First multi-vessel coronary stenting successfully carried out at SKY Hospital
Source: The Sangai Express
Imphal, July 06 2023:
SKY Hospital & Research Centre Pvt Ltd, RIMS Road, Imphal, has successfully carried out the first multi-vessel coronary stenting successfully on a 64 years old patient from Senapati district.
In a release, SKY Hospital informed that one Dhanapati Pokhrel from Senapati District was brought to the Emergency of SKY Hospital at 6.15 pm on June 16, 2023 with a massive heart attack.
He was immediately resuscitated with Chief Cardiologist leading the Emergency Heart Attack Treatment Centre.
The first 4 hours and 30 minutes was a challenging time to save his life.
The patient started grasping despite receiving oxygen at the rate of 900 litres per hour when timely mechanical ventilator support was initiated.
He was also given heart support with 5 inotropic drugs at maximum doses, namely Adrenaline, Noradrenaline, Dobutamine, Milrinone and Vasopressin.
At 11.30 pm, the patient started to respond with reasonable intra-arterial mean BP of >60 mmHg, partial oxygen pressure of >89 mmHg.
The patient was subsequently taken up for coronary angiography showing multi-vessel disease requiring either Coronary Artery Bypass Graft (CABG) surgery of high risk non-operative 3 Stents-coronary angioplasty with the support of Intra-Aortic Balloon Pump (IABP) .
The patient's family opted for the non-operative treatment surgery.
The multi-vessel coronary stenting procedure took 4 hours.
He also required continued support of IABP for a few hours because of a weak heart (heart failure) which occurred at the time of heart attack before reaching hospital.
The IABP was removed successfully 4 hours after PCI.
The patient required mechanical ventilator support for 9 days after PCI.
The patient started to eat and drink, mobilise and went home on the 15th day of challenging heart attack treatment with life support drugs and machines.
This was reportedly the first 3-stent PCI for the treatment of acute myocardial infarction (heart attack) in Manipur.
Dr L Shyamkishore Singh, Chief Cardiologist of SKY Hospital, has expressed his satisfaction and happiness on the successful outcome of such challenging treatment of massive heart attack.
He appealed to the people of Manipur to report to SKY Hospital as soon as possible if an adult starts showing symptoms of possible heart attack namely sudden onset chest pain/ breathlessness, dizziness with or without palpitation, nausea, vomiting, sudden collapse with or without loss of consciousness.
"Every second counts and is valuable to help save heart muscle and life of the patient.
Contacting 24-hour Heart Attack Team, and arriving at SKY Hospital earlier will increase patient's chance of survival", he added.