Catheter-based Mitral Valve Repair with the MITRACLIP
Transcatheter Aortic Valve Implantation (TAVI)
Catheter-based Renal Artery Denervation for Resistant Hypertension
The Watchman Device: A Novel Therapy for Prevention of Stroke in Atrial Fibrillation
Absorb Bioresorbable Vascular Scaffold
Dedicated Bifurcation drug-eluting Stent: Axxess Stent
Endovascular repair of aortic conditions: EVAR and TEVAR
Organ Transplantation and Mechanical Heart
Minimally Invasive Mitral Valve Repair and Replacement
Minimally Invasive Repair of Chest Wall Deformities
Cardiac Magnetic Resonance Imaging CMR
Real Time Live 3D TEE-guided Procedures and Surgeries
Sutureless Aortic Valve Replacement
PARACHUTE Left Ventricular Partitioning Device
Cardiopulmonary Resuscitation CPR and Paediatric Advanced Life Support PALS
GrownUp Congenital Heart Disease GUCH
Paediatric & Congenital Heart Centre PCHC
In the field of Cardiology, cardiac imaging has benefited doctors and patients, by helping to give accurate diagnosis, guide treatment decisions, assess results of treatment and monitor the progress of the condition.
Cardiac MRI is the latest imaging technique. It comes with a whole host of possibilities, with more to come.
From 13th January 2010 when we first officially started the service until 30th November 2011, we have done a total of 2424 cases. 2097 or 86.5% cases are cardiac procedures. The numbers are increasing from 1085 cases in 2010 to 1339 cases up to November 2011.
Magnetic Resonance Imaging (MR) is a safe, noninvasive test that creates detailed pictures of the internal organs and tissues. There is no associated radiation, as that in a chest x-ray or CT scan. It started clinical use in the early 1980s. It is based on the principles of nuclear magnetic resonance (NMR) that were developed in the 1930s. Significant advances were necessary to go from the basic principles of NMR to generating images of the human body. Image production today relies upon magnetic fields created by superconducting magnets and sophisticated electronics which manipulate and process the RF energy.
Not surprisingly, Cardiac MR has been well accepted in IJN. It is used now to diagnose and evaluate a number of cardiac conditions with astounding ease as its plots 3D images of the complex cardiovascular system at any plane and reconstructs these live images in dynamic motion with impressive accuracy.
Interest in this new technology has led to a high demand for learning and training. IJN has paved the way for training programmes that are tailor-made and designed to suite physicians and technicians in the setting up of their own CMR unit. We have successfully conducted:
CMR intensive structured programme for technicians
CMR technology holds tremendous promise in the evaluation and treatment of cardiac disease. The potential for MRI to accurately diagnose and direct the treatment of coronary artery disease before it becomes clinically apparent is probably the most exciting prospect.
There are cost issues, and this stands as major disadvantage to CMR, which is to be expected with new technology.
Left to Right: Mohd Shafiq Rahman, Nagarajalinggam, Zaimi, Chin Miao Yin, Suryasuryono bin Hussein, Rogayah Mamat, Khairul Amin bin Mohd Nordin, Mohd Shafiq bin Maszalan Ahmad, Faris bin Addenan,