Dr. Satish Kini
Leading Cardiothoracic Surgeon in Bangalore
Over 30 years of experience in advanced cardiac and thoracic procedures
Over 30 years of experience in advanced cardiac and thoracic procedures
Number of Surgeries
Years of Experience
Countries
Hospitals
Dr.Satish.M.Kini is one of the leading Cardio-thoracic & Vascular Surgeon in Bangalore. Presently he leads the Cardiothoracic team in major hospitals in Bangalore, Bhagwan Mahaveer jain Hospital, Sagar hospitals , Bangalore Baptist hospital. He specializes in Adult cardiac surgery and General Thoracic surgery. His major expertise is in performing Coronary Arterial Bypass grafting or Bypass surgery for which he is specially trained from renowned centers all over the world. He performs the Bypass surgery on a beating heart without using any artificial machines. His results of the operation are one of the best and equals to world standards.
Chief of Cardio Thoracic Surgery at Bhagawan Mahaveer Jain Hospital, Bangalore.
Associate professor at St John’s Hospital, Bangalore.
I spent in Royal prince Hospital, Sydney, Australia. This is known as one of the best training centers in Australia.
Worked with Dr Denton Cooley and Dr. O.H. Frazier as a Fellow in Transplantation at Texas Heart Institute , Houston,
Worked as CLINICAL FELLOW Texas Heart Institute with Dr. Denton A. Cooley & his Associates. Texas Heart Institute
Worked at University Hospital of Wales in Cardiff, UK.
Associate Cardiac Surgeon with Dr Avinash Inamdar and Dr S Bhattacharya at Inamdars Heart Institute, Aundh, Pune.
Sr. CLINICAL ASSISTANT, worked with Dr.S.Bhattacharya in Bombay Hospital Institute of Medical Sciences and Research
M Ch in CVTS Trained to be cardiothoracic surgeon from Grant Medical college, Mumbai,
Resident in, Cardiothoracic Surgery at Bombay Hospital Institute of Medical Sciences under Dr D S Saksena.
90 Residency Program- M.S.(General Surgery) King Edward Memorial Hospital, Pune.
There are normally three arteries in heart which supply pure blood to heart. These arteries get blocked due to several reasons. Once the arteries get blocked it leads initially to ‘Heart Pain’ also known as angina and later on leads to heart attack. To prevent heart attack these blocked channels must be bypassed with new arteries. This operation of changing the arteries is called Bypass surgery. In this surgery patients own blood vessels are used to bridge (Bypass) around blocked arteries in the heart.
Arteries get blocked by multiple reasons. The commonest reasons are advancing age, genetic history, smoking, diabetes, B.P, Cholesterol, Stress, physical inactivity ..
Genetically we Indians have small arteries as compared to Caucasians, this factor cannot be changed. India is Diabetic capital of world,most of the diabetics get blocks in various arteries.Changing dietary habits, increasing stress,lack of physical activity,all the above are the causes of high number of heart diseases in India.
The opening of the blocks in the arteries with the balloon and subsequently keeping it open using a metallic coil is called Stenting. Stenting is generally advisable for single block.
Bypass surgery, once done, gives relief of symptoms and prevents further heart attack for longer period of time up to 20 years or more . Where as in Stents, the artery can get blocked in few years and in the case of diabetic patients ,stents get blocked even faster. Bypass is the technique of making new channels from patients own body, hence it is very physiological and longer lasting. Also, bypass surgery is economical as compared to stents especially in India. Once a bypass is done, the cost of medicines is reduced for the rest of the life.
| BYPASS SURGERY | STENTING |
|---|---|
| Physiological operation | Synthetic Material used |
| Longer Lasting | Tendency to get blocked |
| Ideal for diabetic patients | Unsuitable for diabetic patients |
| Ideal for Indians with small blood vessels | Unsuitable |
| Economical | Expensive |
| Repeat procedure not required | May require repeat procedure |
| Medicines requirements comes down | Medicines keep adding |
| Does not require strong blood thinner | Require lifelong strong blood thinners |
| Minimal follow up with doctor | Regular follow up required |
| Ideal for patients with rural background as no follow up required | Needs to rush to speciality hospitals in city |
| Most economical over next two decades | Recurrent expense in next decade |
Bypass surgery can be done by two methods. Conventional, using the heart lung machine and Beating heart surgery.
Traditional way of doing Bypass surgery is by using Heart-lung machine. During surgery, Human heart is connected to the heart-lung machine,this machine does function of heart and lungs while surgeon repairs the Heart. Heart is temporarily stopped and restarted at the end of the operation.
