Page 62 - #Dr Shahid Merchant Biography

Innovative technology & Interventional Therapy
to treat Cardio-Diabetic Complications

Intravascular ultrasound (IVUS) to assess diffuse

calcified lesion in diabetic treated with soluble stent (absorb)

Case 1 : Patient Name - Aarti Jain

55 years old diabetic for 15 years presented with angina and positive stress test for ischemia. Angio showed a diffuse
lesion in proximal LAD. IVUS / FFR positive with significant plaque burden treated with soluble Stent. Patient walks briskly
45 minutes daily now.

Below knee medicated stent (Xpedition) in Diabetic foot

Case 2 : Patient Name - M. D. Punjabi
74 years old male patient uncontrolled diabetic for 20 years on insulin & OHA presented with non healing ulcer on the
left foot successfully treated with medicated stent to anterior tibial artery stenosis. Ulcer healed in 2 weeks times.

Advances in the treatment of Diabetes Drugs to be careful in Heart Diabetic Patients Newer Blood Thinners in Diabetic
DPP4 inhibitors - gliptins sita/vildaglyptin Nitrates aggravate hypotension Prasugrel
Analog insulin, insulin aspart, insulin lispro Beta - blocker mask hypoglycaemia Ticagrelor
Insulin Pump paradign with Int. Fluid Sugar Calcium blocker impair glucose tolerance IV Bivalirudin

Incrtin therapy (GLP-1 analog) Sulphonyluria increase Cardiovascular mortality IV Gp2b3a inhibitors
Inj. liraglutide / Inj. Exnatide Rosi / Pioglitazone preciplilate heart failure TEG for Platelet Mapping

Merchant Cardiac Clinic - Next To Mehboob Studio, Above Patel Store, Hill Road, Bandra (W), Mumbai-400 050.
Appt. : 26550101/ 9819673601 / 9820930389 / 9821058030 - Time: 4.00 - 8.00 P.m.

Lilavati Hospital, OPD, Room No. 18 - Bandra (W), Mumbai-400 050. Tel.: 2675 1000, 2656 8000 - Time: 12.00 - 2.00 P.m.