Dr. Rahul Kaiche - Best Cardiac Surgeon in Nashik
Dr. Rahul Kaiche has been working diligently for the last 2 decades and has become the best cardiac surgeon in Nashik based on his expertise and reputation for performing procedures with a high success rate. He has successfully treated more than 8500 paediatric and adult cardiac diseases patients, as well as more than 200 patients with heart function less than 20% ejection function, with a success rate of more than 99.44 percent. He has successfully performed multiple cardiac surgery in Nashik, with a 99.44 percent overall success rate in the CABG group. He is dedicated to his profession and always gives it his all.
Dr. Kaiche has worked with some of the world’s greatest hospitals, including Kings College London, the John Radcliffe Hospital in Oxford, and the Austin Hospital in Melbourne, making him the best cardiac surgeon in Nashik. For his contributions in the sector, he was also awarded the Dr. Vasantrao Gupte Memorial Service Award (2011) and the Maharashtra Bhushan in 2011 by the Social Welfare Trust Mumbai. He has also contributed to society by striving to improve the lives of rural people and Adivasi. He is the Director of Shri Gurudatta Shikshan Prasarak Sanstha Karanji, Dist Nashik, an educational trust for Adivasi and rural kids.
Total cases more than 8500
1) CABG : 6482
2) Valve cases : 1890
(MVR, AVR, DVR,with or without
TV repair, valve with CABG,valve with Tumor,
Bentall procedure, redo valve vases)
3) Tumors (2 cases Redo) : 18
4) Congenital anomaly : 103
5) Myomectomy : 7
EUROSCORE-II :-0.5 to 61
Average is 3.77
It is risk stratification score which indicates actual mortality.
Mortality:-
CABG group- 0.72% (6482 cases) which includes CABG with poor EF( less than 20%) and patients with high creatinine.
Other group( open heart surgeries)- 1.3%.
Ejection Fraction:-
35% patients(2268)had normal EF.
52% patients(3370)had EF 30% – 50%.
12% patients(777)had EF 20% – 30%.
1% patients(65)had EF less than 20%.
Arterial Grafts:-
71.49% had arterial grafts (LIMA, RIMA, Radial, LIMA RIMA “Y” graft and LIMA Radial “Y” graft).
Maximum grafts 6 with average grafts 2.89 = 3
Renal Function:-
9.6% patients(622) had creatinine clearance less than 50.
1.3% patients(84)had creatinine clearance less than 30.
Also done 74 Kidney transplant( live and cadavaric) in 4 hospitals in Nashik.
Done 87 pts with endarterectomy – LAD majority, 2nd common is RCA-PDA Less common only 4 pts OM
LAD endarterectomy with vein patch on arteriotomy and LIMA to LAD graft. Total 4 grafts LIMA RIMA Y. All vessels 1mm size.
Endarterectomy is taking out calcified plaques which have 100% blocked coronary arteries. Most surgeons leave the artery without grafting or they graft without vein patch. I have developed this technique where I put vein patch, it’s like creating neointima so chances of graft thrombosis is decreased. Looking for sponsorer so I can CT angio of this pt in post op period to know patency of grafts.
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