SKMC PULSE Issue No. 8 - Sheikh Khalifa Medical City

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SURGICAL PROCEDURESMinimally Invasive Vein Harvesting forCoronary Artery Bypass Grafting SurgeryNow Available at Sheikh Khalifa Medical CityCutting-Edge Method Offers Many Benefits to Bypass PatientsThis is a scarring comparison between patients who underwent EVH (Top)compared to a patient who underwent the traditional open method (Below).The Cardiac Sciences Institute at SKMC, Chaired by Dr. NorbertAugustin is the only team in the UAE that can successfullyperform minimally invasive Endoscopic Vein HarvestingProcedure instead of a traditional open operation.About Coronary Artery Bypass SurgeryCoronary artery bypass grafting reroutes blood aroundblocked arteries to improve blood flow and oxygen to theheart. The procedure involves taking, or harvesting, a veinor artery from another part of the body, typically the leg,and sewing or grafting the vessel to the coronary artery tobypass the clogged artery and restore blood flow.Obtaining the Healthy Vein or ArteryTraditionally, the vessel is removed from the leg througha long incision that may stretch from the ankle to thegroin. In addition to a long, visible scar, some patientsexperience more postoperative pain from the leg incisionthan from the chest incision. Rehabilitation may also bedelayed because the leg incision makes it more difficultfor the patient to stand or walk after surgery.New Method for bypass surgeryEndoscopic Vessel Harvesting(EVH) offers patients aminimally invasive alternative for obtaining the vein orartery. Using the Endoscopic Vessel Harvesting System, thevessel can be removed through one to three very smallincisions. During the procedure, an endoscope is connectedto a video camera and inserted into the incision, providingthe surgeon with the view needed to find the vessel. Next,the surgeon creates a working tunnel in order to removethe vessel with minimal stress on the leg. This procedureis designed to reduce the surgical trauma to the patientand decrease the incidence of wound healing problems.Benefits of Endoscopic Vessel Harvesting1. Reduced pain2. Reduced blood loss3. Reduced risk of infection4. Shorter hospital stay5. Faster recovery6. Faster return to work7. Excellent cosmetic resultsOld Method for bypass surgery10
SURGICAL PROCEDURESThe Cardiac ArrhythmiaService at SKMCThe Cardiac Arrhythmia Service is an integral part of the Cardiac SciencesInstitute at SKMC. The service is staffed by two consultant electro-physiologistsand two specialist physicians and provides care for a wide spectrum of heartrhythm conditions. This involves both outpatient and inpatients consultations,pharmacologic management of common arrhythmias, invasive evaluationand treatment of atrial and ventricular arrhythmias, and implantation andfollow up of cardiac pacing and defibrillation devices. The Arrhythmia Servicetypically sees more than a thousand patients in the outpatient departmentand interprets more than 1,000 Holter recordings annually.The electrophysiology laboratory at SKMC is equipped with state of the artintracardiac recording and mapping technology enabling SKMC consultantsto perform complex invasive procedures for the diagnosis and treatmentof cardiac arrhythmias. Since its inception nearly 3 years ago, heart rhythmconsultants at SKMC have implanted more than 300 cardiac rhythm devicesincluding pacing and defibrillation devices designed to resynchronizecardiac contraction. Invasive electrophysiologic studies with therapy usingradiofrequency ablation of arrhythmias are routinely performed at SKMC andmore than 200 such procedures have been done to date treating both atrialand ventricular arrhythmias.The Arrhythmia Service is recognized as a referral Service for heart rhythmdisorders and sees patients from all over the UAE. Members of the ArrhythmiaService are also actively involved in heart rhythm research including a Gulfwide survey of the common arrhythmia atrial fibrillation.11
Page 1: Issue No. 8THE OFFICIAL MAGAZINE OF
Page 4 and 5: NOTE FROM THE CEODear Reader,Now th
Page 6 and 7: Pediatric Cardiac Program atSheikh
Page 8 and 9: Pediatric Cardiac ICUThe vision of
Page 12 and 13: A THORN IN MY BOY’S FOOTThis is a
Page 14 and 15: CONFERENCES AND SYMPOSIUMSSKMC ‘s
Page 16 and 17: IN SHORTNew Features added to theHe

SKMC PULSE Issue No. 8 - Sheikh Khalifa Medical City

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