The successful use of state-of-the-art technology to treat a 90-year-old patient with life-threatening hemoptysis (uncontrollably bloody sputum/mucus) marked a groundbreaking milestone for Medica Superspecialty Hospital, which is a part of the Manipal Hospital group. Dr. Arindam Pande, Senior Consultant in the Department of Cardiology at Medica Superspecialty Hospital, used the Manta Device to close a large 20F (6.6 mm) access through sheaths for the first time in Eastern India’s interventional cardiology. With the help of Dr. Ejaz Ahmed Bari, Radiologist at Medica Superspecialty Hospital, and Arnab Dey, Chief Technologist, at Cathlab, Medica Superspecialty Hospital, the procedure was completed in just two minutes.

Dinanath Bhattacharjee, a 90-year-old South Kolkata resident, arrived at the hospital in the first week of December 2024 with severe coughing, blood splattering from his mouth, and a need for high oxygen support. A large aneurysm (a condition in which the wall of the aorta, the largest blood vessel in the body, weakens and bulges outward like a balloon) was discovered in the descending thoracic aorta after an initial chest X-ray revealed lobar pneumonia. This dangerously enlarged blood vessel, which pressed against the left lung and caused major problems, looked like a “baby heart” in the chest. The case was referred to Dr. Arindam Pande for additional care by Dr. Arnab Bera, Consultant in Respiratory Medicine at Medica Superspecialty Hospital.

The medical team used Thoracic Endovascular Aortic Repair (TEVAR) to treat the critical condition. As they described the process, According to Dr. Arindam Pande, “a 120/30 mm stent graft was used to perform the procedure.” The large 20F (6.6 mm) access site was then closed using the Manta Device. This particular medical instrument is utilized in interventional cardiology. Large-bore arterial punctures made during catheter-based procedures are intended to be closed with it. The tool aids in hemostasis, or the rapid and effective cessation of bleeding. The next morning, the patient’s hemoptysis ceased, and he maintained hemodynamic stability during his recuperation. The collaboration of the Cath Lab team, radiologists, critical care personnel, and administrative support made the entire process possible.

With this case, the team at Manipal Hospitals became the first one to use the Manta Device in Interventional Cardiology.

Priyanka Dutta