Flower

Promote Patency Trial, India’s first internationally acknowledged randomised controlled trial in coronary surgery

by The Welthi Bureau | 19 MAY 2018

promote patency trial india’s first internationally acknowledged randomised controlled trial in coronary surgery
 Image used for representational purpose only

7 INDIAN Coronary SURGEONS PRESENTED AN UNPRECEDENTED MULTI-CENTER TRIAL ON CORONARY BYPASS SURGERY (BEATING HEART SURGERY AND ON-PUMP BYPASS SURGERY) AT SAN DIEGO:

 

The study has become INDIA’S FIRST INTERNATIONALLY ACKNOWLEDGED RANDOMISED CONTROLLED TRIAL IN CORONARY SURGERY, grabbing the interest of Coronary Surgeons in the West to consider wider application of beating heart techniques in bypass surgery.

 

This landmark study (Promote Patency Trial) was recently presented by

Dr. Lokeswara R Sajja on behalf of the group at the 98th Annual meeting of the American Association for Thoracic Surgeons (AATS) – where cardiac surgeons from all over the world participated. The study was well received and appreciated by the international community of surgeons.

 

Coronary artery bypass surgery is done to treat the blocks in coronary arteries. Traditionally bypass surgery is done by stopping the heart and using heart lung machine. In the last two decades a new technique was developed to perform bypass surgery on beating heart. About 1,50,000 bypass surgeries are done annually in India and about 60% done on beating heart and 40% done with the aid of heart lung  machine.

 

India, along with Japan and few South American countries performs majority of Bypass surgeries without the aid of heart lung machine, which is known as Off Pump CABG. In contrast to 60-65% Off Pump CABGs in India, USA does about 15% and European countries have an Off Pump CABG rate of 12%.

 

The main advantage of Off Pump CABG is in reduction of complications.

 

Some studies conducted in USA and Europe had been skeptical about the quality of Off Pump CABG.

 

To get clarity on this issue, 7 Indian cardiac surgeons collaborated to conduct a unique ‘Randomized Controlled Clinical Trial’. The question that they sought to answer was ‘Is the quality of anastamosis done on a beating heart as good as the one done on a still heart?’

 

The participating 7 cardiac surgeons across India who conducted this study were, - Dr. Lokeswara Rao Sajja (Star hospital, Hyderabad), Dr. Kunal Sarkar (Medica Hospital, Kolkata), Dr. Gopichand Mannam (Star Hospital, Hyderabad), Dr. Krishna Kumar (KIMS, Hyderabad), Dr. P. Chandrasekhar (GKNM Hospital, Coimbatore), Dr. Sanjeeth Peter (DDMM Heart Institute, Gujarat) and Dr. Anvay Mulay (Fortis Hospital, Mumbai). The study was supported by Sajja Heart Foundation, Hyderabad and Clinical Coordinator Miss. Prashanthi Beri and Mr. Nadamuni Naidu, a trustee, coordinated the Promote Patency Trial.

 

A total of 320 patients had Bypass surgery either by conventional method (On Pump) or Off Pump and they were investigated with angiography at three months to evaluate the quality of grafting. Postoperative angiography confirmed grafting results that were comparable to the best published results of On Pump CABG.

 

This study validated the quality of Cardiac Surgery in general and Coronary surgery in particular, in the international scientific community.

 

As it was done according to the strictest scientific methodology, it will also be considered when the Guidelines for Coronary Surgery are updated.

 

‘Promote patency’ is a milestone in academic and scientific validation of the clinical work that is   being done in our country. We hope this inspires other surgeons and specialties to come up with more such serious scientific endeavors.

 

For Further Details Please Contact:

Dr. Lokeswara Rao Sajja

Mobile: 9849028317


 Disclaimer: Welthi.com does not guarantee any specific results as a result of the procedures mentioned here, and the results may vary from person to person. Read more
Cochlear Implants to Aid Children With Hearing Difficulties - Surgery to help in improving speech and language skills among the young  Hyderabad, 14th October 2018: Hearing is a one of the most important sense that also plays a very crucial role in verbal

Cochlear Implants to Aid Children With Hearing ...

Surgery to help in improving speech and language s...
“Maxi-O Lipi Flow” world’s best device for dry eyes treatment launched in MaxiVision Eye Hospitals

“Maxi-O Lipi Flow” world’s best device for ...

Now freedom from dry eyes is just a step away in H...
Different bodies, one message

Different bodies, one message

Aishwarya Sharma, a fashion activist and founder a...
Pediatric Liver transplant in Gleneagles Global Hospitals

Pediatric Liver transplant in Gleneagles Global ...

The Gleneagles Global Hospitals Hyderabad is delig...
Child Obesity: A burgeoning barrier to healthy living

Child Obesity: A burgeoning barrier to healthy ...

The World Obesity Day is celebrated on 11th Octobe...
Get off your smart gadgets

Get off your smart gadgets

The repetitive motions of texting and typing can l...
Hyderabad Doctors successfully perform Asia's First Transcatheter Tricuspid Valve Replacement procedure

Hyderabad Doctors successfully perform Asia's ...

Only 40 such surgeries reported around the world...
SuVitas Launches Bangalore’s First Dedicated Transition Care Facility

SuVitas Launches Bangalore’s First Dedicated ...

Catering to a need for post critical care that has...
Itermittent Fasting: The How s and Why's

Itermittent Fasting: The How s and Why's

Intermittent Fasting is the latest global fitness ...
Our responsibility to our emotions

Our responsibility to our emotions

In this world, there are all kinds of people. Some...
Stop drowsing while driving

Stop drowsing while driving

A long spell of work or drive can lead to physical...
Eyes show you the world

Eyes show you the world

With increasing rate of air pollution, the ways it...