Implanted the1st heart failure device (Biventricular Pacemaker) and Combo Device (Combination of ICD & Biventricular pacemaker) in South East Asia.
Performed 2000 cardiac diagnostic angiographies, around 300 angioplasties including stenting/atherectomy/rotablation every year.
Interests are Complex Coronary Interventions & Angioplasty using Advanced Techniques, Cardiac Pacing & Electrophysiology, Devices in Heart Failure, Cardiomyopathy and Sudden Cardiac Death
Awarded the PADMA BHUSHAN, the third-highest civilian honour, by the President of India for contribution to the field of medicine in 2005.
Awarded the Lifetime Achievement Award 2006′ for outstanding contribution in the field of Clinical & Preventive Cardiology in the World.
There are several research paper to his credit published in the National and International popular journals
CRT- D Implant (Cardiac Resynchronization Therapy)
Device Closure- ASD VSD
Heart Bypass – Minimally Invasive CABG
Heart Bypass Surgery (CABG)
Heart Double Valve Replacement
Heart Implants
Heart Valve Replacement Surgery
EDUCATION:
MBBS, Patiala Medical College
MD, PGI Chandigarh
DM, PGI Chandigarh
MRCP
Awards:
Awarded the PADMA BHUSHAN, the third-highest civilian honour, by the President of India for contribution to the field of medicine in 2005.
Awarded the Lifetime Achievement Award 2006′ for outstanding contribution in the field of Clinical & Preventive Cardiology in the World
Treatment We Provide
Coronary Angiography
Coronary angiography is a common and widely used procedure to evaluate the severity and location of blockages in the coronary arteries, determine the need for further intervention such as angioplasty or stenting, or assess the overall health of the heart.
It is usually performed by a cardiologist in a specialised cardiac catheterization laboratory, and it may be done on an outpatient or inpatient basis, depending on the patient’s condition and the complexity of the procedure. Risks associated with coronary angiography are generally low but may include bleeding, infection, reaction to the contrast material, or damage to blood vessels or organs.
Pacemaker Implantation
A pacemaker implantation is a surgical procedure where a small electronic device called a pacemaker is implanted in the chest to regulate the heart’s electrical activity and ensure that it beats at a normal rhythm.
Pacemakers are commonly used to treat various heart conditions, such as bradycardia (a slow heart rate) or certain types of heart block (a condition where the electrical signals in the heart are delayed or blocked).
During a pacemaker implantation, the patient is usually given local anesthesia to numb the area where the pacemaker will be implanted, and may also be given sedation to help them relax. A small incision is made in the chest, and the pacemaker leads (thin wires with electrodes) are threaded through a vein and guided to the heart. The leads are then attached to the appropriate areas of the heart muscle, and the other end is connected to the pacemaker device, which is usually placed under the skin in a pocket created in the chest. Once the leads are securely in place and the pacemaker is programmed to the appropriate settings, the incision is closed, and the pacemaker is tested to ensure proper functioning.
Coronary Angioplasty
Coronary angioplasty is often used to relieve symptoms of chest pain (angina) caused by reduced blood flow to the heart muscle due to coronary artery disease (CAD).
It can also be performed as an emergency procedure during a heart attack to restore blood flow to the heart muscle and minimise damage. Risks associated with coronary angioplasty can include bleeding, infection, damage to blood vessels or organs, and the possibility of the treated artery narrowing again. However, it is generally considered a safe and effective procedure for treating coronary artery blockages.
Balloon Valvotomy
Balloon valvotomy is a less invasive alternative to valve replacement surgery for certain patients who are not good candidates for open-heart surgery due to health conditions or other factors.
It is typically performed under local anaesthesia with sedation, and the recovery time is generally shorter compared to traditional open-heart surgery. However, it may not be suitable for all cases of heart valve stenosis, and the decision on whether to undergo balloon valvotomy or other treatment options should be made by a qualified cardiologist or heart surgeon based on the individual patient’s condition and overall health. Risks associated with balloon valvotomy can include bleeding, infection, damage to blood vessels or heart tissue, and the possibility of the valve narrowing again over time.
Cardiac Catheterization
Cardiac catheterization, also known as coronary angiography, is a specialised diagnostic procedure commonly performed by cardiologists to evaluate the condition of the heart and its blood vessels.
It involves the insertion of a thin, flexible tube called a catheter into a blood vessel, usually in the groin, arm, or neck, and guiding it to the heart to obtain detailed images and measurements of the heart and its blood vessels.
Cardiac catheterization is a valuable tool in diagnosing and managing a wide range of heart conditions, including coronary artery disease, heart valve disease, congenital heart defects, and heart failure. It provides important information about the structure and function of the heart, the presence of blockages or narrowing in the blood vessels, and the overall health of the cardiovascular system.
Cardiac catheterization is generally considered a safe procedure with low risks, but like any medical procedure, it does carry some risks, including bleeding, infection, damage to blood vessels or heart tissue, and adverse reactions to the contrast dye. However, the benefits of cardiac catheterization in diagnosing and managing heart conditions often outweigh the risks, and the procedure is considered a valuable tool in the field of cardiology.
Heart Transplant
Heart transplantation is a surgical procedure in which a diseased or failing heart is replaced with a healthy heart from a deceased donor.
It is considered a treatment option for patients with end-stage heart failure, a condition in which the heart is severely damaged and unable to pump blood effectively to meet the body’s needs.
During a heart transplant, the patient’s diseased heart is removed, and a healthy heart from a deceased donor is transplanted in its place. The healthy heart is connected to the patient’s blood vessels, and the surgical team ensures that blood flow is restored, and the heart begins to beat effectively. The procedure may take several hours and requires a highly skilled surgical team in a specialized transplant center.
After the heart transplant, the patient requires lifelong immunosuppressive medications to prevent rejection of the transplanted heart. Regular follow-up appointments, monitoring, and lifestyle changes are also necessary to ensure the success of the transplant and the patient’s long-term health.
AICD Implantation
An implantable cardioverter-defibrillator (ICD) is a device used to treat life-threatening arrhythmias, such as ventricular tachycardia or fibrillation.
The device is implanted under the skin of the chest, usually near the collarbone, and connected to one or more leads that are threaded through a vein into the heart. The ICD continuously monitors the heart’s electrical activity and can deliver an electrical shock to restore normal rhythm if an arrhythmia is detected.
The procedure to implant an ICD, also known as AICD (Automatic Implantable Cardioverter-Defibrillator), is typically performed under local anesthesia and takes about an hour to complete. Patients are usually able to leave the hospital within a day or two after the procedure and can resume their normal activities within a few weeks. ICD implantation is generally considered a safe and effective treatment for life-threatening arrhythmias, with a low risk of complications such as infection or bleeding.
Electrophysiology
Electrophysiology (EP) is the study of the electrical properties of biological cells and tissues, particularly in the heart. In the context of cardiology, electrophysiology refers to the study and treatment of abnormal heart rhythms or arrhythmias,
which can lead to a variety of health problems, including heart failure, stroke, and sudden cardiac arrest. During an electrophysiology study, a thin, flexible catheter is inserted through a vein in the groin or neck and guided to the heart. The catheter is used to record the electrical activity of the heart and to stimulate the heart in order to identify the source of any abnormal rhythms. This information can be used to guide treatment decisions, such as the use of medications, cardiac ablation, or the implantation of a pacemaker or defibrillator.
Electrophysiology is a complex field that requires specialized training and expertise. EP specialists work closely with cardiologists and other healthcare providers to diagnose and treat a variety of arrhythmias and related conditions. With advances in technology and treatment options, electrophysiology continues to play an important role in improving the health and quality of life for patients with arrhythmias.
Septal Closure
Septal closure is a procedure used to treat a hole in the heart known as an atrial septal defect (ASD) or a patent foramen ovale (PFO). These defects can lead to the mixing of oxygen-rich and oxygen-poor blood in the heart,
leading to a variety of symptoms and potential health risks. During a septal closure procedure, a small device is inserted through a catheter and guided to the heart. The device is then used to close the hole, effectively sealing it off and preventing the mixing of blood. This is a minimally invasive procedure and is typically performed under general anesthesia or conscious sedation.
Septal closure is considered safe and effective for the treatment of ASD and PFO. Most patients can return to normal activities within a few days after the procedure, and the risks of complications are relatively low. However, as with any medical procedure, there are some risks, including bleeding, infection, and damage to the heart or blood vessels. Patients who undergo septal closure typically require regular follow-up with their healthcare provider to monitor their recovery and ensure the device is functioning properly. With proper care and management, septal closure can effectively treat ASD and PFO and help improve the overall health and quality of life for those with these conditions.
TAVR
Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure used to treat severe aortic stenosis, a condition in which the aortic valve becomes narrowed and obstructs blood flow from the heart.
During the procedure, a catheter is inserted through an artery in the leg or chest and guided to the heart. A replacement valve, made of a collapsible metal frame with a tissue valve inside, is then threaded through the catheter and positioned inside the diseased valve. The new valve is expanded and pushed into place, displacing the old valve and restoring normal blood flow.
TAVR is typically performed under local anesthesia and takes about 1-2 hours to complete. Patients usually require a shorter hospital stay and have a faster recovery time compared to traditional open-heart surgery. TAVR is generally considered a safe and effective treatment for severe aortic stenosis, particularly in patients who are at high risk for complications from traditional surgery.
Most Asked Questions:
Q: Where is Dr. T. S. Kler currently employed?
A: Dr. T. S. Kler is currently working at BLK-Max Super Specialist Hospital, New Delhi.
Q: How many procedures does Dr. T. S. Kler performed till now?
A: Dr. Kler has conducted more than 25,200 coronary, renal, carotid, and peripheral angioplasties and is a very prominent interventional cardiologist.
Q: What tests/investigations do Interventional Cardiologists generally arrange?
A: Investigations include transesophageal echocardiography, magnetic resonance imaging (MRI), computerised tomography (CT), echocardiography, and electrocardiogram
Q: What are some of the achievements of Dr. T. S. Kler achieved?
A: In April 1995, Dr. T. S. Kler became the first physician in India to insert an Implantable Cardioverter Defibrillator (ICD) and was presented with the Lifetime Achievement Award in 2006 in recognition of excellent work in the global field of clinical and preventive cardiology.
Q: What is the interventional cardiologist’s most frequent practice?
A: Catheterization is the most popular interventional cardiology technique. It entails inserting a sheath into the wrist or groyne artery and guiding a catheter to the heart to unblock a blocked artery using a balloon (angioplasty) or a stent (metal sleeve that is inserted to prop open the artery from within).
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BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
