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Evolutions
Dr. PURSHOTAM LAL
M.D, AB(USA),FRCP(C);FACM,FACC;FSCAI(USA),MBCIS(UK);MCRS(GERMANY)
DIRECTOR INTERVENTIONAL CARDIOLOGY
METRO GROUP OF HEART INSTITUTES
CHAIRMAN-METRO GROUP OF HOSPITALS
- Highest qualification in the American Specialty Board
- Fellow, American College of Cardiology(FACC)
- Fellow, Royal College of Physicians(FRCP)
- Fellow, American College of Medicine(FACM)
- Fellow, Indian College of Cardiology
- Fellow, Society for the Cardiac Angiography and Interventions(FSCAI)
- Member, Central Council of Health & Family Welfare – an apex advisory body of the Ministry of Health & Family Welfare, Govt. of India
- Member, Expert Committee for Medical Devices, Ministry of Health, Govt. of India
- Member, British Cardiovascular Interventional Society, UK
- Member, Cardiovascular Research Society, Germany
- Member, Delhi Medical Council
If You Know:
1. Dr. Lal is the only Interventional Cardiologist in Indian history to receive PADMABHUSHAN, PADMA VIBHUSHAN and Dr. B.C. ROY NATIONAL Award from the president of India since the inception of Padma Awards in 1954(in the last 55 years)
2. Has the unique distinction of introducing the largest number of procedures, more than 20 firsts.
3. Has been performing the largest number of angioplasties in the country as a single operator and has been honored with the “DISTINGUISHED ACHIEVEMENT AWARD OF THE HIGHEST ORDER” by the National Body of Indian Medical Association.
4. Has performed the first case of non surgical closure of ASD (Heart Hole) with Monodisc device and non surgical replacement of aortic valve with core valve, both being the FIRST IN THE WORLD.
5. He has been the first investigator for the use of INOUE Balloon for aortic valve replacement with core valve without surgery.
6. Introduced his own technique of LEFT ATRIO FEMORAL BYPASS SUPPORT (partial artificial heart) for high risk interventional procedure and opening of the tight valve of the heart (MITRAL VALVULOPLASTY under echo guidance) both being done for the first time in the world.
7. Developed a new concept of METRO CORONARY SCREENING for the patients who have been having phobia of conventional coronary angiography, the concept consisting of angiography through elbow, enabling the individual to return to work/home within one hour. This procedure has already been performed on 9000 people with 100% success being the largest series in the world
8. Named as ‘CREATOR OF AFFORDABLE HEALTHCARE’ BY ‘Express Healthcare’, a leading health magazine
9. Has performed the largest number of angioplasties/stenting as a single operator in the world (as per Heal survey).
10. Listed several times in LIMCA BOOK OF WORLD RECORDS.
Achievements In Research And Developments:
1) He has the unique distinction of introducing the largest number of procedures in the field of Interventional cardiology(an alternative to heart surgery) for the first time in the country being more than twenty firsts (list enclosed)In addition, he played a major role in the clinical development of Monodisc Device, a device used to close heart hole without surgery, ASD (Atrial Septal Defect) and performed the first case of Heart Hole closure without surgery on a 20 year old college student Mr. Suresh Babu in September 1992 being the FIRST CASE IN THE WORLD with this device.
2) Developed his own technique of Left atrio femoral bypass support (partially artificial heart) used for high risk interventional procedure and presented the first scientific paper to this effect (being the first case in the Medical Literature with this technique).
3) Develop his own technique of Mitral Valvuloplasty (opening of tight valves of the heart) under echo guidance only without the help of Cath. Lab. The procedure is cost saving and has proved useful during pregnancy. A common condition in India, saving the patient from potential damage of X-Ray radiations. The procedure was performed for the FIRST TIME IN THE WORLD with this technique.
4) Played a major role in performing the first case of AORTIC VALVE replacement with core valve on a patient , Mr. G.P. Ojha on July 12,2004, this being the FIRST CASE IN THE WORLD. Dr. Lal was designated as the First Investigator
5) Has performed more than 20 cases of VSD closure after the heart attack being one of the largest series in the world.
6) Introduced INOUE BALLOON for MITRAL VALVULOPLASTY for the first time in India and was designated as the first investigator in India by Torey Company of Japan.This balloon is the most popular balloon in the country used for Mitral Valvuloplasty because of Pneumatic Heart disease, a common condition in India.
7) Developed a new concept of METRO CORONARY SCREENING for the patients who have been having phobia of conventional coronary angiography. The concept consisting of blood screening, echocardiography and user friendly angiography through elbow makes the individual to go to work/home within one hour. This most comprehensive gold standard cardiac check up has already been performed on 9000 people with 100% success being the largest series in the world. The procedure takes less than five minutes and does not need any preparations such as removing/changing clothes, shaving etc. Practiced for the first time in Medical Literature, the concept has been widely appreciated internationally
Have more than hundred publications in various National and International journals. Presented record number of research papers as an individual author many times in the Annual Conferences of Cardiology Society of India over a period of several years i.e. 14 number scientific papers were presented at the Annual Conference of CSI at Mumbai in December 1998. This being the largest number presented by any institute in India including AIIMS, Escorts etc. In June 2001 at the 4th international Conference on Interventional Cardiology held at London, a total of 10 papers were presented, being the largest number to be presented by any institute or country. In view of significant contributions made in the field of Interventional Cardiology by introducing the largest number of procedures as an alternative to open heart surgery.
Awards:
Dr. V V Shah Oration Gold Medal by Cardiologist Society of India in 1992
2nd Jawaharlal Nehru International Excellence Award, 1990 by Finance Secretary, UK
Blue Baaz Award, 1990 by Hon’ble Governor of Tamil Nadu
Shiromani Vikas Award, 1991 by Hon’ble Governor of Tamil Nadu
Best Interventional Cardiologist for the year, 1991 by Minister of State of Tamil Nadu.
Rajiv Gandhi Excellence Award, 1991 by Finance Minister, Government of India
Mother India Award, 1992 by Hon’ble Speaker, Government of India
Feroze Gandhi Memorial Award by All India Feroze Gandhi Memorial Society in 2001
Scroll of Honour for outstanding contribution in cardiology in 2002 at its annual conference.
Dr. B.L. Taneja Memorial Guest Lecture Award by Delhi Medical Association in the 47th Annual Award and Oration Presentation in 2004.
Selected for PADMASHREE by the Government of India in 1993
Life Time Achievement Award, 2002 by Delhi Medical Association.
Awarded PADMABHUSHAN in 2003 and the prestigious Dr. B.C. Roy National Award (2005) by the President of India.
DMA Health Ratna Award May 2005
Distinguished Achievement Award of Highest Order by the National Forum of Indian Medical Association (2006-07).
Awarded PADMA VIBHUSHAN in 2009 by the President of India thus being the first interventional Cardiologist to retrieve all these three (PADMABHUSHAN, PADMA VIBHUSHAN, Dr. B.C. ROY National) since the inception of Padma Awards in 1954 (in the last 55 years)
Lal Bahadur Shastri Life Time Achievers Award (2008-09)
Has More Than 20 Firsts To His Credit. Pioneered The Following Procedures As an Alternate To Open Heart Surgery For The First Time In India (Some Being Frst Time In Medical Literature) :
1) Slow Rotational Angioplasty (Drilling) – November, 1989 – helps in opening 100% blocks.
Press release:
1st CASE OF SLOW ROTATIONAL ANGIOPLASTY
BY DR. PURSHOTAM LAL WHILE AT APOLLO, MADRAS
INDIAN EXPRESS,
MADRAS EDITION,
NOVEMBER 13, 1989
Breakthrough in treating Heart Attack
In a unique experiment, doctors at the Apollo Hospitals here used a Catheter (a small tube) attached to a motor to drill open a blocked artery of the heart of a patient who suffered a heart attack.Described as a “breakthrough” in coronary angioplasty, the procedure was employed by Dr. Purshotam Lal.
2) Inoue balloon Mitral Valvuloplasty (Opening of tight valve of the heart) - September, 1989 – has proved of great help in saving thousands of patients from surgery and girls from scar.
3) Coronary Atherectomy (Shaving of fatty tissues) – September, 1990 – helps in removing fatty tissues from the blocked arteries in difficult cases where balloon does not work.
Press release:
INTRODUCED DIRECTIONAL ATHERECTOMY
1st TIME IN INDIA,
THE HINDU,
SEPTEMBER 8, 1990
Latest surgical technique to correct narrowing of arteries
Coronary Atherectomy, removal of fatty tissues causing blocks in the arteries, described as the state-of-the art techniques in interventional cardiology was performed on a patient at the Apollo Hospitals on Wednesday.
The patient, Mr. G. N. Saxena of Hardwar, U.P. was suffering from blocks in two different coronary arteries. While the smaller block was opened with the routine balloon catheter, the other being long and irregular required the latest technique, according to Dr. Purshotam Lal, consultant Interventional cardiologist of the Hospitals.
4) Endomyocardial Biopsy with echo guidance – July, 1990 – An outpatient procedure useful fro patients undergoing heart transplantation.
5) Transcatheter Closure of PDA with Ivalon Plug – September, 1990 – A cheap method to close an abnormal duct in children.
Press release:
INTRODUCED NON RASHKIND, NON SURGICAL
HEART VESSEL CLOSURE (MOD.PORTSMANN)
1ST TIME IN INDIA
INDIAN EXPRESS,
MADRAS EDITION,
OCTOBER 13, 1990.
New procedure to close heart vessel
Cardiologist at the Apollo Hospitals Dr. Purshotam Lal has successfully tried out a procedure which has eliminated the need for a cardiac surgery for a 12-year-old boy with congenital heart disease.
6) Supported Angioplasty with the support of Cardiopulmonary Bypass – October, 1990 – The patient is put on heart lung machine without any surgery for high risk angioplasty.
Press release:
SUPPORTED ANGIOPLASTY WITH LEFT ATRO FEMORAL BYPASS
1ST TIME IN INDIA,
THE HINDU,
DECEMBER 16, 1991
New alternative to bypass surgery
Recent developments in invasive and interventional cardiology and discovery of new tools like drills, Atherectomy devices, stents and faster catheters have raised new hopes in treating more people with narrowed coronary arteries without going in for the traumatic bypass surgery according to Dr. Purshotam Lal, working at the Apollo Hospitals, Madras.
7) Transjugular intrahepatic portosystemic shunt (TIPS) – November, 1990 – Useful for patient suffering from liver cirrhosis and liver transplantation.
8) Non-surgical left atrio femoral bypass support (Closed Artificial Heart) – July, 1991 – helpful during cardiogenic shock and as a bridge to Heart Transplantation.
9) Coronary Stenting – June, 1991 – Helps in preventing reoccurrence after the angioplasty.
10) Athreo-Abration (Rotablator – Diamond Drilling) – February, 1992 – Helps in dealing with calcified arteries commonly found in diabetics.
Press release:
INTRODUCED “ROTABLATOR”
1ST TIME IN INDIA
INDIAN EXPRESS
MADRAS EDITION
FEBRUARY, 1992
'Athero abrasion’ heart procedure done in City
Perhaps for the first time in the country, the athero abrasion procedure – grinding off the fatty tissues lying in the artery – was performed by Apollo Hospitals interventional cardiologist Dr. Purshotam Lal on Wednesday
11) Non-Surgical Closure of PDA by Russian technique – July, 1992 – an effective and cheap method to close abnormal blood vessel in children without surgery.
Press release:
LOW COST NON SURGICAL PDA CLOSURE
(MODIFIED RUSSIAN)
FIRST TIME IN INDIA
INDIAN EXPRESS
MADRAS EDITION
JULY, 1992
Low cost method to close heart hole
An innovative and relatively cheap Russian technique was tried for the first time in the country at the Apollo hospital, a couple of days ago, to close a hole in the heart. Done by cardiologist Dr. Purshotam Lal, who has pioneered quite a few techniques of interventional cardiology at this hospital, the procedure used a bottle shaped plug made of polyurethane, to close a hole in the heart of 28-year old patient Mukhtiar Begum from Andhra Pradesh.
12) Non-Surgical Closure of Atrial Septal Defect (Heart Hole) – September, 1992 – has saved lot of young girls from traumatic scar on the chest and thus from social stigma.
Press release:
CLOSED FIRST ASD NON SURGICALLY
FIRST TIME IN INDIA
NEWS TODAY,
MADRAS EDITION,
OCTOBER 1992
Heart hole closure without surgery
Without surgery and concomitant pain, the heart hole in a 20 –year old man was closed by a cardiologist team led by Dr. Purshotam Lal at Apollo hospitals and the unique operation was carried out even as the patient, Suresh Babu was fully awake.
13) Balloon Mitral Valvuloplasty without Cathlab – February, 1995 – useful during pregnancy.
Press release:
“MITRAL VALVULOPLASTY” WITH ECHO
WITHOUT CHATHLAB
FIRST TIME IN INDIA
FEBRUARY 1995
Repairing heart valve with echo-cardiography
A calcified, tight mitral valve in the heart of a 33 year old man from Assam was repaired with the help of echo cardiography without the use of Cathlab equipment in an open heart surgery at the Apollo Hospital recently done by Senior Interventional Cardiologist Dr. Purshotam Lal.
14) Pullback Atherectomy – June, 1996 – helps to deal with difficult blocks in the Coronary Arteries.
Press release:
“PULLBACK ATHERECTOMY”
FIRST TIME IN INDIA
INDIAN EXPRESS
MADRAS EDITION,
JUNE 9 1996
Device to clear artery
A new device to remove the fatty tissue blocking the arteries was used successfully by Dr. Purshotam Lal, senior interventional cardiologist at Indraprastha Apollo Hospitals today.
15) Gold Stent – August, 1997 – less blood clot formation, less foreign body reaction.
Press release:
GOLD STENT IMPLANTATION
FIRST TIME IN INDIA
THE HINDU
AUGUST 30, 1997
Gold Stent implanted on heart patient
A 24 carat gold Stent is claimed to have been successfully implanted to open the arteries of the heart of a 48 year old patient in the capital.
Dr. Purshotam Lal, chief cardiologist and Director of Metro Hospitals and Heart Institute, adopted the non- surgical procedure to implant the gold on Mr. Narendar Kumar from Barnala.
16) Non – Surgical Closure of multiple heart holes – May, 1997 – saved many from heart surgery.
Press release:
MULTIPLE HEART HOLE CLOSURE
FIRST TIME IN INDIA
TIMES OF INDIA
MAY 30, 1997
Two holes in heart closed without surgery
A 37 – year old man with two holes in the heart has had them closed through a non surgical procedure carried out at a hospital in Noida.
S.M Aggarwal, the patient, underwent echocardiography at a leading institute after he complained of chronic breathlessness and palpitation.
“The procedure, inserting a tube through the groin, took less than an hour and was performed under local anesthesia”, said Dr. Purshotam Lal, senior interventional cardiologist who performed the procedure.
17) Thrombectomy (A device to remove blood clot from the heart artery) – April 4, 1997 – Helps in removing the blood clot from the blocked artery.
18) Acolysis (Dissolving of blood clot with ultrasound) – February, 1998 – Helps in dissolving the blood clot particularly during the heart attack.
Press release:
ACOLYSIS- DISSOLVING THE BLOOD CLOT
WITH ULTRASONIC WAVES
FIRST TIME IN INDIA
TIMES OF INDIA
FEBRUARY 21, 1998
Acolysis for heart patients
For the first time in India, a new procedure to dissolve blood clot in the blocked artery of the heart has been successfully carried out by Dr. Purshotam Lal, director and chief cardiologist Metro Hospitals and Heart institute, NOIDA.
19) Repairing non-surgically aneurysms of abdominal aorta and iliac arteries – July, 1998 – an alternate to a complex surgery leading to high mortality and helps many elderly patients.
Press release:
NON SURGICAL REPAIR OF ABDOMINAL ANEURYSM
(SURGICALLY EXTREMELY HIGH RISK CASE)
FIRST TIME IN INDIA
TIMES OF INDIA AUGUST 22, 1998
Interventional surgery: a low risk alternative
For the FIRST TIME IN INDIA, a non surgical repair of the abdominal aortic aneurysm involving both of iliac arteries supplying blood to the lower limbs, was performed successfully by Dr. Purshotam Lal, chief cardiologist, Metro Hospitals and Heart Institute, NOIDA. The surgery was done by using bifurcated endoprosthesis.
20) Angiogenesis – April, 1998 – helps in production of new blood vessels at the site of block.
21) Metro Coronary Screening – November, 1999 – A concept made user friendly for the timely detection of critically dangerous blocks in the heart arteries particularly in individuals who have phobia of conventional coronary angiography.
Press release:
METRO CORONARY SCREENING
FIRST TIME IN INDIA
TIMES OF INDIA
SEPTEMBER 18, 1999
New coronary screening method
The Metro Heart Institute, NOIDA, has claimed that Dr. Purshotam Lal has developed a new concept and technique ‘METRO CORONARY SCREENING’ for the first TIMES OF WORLD.
The technique will go a long way in detecting all sorts of blocks in the most certain way like coronary angiography.
22) Precutaneous aortic valve replacement – July, 2004 – An unbelievable achievement in the field of interventional cardiology where the diseased aortic valve can now be replaced by a new valve nonsurgically.
23) Local Drug Delivery Catheter (Genie) in lieu of expensive Drug Eluting stents – July, 2005.