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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
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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
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.