Die Cape Town AF Centre met Dr Razeen Gopal aan die stuur, word wêreldwyd hoof aangeslaan en dié sentrum word byna sonder uitsondering deur vervaardigers van nuwe mediese harttegnolgie gekies om die eerste van nuwe prosedures op die vasteland en Midde-Ooste, in die ontluikende wêreld buite die VSA, Engeland en Europa uit te voer.
Hier is ‘n klompie eerstes:
2025
Elektroporasie ablasie word byna daagliks by CTAFC gedoen.
2024
Geleidingsweefsel-pasaangeërs is deel van CTAFC se pasaangeër armintarium.
Dit is nou moontlik om baie pasiënte met hartversaking of linkerbondeltak-blok ‘n beter lewe te gee. ‘n Nuwe soort pasaangeër, waar die hart se eie geleidingsweefsel gestimuleer word, pleks van die hartspier, word nou as die goue standaard vir pasaangeërs beskou.
2023
Februarie 2023: eerste elektroporasie ablasie in Afrika
Die eerste geval in Afrika waar ’n pasiënt met revolusionêre nuwe tegnologie behandel is om ‘n hartritme-defek te herstel, is in Februarie 2023 hier by die CTAFC in die Kaapse Skiereiland gedoen.
Die nuwe tegnologie bekend as elektro-porasie is uiters nuut, maar baie opwindend en kan moontlik tot ’n omwenteling in die behandeling van nie net atriale fibrillasie nie, maar alle ander hartritme-defekte lei.
2021
Implant world’s smallest cardiocapsule pacing system: https://capetownafcentre.com/the-pacing-revolution-continues/
In February 2021 we added the world/s smallest cardiocapsule to our pacing armentarium.
It is the world’s smallest cardiocapsule – and with this miniaturized, sophisticated and complete pacing system, new opportunities to redefine the patients experience and reduce complications associated with traditional pacing technology, exists. With the device no chest scar or visible bump is noticeable and it allows for fewer post-implant activity restrictions. The evidence supports that systemic infections or dislodgements related to the device are highly unlikely, with a very low revision rate, if at all necessary.
Traditional pacing systems are strongly associated with long-term lead and pocket-related complications, which achieve a staggering 10%. The Micra™ VR system effectively eliminates pocket-related complications such as haematoma, infection and erosion.
2019
- Implant world’s smallest ICD
The first emerging market regions implantation of the world’s smallest smart device to control heart beats and pumping action was performed as long ago as May 2019 by Dr Gopal and his team at the Cape Town AF Centre, Panorama hospital, Cape Town.
These devices, known as Implantable cardioverter-defibrillators (ICD), are increasingly being used worldwide and also in developing countries, predominately for the management of life-threatening cardiac rhythm disorders.
- 28 January 2019 DR GOPAL PERFORMS 600th CRYO-ABLATION PROCEDURE
Dr Razeen Gopal, renowned cardiologist and electrophysiologist based at Mediclinic Panorama, performed his 600th cryo-ablation procedure on Monday, 21 January 2019. According to Medtronic South Africa, this is the first time a single operator has completed 600 cryo cases within the MEACAT (Middle East Africa and Turkey) region.The 600th cryo-ablation patient, Mr Paul Dinsmore, aged 61, an avid endurance trainer, and was referred to Dr Gopal for the ablation procedure. He underwent the surgery on Monday and hopes to return to endurance training in the near future.
2018
- Perform first His Bundle Conductive system pacing in May 2018.
Nuwe, gevorderde pasgeër-inplantingsprosedure wat selfs verswakte hart sterker laat klop, is nou in Kaapstad beskikbaar. Ja, Dit is nou moontlik om baie pasiënte met hartversaking of linkerbondeltak-blok ‘n beter lewe te gee. - Successful humanitarium mission to Senegal
6 April 2018. – Dr Razeen Gopal het pas teruggekeer van ‘n geslaagde humanitêre missie na Dakar Senegal, waar hy binne vier dae ablasie-prosedures op 18 pasiënte met lewensgevaarlike hartritme-defekte, uitgevoer het.
2016
- Implant a new subcutaneous leadless ICD
Panorama – On Monday 21 November 2016 Dr Razeen Gopal, Cardiac Electrophysiologist at the Cape Town AF Centre located at Mediclinic Panorama, implanted a shock device under the skin without a single wire touching the heart of the patient. Mr. Jan Wiehman (55) of Welgemoed, Bellville became the first patient in Africa to receive a subcutaneous shock device, also known as a Subcutaneous Cardioverter Defibrillator (S-ICD), to prevent sudden cardiac death in the patient. - The Cape Town AF Centre in Cape Town established itself as the leader in the field of cryo-balloon ablation therapy for atrial fibrillation in the Middle East/Africa region when Dr Razeen Gopal, Cardiac Electrophysiologist, and his team at the Cape Town Atrial Fibrillation Centre at Mediclinic Panorama hospital, performed their 300th Cryo-balloon ablation procedure to treat Atrial Fibrillation on the 16th February 2016.
- Implant the world’s smallest pacemaker
Since October 2016, The CTAFC also offers the implantation of the world’s smallest pacemaker.
This was how we reported on the first implantion:
On Monday 17 October 2016 Dr Razeen Gopal, Cardiac Electrophysiologist at the Cape Town AF Centre located in Mediclinic Panorama, inserted the world’s smallest pacemaker percutaneously into the heart of Mrs Joan van Niekerk (74) from Brackenfell.
2014
- 1 Desember 2014: Die eerste multi-elektrode ablasie
- Plant piepklein EKG monitor in
24 June 2014. – Esther Esterhuizen (55) van Beaufort-Wes, het Vrydag die eerste mens buite die VSA, Engeland en enkele lande in Europa – waar die nuwe monitor tydens die studie-fase getoets is – geword in wie ‘n nuwe piepklein EKG monitor ingeplant is. The Good Doctors was daar en het foto’s geneem.
- First to use latest version of cryo-ablation
March 2014. – History was made on the continent when a Cape Town heart specialist performed the first procedure using the latest version of a new procedure known as cryoballloon ablation to treat atrial fibrillation, a common heart rhythm disorder in people over 60 years.
A small balloon in the left side of the heart, new freezing technology, a highly trained specialist and a man from Malmesbury suffering from early stages of atrial fibrillation – these components all came together to create medical history.
Hein Pieterse (35) from Malmesbury became the first patient with atrial fibrillation (AF), also described as chaotic heartbeats, in Africa and the Middle East to undergo the latest version of cryoballoon ablation, a non-invasive procedure where extremely low temperatures are used to block defective electrical signals sparking irregular heartbeats.
The man who had changed Hein’s life, is Dr Razeen Gopal, one of only a few interventional electrophysiologists (cardiologists who super-specialised to diagnose and treat heart rhythm disorders) in South Africa. Dr Gopal, who trained at presitious academic institutions in the United Kingdom and Belgium, heads the electrophysiology unit at Panorama Mediclinic.
2013
Plant eerste piepklein hartmonitor in
Buiten vooruitgang in ablasie-tegnieke het dr. Gopal ook in 2013 geskiedenis gemaak toe hy nuwe tegnologie ingespan het vir die behandeling van gevorderde hartversaking wat glad nie op behandeling met middels wou reageer nie, en ook die eerste nuwe piepklein hartmonitor ingeplant het.
2012
- Nuuste krioballon-ablasie tegniek
Dr Gopal het in 2012 die eerste prosedure in Afrika utitgevoer met die die nuutste krioballon-ablasie-tegnologie. Die pasiënt, Hein Pieterse (36) van Malmesbury, het aan AF gely, maar is sedert die prosedure asimptomaties. - Dr Gopal was the first specialist in Africa and the Middle East to implant the most updated version of a four-pole left ventricular pacemaker in a patient. This procedure was performed to treat a patient with advanced heart failure. The patient, Gerhardus van Zyl from Durbanville, is alive and well almost one year after this tricky procedure.
2011
In 2011 Dr Gopal was one of the first South African specialists to start performing cryo-ablations in high volumes.