MAX SUPER SPECIALTY HOSPITAL
At Max Super Specialty Hospital I assist an average of two days of intervention at a rate of over 200 angioplasties a year including supervising a interventions undertaken by the registrars. Our institution as a whole currently performs over 2000 angioplasties a year. My main interests in the Non invasive Lab.& cath lab are angioplasty via the femoral/ transradial route, the use of rotablation, distal protection and optimal revascularisation of the diabetic patient.
METRO HEART INSTITUTE
As a senior specialist registrar at Metro Hospital I undertook 5 fixed sessions predominantly in percutaneous intervention in the cardiac catheter laboratory each week and work with two interventionists. In addition I organised the SpR commitments in the cath lab and was the SpR representative on the catheter laboratory steering group. I was solely based in the cardiac catheter lab/ 2D ECHO lab. I learnt femoral/ radial angioplasty, consolidated my experience of complex angioplasty including the use of devices adjunctive to angioplasty and undertook some peripheral angioplasty under the guidence of my Seniors (Professor/ Director Cathlab) I was very privileged to work on a daily basis with Director Cathlab an excellent operator and tutor and assisted him in live case transmissions.
Interventional Procedural Experience
I am fully trained in assisting coronary angioplasty and have now been assisted over 3000 PCIs. I have fairly extensive experience in primary and salvage angioplasty, in treating chronic total occIusions, bifurcation lesions, vein graft disease and restenosis. I am experienced in the use of QCA in both the research and clinical setting. I am also experienced in the use of distal protection devices including angioguard and the filter wire, use IVUS routinely and have some experience in the use of pressure wire systems.
Interventional Peripheral Experience
I have had some exposure to peripheral intervention and have assisted in several renal angioplasties (30), carotid angioplasty (12) and femoral/iliac angioplasty (8).
Interventional Device Experience
IVUS
Protection devices - Filter wire and angioguard
Covered stents – Symbiot
Atherectomy – rotablation and DCA
Other Cardiology Procedural Experience
Interventional Device Experience
IVUS
Protection devices - Filter wire and angioguard
Covered stents – Symbiot
Atherectomy – rotablation and DCA
Cardiac Pacing and device therapy
I have implanted over 350, mainly Temporary pacemaker insertion systems. I have also assisted in biventricular pacing and defibrillator implantation. I supervised the fortnightly defibrillator clinic for a year i assited over 180 Dual chamber pacemaker and 200 singal chamber permanant pacemaker systems
IABP (CARDIAC SUPPORT)
I have parformed over 50 balloons in critically ill patients with cardiogenic shock with low ejection fraction
Cardiac catheterisation: diagnostic
I have performed over 750 diagnostic cardiac catheters as first operator and am experienced in operating from the femoral, brachial and radial approaches. I currently train the junior specialist registrars in both diagnostic and interventional procedures.
Transthoracic echocardiogaphy
I have performed over 1000 and reported over 2000 two-dimensional and Doppler echocardiograms. Transoesophageal echocardiogaphy. I have been performing transoesophageal studies for over 4 years and have been first operator and principal reporter in over 200 studies, as well as being present during many more procedures. At present I supervise the TOE service and train the junior specialist registrars.Cardiology
As a consultant cardiologist at Max Super Specialty Hospital my duties involved a daily in-patient ward round and weekly out-patient clinics as well as giving cardiology opinions to other departments within the hospital. In addition I supervise junior specialist registrars in transthoracic and transoesophageal echocardiography as well as in diagnostic cardiac catheterisation and coronary angioplasty. I co-ordinate the cardiology clinical service and am involved in making use of the cath lab database to facilitate clinical audit and clinical governance.
Apart from this i have 2-3 cardiac catheter sessions, one pacing session and one echo session per week. In addition, with the SHO, I am responsible for the immediate management of in-patients under our care. I am on-call 2 day in 7, receiving direct cardiac patients with acute Myocardial Infraction/ Acute LVF/ Acute coronary syndrome/ VT/ VF/ AF etc. etc. Coming to Emergency or reffered from other places.
As a cardiologist at Metro Hospital I was responsible for the day to day management of the cardiology patients on our firm. I also gave cardiology opinions for other medical firms and non-medical specialities. I reported routine transthoracic echocardiograms performed in the department and provided an emergency echo service.
As a cardiology specialist at Metro I had a 1 in 6 on call commitment in cardiology and general medicine. During this on call period I was responsible for the CCU and for cardiology admissions and opinions. I would also perform urgent transthoracic and transoesophageal echocardiograms when required. I attended a daily senior registrar-led cardiology in-patient ward round and was asked to give cardiology opinions on patients of other teams. Also, I attended weekly general cardiology clinics and I had weekly cardiac catheterisation and transoesophageal sessions as well as additional sessions in PCI.