- 17.2k views
World’s First Renal Denervation Therapy in an Ectopic kidney
Apollo Hospitals Chennai made history by successfully performing the world’s first Simplicity Spyral renal denervation (RDN) therapy on a 58-year-old man with resistant hypertension and an ectopic kidney. Led by Dr. Refai Showkathali, the procedure involved radiofrequency ablation of two renal arteries, resulting in a significant reduction in the patient's blood pressure from 160/100 mmHg to 130/80 mmHg within a day. This innovative treatment marked the first global use of the FDA-approved Simplicity Spyral RDN catheter in ectopic kidneys, showcasing Apollo Hospitals' leadership in interventional cardiology.
About the Speaker
Dr. Refai Showkathali
Senior Interventional Cardiologist, Apollo Main Hospital, Chennai
Dr. Refai Showkathali is a highly experienced cardiologist with over 22 years of practice, currently affiliated with Apollo Hospitals Greams Road, Chennai. He specializes in advanced interventional cardiology, including complex procedures like CHIP PCI, laser and rotational atherectomy, and zero-contrast PCI for high-risk kidney patients. He is also an expert in structural heart interventions, such as TAVI, TMVR, and pacemaker implantation. Dr. Refai spent 14 years working in renowned UK hospitals before returning to India in 2014. He holds numerous qualifications, including MBBS, FRCP, FACC, and FESC.
Upcoming Case Discussions
Technology Integration with Healthcare
Technology integration in healthcare is transforming the way medical services are delivered, enhancing efficiency and patient outcomes. Innovations such as telemedicine, electronic health records (EHR), and wearable devices allow for real-time monitoring and improved accessibility. Artificial intelligence (AI) and machine learning aid in early diagnosis and personalized treatment plans. Robotic surgeries and advanced imaging techniques offer precision and reduced recovery times. By combining technology with healthcare, providers can streamline operations, improve patient engagement, and deliver cost-effective care solutions.
Pediatric Obesity: Treatment Management
Treatment management for pediatric obesity combines lifestyle changes, family support, and, in severe cases, medical interventions. Family-based strategies are key, encouraging healthy eating habits, regular physical activity, and reduced screen time. Behavioral therapy helps set achievable goals and address barriers, empowering children and families to make sustainable lifestyle adjustments. Dietitians often assist in designing individualized meal plans that focus on nutrient-rich foods and limit calorie-dense options. In cases of severe obesity with related health conditions, medications or surgery may be considered, particularly for adolescents. Continuous monitoring and support from healthcare providers are essential for long-term success and health improvement.
Clinician’s Approach to Sleep Apnea
A clinician's approach to sleep apnea begins with a thorough assessment of the patient's medical history, symptoms (such as snoring, choking, and daytime fatigue), and risk factors like obesity or hypertension. Diagnosis is typically confirmed through polysomnography or home sleep apnea testing, followed by treatment strategies such as continuous positive airway pressure (CPAP), lifestyle modifications, or surgical interventions depending on the severity and type of sleep apnea.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Falls and Fractures in Older Adults: Prevention and Immediate Care
Falls and fractures in older adults are common and can lead to significant morbidity, highlighting the importance of fall prevention strategies such as strength training, balance exercises, and home safety modifications. Immediate care involves quick assessment for fractures, pain management, and stabilization, along with appropriate transport to healthcare facilities for further evaluation and treatment.
Author Post