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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
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
Treatment of Renal Disease in ANCA Vasculitis
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Pulmonary Tuberculosis: Challenges in Diagnosis
Diagnosing pulmonary tuberculosis (TB) poses significant challenges, particularly in resource-limited settings. The disease often mimics other respiratory conditions, leading to delayed or missed diagnoses. Traditional diagnostic methods like sputum smear microscopy have limited sensitivity, especially in HIV co-infected or low-bacterial-load patients. Advanced techniques such as GeneXpert and culture tests, though more accurate, are often unavailable in remote areas. Children and immunocompromised patients present additional hurdles due to atypical symptoms and difficulty obtaining diagnostic samples. Non-specific imaging findings further complicate diagnosis. Addressing these challenges requires expanded access to molecular diagnostics, improved point-of-care tools, and greater healthcare awareness.
NIV in Acute Respiratory Failure
Dr Viny Kantroo is a Chest, Critical Care & Sleep medicine specialist based in Delhi, boasting over more than 15 years of professional experience. She is currently practising as a full time Senior consultant in Indraprastha Apollo Hospitals New Delhi and Visiting Consultant Apollo Hospitals Noida in the department of Respiratory, Critical Care and Sleep Medicine. She is recognised for her expertise in various aspects of Chest medicine, which includes EBUS (Convex probe, Radial), Bronchoscopic procedures, pleural effusion management, interstitial lung disease, Covid-19, lung cancer, pneumonia, and intensive care patient management. Dr Kantroo is renowned not only for her medical proficiency but also for her empathy and positive attitude towards patient care. Patients consulting with Dr Viny can be assured of receiving an accurate diagnosis and effective treatment, thanks to her commitment to prompt and comprehensive care.
AI in Genetics and Genomics
AI is revolutionizing genetics and genomics by enabling faster and more accurate analysis of complex genetic data. Machine learning algorithms can identify patterns in DNA sequences, helping to discover new genetic variants linked to diseases. Additionally, AI assists in predicting gene functions, personalizing medicine, and accelerating drug development. Its integration promises significant advancements in understanding genetic diseases and improving healthcare outcomes.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.