Bangladesh has entered the era of ‘Robotic Angioplasty’ in the treatment of heart disease. For the first time in the country, stents (better known as rings) have been robotically implanted in the coronary arteries of two patients. Last Sunday, the National Heart Institute and Hospital of the capital put rings on their heart machines.
Azam Ali, one of the wrestlers of the two men. This 60-year-old man said with a cheeky smile, ‘I had heart problems (heart disease) for twenty-two years. The doctors operated on me with robots. But I didn’t feel anything. How calm you feel since the operation. I am healthy.
Talked with Azam Ali at National Heart Institute and Hospital on Tuesday. After three days, he is preparing to leave the hospital with his wife and children. Doctors also want to give him leave.
Farmer Azam Ali (65) is not allowed by the boys to work because of his age. One of the sons lives in Singapore. Azam Ali’s wife Izarun Nesa and another son Monirul Islam are with him in the hospital.
Monirul Islam said that he had treated his father in various places before. But even though the money was spent, there was no profit. After hearing from the people, his father was brought to the National Heart Institute. Last Sunday, stents were placed in the hearts of two heart patients experimentally through robots for the first time in the country. Another person with Azam Ali was Morshed Alam (50). He is also healthy now. Today, it was seen that Morshed Alam was sitting on the hospital bed smilingly talking to the doctors and others.
Morshed Alam of Chandpur has been working in a private company in Saudi Arabia for the past seven years. Although he was diagnosed with heart disease in Saudi Arabia, he was not given hope for further treatment. He said that people heard about this hospital in the country and came for treatment. Will return to Saudi Arabia after two and a half months.
Blood vessels in the heart become narrowed by fat deposits or other causes, stopping or about to stop blood flow. This is called heart block. Morshed Alam and Azam Ali had three blocks each. Both received a free stent each from the hospital. Apart from this, they did not have to pay additional cost for robotic angioplasty.
Robotic angioplasty was inaugurated by the director of the National Heart Institute and Hospital. Kamrul Hasan (Milan) and Head of Department of Cardiology Md. Salahuddin Ullubi.
A team of expert doctors led by Associate Professor Pradeep Kumar Karmakar of the National Heart Institute and Hospital has implanted stents in the hearts of two patients for the first time in the country through robotic angioplasty. The medical team included Pinaki Ranjan Das, Arifur Rahman, Saidur Rahman, Farhana Ahmed, Md. Hosni Amin, Badal Chandra Burman, Nazmul Haque Bhuiyan, Abu Saleh and Nusrat Rahman.
The talk is with doctor Pradeep Kumar Karmakar. He said that robotic angioplasty is currently the most advanced and latest technology for wearing heart rings. There are robotic angioplasty centers in 160 countries of the world, including the United States and India.
Pradeep Kumar Karmakar said the Robocath R1 system consists of a robotic arm in the cath lab. And the doctors control it remotely with a machine. The work that doctors used to do directly with their own eyes is now being done by robots. It makes the work very perfect. Surgery takes less time. The surgery on these two patients took 30 to 40 minutes which would have taken more than an hour if performed directly.
Advantages of the new method
Pradeep Kumar Karmakar says that sometimes the heart ring needs to be moved one millimeter forward or one millimeter backward for perfect positioning. It is difficult to do this by hand; But can be done perfectly by robots.
Pradeep Kumar Karmkar said that many doctors are at risk of brain cancer and cataracts due to radiation while providing this service. When cardiologists work in the operating room, they have to wear a special 12- to 15-pound suit for long periods of time to protect them from radiation, he said. It puts pressure on the nerves in the neck. Cannot do angioplasty later due to neck and hand pain. But with robotic angioplasty, without radiation or wearing a special suit, the ring can be placed on the patient’s heart in the control room of the cath lab, sitting in his office and, if facilities allow, at home.
The advantage for patients is that this procedure takes less time. The shorter the catheter, wire, balloon, ring can be kept inside the heart, the safer it is for the patient. So this method is less complicated. If this treatment method is introduced permanently in the country, the patient will not have to go outside the country for advanced treatment. Cost burden will be reduced. Foreign exchange will be saved. The country’s money will remain in the country.
Calling for a permanent launch
The National Heart Institute and hospital authorities said that they have started experimental robotic angioplasty. The machine used in this work was brought from a company in France for experimental use for a month. It has been brought free of charge to test whether the device is compatible with the infrastructure in Bangladesh. This service will be provided to 10 patients in a month. The device will then be sent back to France.
Hospital authorities said that if the robotic procedure is helpful with Bangladesh’s infrastructure, they will request the government to purchase the machine. It will be possible to wear heart rings permanently in the country by robotic method. Then the patient has to add only 20 thousand rupees to the total cost of treatment.
Pradeep Kumar Karmakar said that the hospital has all the infrastructure and skilled doctors. No hospital infrastructure has to be changed to use this device.
Director of National Heart Institute and Hospital. Kamrul Hasan Milan said to Prothom Alo that the launch of such a modern system is certainly a matter of pride. If the government buys the device, it will be possible to treat heart disease more easily.
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