Using the titanium plates instead of the traditionally used wires for sternal closure in Coronary Artery Bypass Grafting (CABG) surgery, Dr Rahul Kaiche has gained a distinction of being the first cardiac surgeon in Maharashtra to use this technique.
Dr. Rahul Kaiche, cardiac surgeon at Wockhardt hospital in Nashik states that he becomes the first surgeon from Maharashtra and second surgeon in India to use the innovative technique of using titanium plates for closing the mamory sternum bone after the open heart by pass surgery on a 64 years patient.
The patient Bashir Sayyed Noor, a tractor mechanic had consulted Dr Kaiche for a CABG - by-pass surgery after having done his angiography. "The patient weighed 100 kg and has been a chronic smoker. In such patients who have increased probabilities of coughing and infections, there is a possibility that the wires that are traditionally used in CABG surgeries to close the sternum bone break off due to pressure. This may lead to complications and infections for the patient. Recent research has opened the alternatives to such risks and it is in form of titanium plates - 2 H shaped and one U shaped fitted by titanium screws", Dr Kaiche informs.
This modern technology has been introduced in the USA and been introduced in India since the past three months. The H shaped titanium plates sustain the pressure due to coughing or weight of the patient in a better manner over the traditionally used wires, opines Dr Kaiche..
After screening the patient Dr Kaiche decided to use the titanium plates. "While the CABG surgery procedure was a regular procedure the uniqueness of this surgery was the use of titanium plates for the first time Maharashtra. I had to prepare myself mentally for this kind of first use. The technique was successful and the patient has accepted the plates and has recovered well", Dr Kaiche stated.
Speaking about the advantages of the titanium plates over the steel wires Dr Kaiche said that the titanium plates give more stability to chest bone as compared to routine wires or bands. The incidence of sternal infection is also reduced with this technique. Also the titanium plates are MRI friendly and the patient can undergo an MRI if needed, a limitation in case of steel wires.
Wednesday, February 18, 2015. Source: DNAIndia
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