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Dr Pankaj Goel, is currently working as a Director and Head of the Cardio-thoracic and Vascular (Heart, Lung and Vascular Surgery) unit at the Ivy Hospital, Amritsar.

After completing his MCh in cardio-thoracic and vascular surgery from GB Pant Hospital, Delhi University in 1998, Dr Goel worked at Madras Medical Mission, Chennai for three years. Here he obtained training in complex paediatric cases. Thereafter he went to Australia (Royal Perth Hospital) for further training and experience.

Dr Goel joined the Fortis Escorts Hospital, Amritsar in 2003. Since 2008 , in his capacity as HOD at the same hospital he has done pioneering work and established cardio-thoracic and vascular surgery in the city.

The Goel's unit now routinely performs all types of cardiac, thoracic and vascular surgeries with results comparable to the best centres in the world. Dr Goel is responsible for many firsts in the region.

Dr Goel has several research papers published in indexed journals. He has authored a book on cardiac surgery. He has an original technique for harvesting saphenous vein to his credit.

In 2009, Dr Goel was elected member of the prestigious Society of Thoracic Surgeons , USA. He is also a member of the Indian Association of Cardio-thoracic surgery and CTS Net.

At Ivy Hospital, Dr Goel routinely performs all types of Cardiac, thoracic (including thoracoscopic) and vascular procedures.


Saturday 6 October 2012

Coronary Bypass- Two Mammary Arteries Are Better Than One

The left internal mammary artery (LIMA) has been used for coronary artery bypass grafting (CABG) for the last six decades. It has stood the test of time. The LIMA to left anterior descending artery (LAD)  has a patency rate of 95% at 15 years. It is more than any other graft or stent. In fact, the LIMA to LAD anastomosis is responsible for improved survival after CABG.
With the age of patients coming forward for bypass surgery showing a decline, it is logical to assume that the addition of another arterial graft- Right internal mammary artery(RIMA) should further increase the survival. A series of recent research papers have shown that the addition of RIMA to bypass other left sided arteries of the heart (circumflex system), further improves survival.
The latest issue of Annals of Thoracic Surgery has an article re enforcing the concept that in Bypass surgery two mammary arteries are better than one.

Bilateral Internal Thoracic Artery Grafting Is Associated With Significantly Improved Long-Term Survival, Even Among Diabetic Patients

John D. Puskas, MDa,*Adil Sadiq, MS, MCha,Thomas A. Vassiliades, MDaPatrick D. Kilgo, MSb,Omar M. Lattouf, MD, PhDaa Clinical Research Unit, Division of Cardiothoracic Surgery, Rollins School of Public Health, Emory University, Atlanta, Georgia
b Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta,
Ann Thorac Surg 2012;94:710-716. 

1 comment:

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