Page 58 - #Dr Shahid Merchant Biography

STEPCARE TREATMENT FOR HEART FAILURE

HEART FAILURE: STAGES OF THERAPY CASE 1: Mr. S

HEART FAILURE ON CARDIOGENIC SHOCK
TREATED WITH SOLUBLE STENTS AND ICD.
OVERLAPPING SOLUBLE SCAFFOLDS IN

CRITICALLY ILL HEART PATIENT ON
VENTILATOR AND OTHER LIFE SUPPORT
DEVICES
 71 yr old diabetic came with
Heart Failure & gasping
condition at the hospital
 He was stabilised on life saving
support machines.
 Angiography showed left system
of Heart damaged.
 Only surviving artery was the
right coronary artery which was
successfully treated with 2

Soluble Scaffolds.
 He is now FIT & FINE and

walks briskly 45 minutes daily.

PRE BVS DEVELOPMENT SCAFFOLD POST

Case 3: Mrs.D
Case 2: Mr.M M
MANAGEMENT OF HYPERTENSION EMERGENCIES
HEART FAILURE ON IABP TREATED WITH ROTABLATOR  Mrs. D. 62 yr. old female patient with high BP on
AND SOLUBLE STENTS 5 medicines had symptoms of acute breathlessness,
 74 year old diabetic, hypertension, heart failure and partial kidney failure.
post bypass surgery, chronic kidney  Angiography showed both kidney arteries with
disease on dialysis.
95% blockage.
 Presented with heart failure and  She was treated by stenting of both the kidney

breathlessness 2D - Echo showed arteries.
low heart pumping, angio showed
 She was discharged on the 3 day feeling better
LIMA to LAD patent, heavily with normal BP and kidney function.
calcified Right Side Main Artery
 High blood pressure secondary to other factors
with 95% calcified blockage treated
by rotablation and Soluble Scaffold. can be permanently treated by intervention into
cathlab including the novel renal denervation
 Patient now walks for 45 minutes
daily. technology.

PRE ROTABLATION POST BVS