator. He also actively participated in the academic activities of dept. and patient care along with cardiology trainees. He returned to Indore in 2002 at CHL Apollo Hospital as Consultant Interventional Cardiologist. Here he worked as full time independent Consultant. He started the cathlab and interventional work in a 100 bed new hospital, Performed 545 Diagnostic procedures, 68 coronary interventions, 24 BMV and other misc. interventions over a period of nearly 18 months. Then He joined Bombay Hospital as Consultant & Interventional Cardiologist. Here he established another new unit in the city, a 160 bed facility with all state of art equipments. He performed nearly 350 diagnostic procedures and 90 interventional procedures over 10 month’s period. He was also involved in teaching the resident staff, nurses. In 2004 he once again joined CHL Apollo Hospital as Consultant & Interventional Cardiologist. Now he is working again with the same unit as full time consultant, performing 40 to 50 diagnostic procedures, 12 to 15 coronary interventions, 4-6 non coronary procedures every month.
Since 2002 he is involved in delivering lectures and organising scientific sessions in Cardiology for the Family physicians, Internists and various speciality groups to help improve medical care of cardiac patients in the city and adjoining districts of state. He also conducted awareness programmes in society. He is immediate past Secretary of the Cardiological Society of India, Indore branch, where regular clinical meetings, CME programmes, workshops etc as part of educational activities are organised.
As a teaching and training professional his contribution is reflected in his active involvement in various training activities on national and international platforms. He has taught many undergraduates and post graduates during M.D., D.N.B & D.M. course. At MMM he regularly took sessions for D.N.B. trainees, Physician Assistants and Nurses. He was actively involved in Echocardiography training program held several times every year participated by doctors from all over India and also from abroad at MMM. At present he undertook teaching sessions for nursing staff and residents of the CHL Apollo hospital to update them on recent advances in cardiology. He held faculty positions at “CIT 2006, 2007 and CIT 2008” in conjunction with TCT and Euro PCR” held at Beijing in March 2007 and Singapore Live 2006 and 2009” held at Suntec city Singapore on international platform and Transradial angioplasty course organised at Holyfamily Hospital, Mumbai in Oct 2005 and “Advanced cardiac therapeutics 2008 and 2009” held at Madras Medical Mission, Chennai on national platform.
Dr. Trivedi has attended various reputed national and International training programmes. Some of these are
Indo-American Update on Echocardiography held at Bombay in December 90 chaired by Prof. N.C. Nanda of Atlanta University.
Percutaneous Complex Intervention workshop held at Madras Medical Mission 1994- Course Director Jean Macro of Toulouse France.
Workshop on Paediatric Echocardiography & Morphology of Complex CHD chaired by Dr. Paul Weinberg in February 1999.
Workshop on Adult Peripheral Vascular Interventions chaired by Dr. Luigy Inglese & Dr. George Joseph, February 1999.
Workshop on Adult Cardiac Surgery Emerging Trends (Batista Prcedure, MIDCAB, Surgery for LA reduction), chaired by Dr Batista & Dr Benneeti, March 1999.
World Congress in cardiac Sciences – Dec 95, International faculty Dr. Christian Bernard, Sir Donald Ross, Dr. Devega etc
Coronary Interventional Teaching Programme organized by Medtronic and AVE at S.S.K.M.Hospital, Calcutta in August 1999.
Radiation safety course at The Prince Charles hospital, Brisbane as a part of Fellowship training programme. February 2001.
Annual meeting of Cardiac society of Australia and New Zealand held at Auckland in August 2001. Also presented a paper on “Same day percutaneous intervention” which was the earliest experience of Percutaneous Radial interventions at The Prince Charles hospital, Brisbane, Australia.
“TCT 2002” held at Washington DC convention centre.
Observer with Prof Mark Wholey at Shadyside Hospital of Pittsberg University in particular reference to Carotid Artery Stent procedure. Sept 2002.
“Singapore Live” course 2003 as a delegate.
“Euro PCR 2004” course at Paris. Attended the “Training village” sessions on Carotid artery stent, Bifurcation stent and Small vessel stent.
“Vascular interventions 2004” course at Cairo, Egypt. Presented the cases of interest and actively participated in interactive sessions.
“TRICO” the first Transradial interventional course held at Ahmedabad India conducted by Prof. Saito and organised by Sterling hospital and Dr Tejas Patel.
International summit on Coronary artery disease and cardiovascular interventions held at Mumbai in February 2005.
“TCT Asia Pacific” course at Seoul April 2005.
“CCT 2005 From Asia to the world” held at Kobe, Japan in Sept. 20005.
“TCT 2006” held at Washington convention centre in Oct 2006. Attended Hands on workshops on Carotid Stent and new Proximal Protection device.
Worked as observer at Cardiac catheterisation lab of Mount Senei hospital, New York under guidance of Dr Samin Sharma for a fortnight in Nov 2006.
Participated in hands on work shop in animal lab and Mentice on Carotid Stenting at Johnson & Johnson’s centre in New Delhi under the guidance of Dr A Karapurkar, an established Neurointerventionalist in the country.
Dr. Trivedi remained a versatile personality. He has showed his presence in various publications. His first publication was “A 5 year angiographic follow up study of Radial artery grafts used for CABG surgery; A single institution study. Circulation 2004.” Then he published “Use of “Radi pressure wire” in assessment of coronary lesions – Under publication in International Journal of Cardiology“. “Allograft vaculopathy in cardiac transplant recipients: An initial experience. IHJ 1999; 51 : 546” was his third publication. After that his works have been published as various abstract publications. Some of them are:
Comparison of Transoesophageal Echocardiography and Transthoracic Echocardiography in the evaluation of patients of Infective Endocarditis. IHJ 1994 ; 46: 229
Echocardiographic Profiles of AV Canal Defects : An Indian Perspective IHJ 1996;48; 539
Role of Potassium Channel Modulators in Ischemic Preconditioning. IHJ 1997; 49 :669.
Intracoronary abciximab for acute intrastent thrombosis in patients with unstable coronary syndromes undergoing prcutaneous intervention. IHJ 1999; 51: 604.
Aortic arch and branching anomalies in congenital heart disease. IHJ 1999: 51: 618.
Is patent ductus arteriosus a favourable factor in predicting left ventricular compatibility for late arterial switch operation? IHJ 1999: 51: 622.
Institutional review of pacemaker implantation and follow up in paediatric age group. IHJ 1999; 51: 671.
A study of serial short term lipid profile changes in patients undergoing CABG surgery. IHJ 1999; 51: 708.
Clinical decision making is influenced by the Radi Pressure Wire in patients with intermediate coronary lesions at Angiography. World congress of cardiology 2002, Sydney.
Correlation of coronary angiographic profile and Troponin I levels in patients with acute chest pain syndrome. World congress of cardiology 2002, Sydney.
Transradial approach for bifurcation stent implantation using kissing balloon technique (poster presentation) at Singapore Live 2006.
The success graph of Dr. Trivedi doesn’t stop here. He has the life membership of various reputed organizations as
Cardiology Society of India
Associations of Physicians of India
Indian Medical Association
Indo-French Interventional Cardiology Foundation.
His personality gives a living inspiration to newcomers in medical field. He will always work as a milestone in this field. He gave our city a national as well as an international recognition. When asked about his further interest in medical field, he tells that he wants to work in the field of advanced research work in coronary and peripheral interventions with special reference to coronary and carotid stents, IVUS, and modalities to prevent restenosis after catheter based interventions.
For more details please coordinate-
Shivam Yadav
Subscribe to:
Comments (Atom)