Advanced interventional cardiac procedures and perioperative care required to prevent the epidemic of end-stage heart disease in Sri Lanka

Cardiovascular disease is the the leading cause of morbidity and mortality in the world and in Sri Lanka. This epidemic with multiple aetiologies lead to a final common path of heart failure, which can be averted by timely delivery of state-of-the art interventional cardiac procedures. The expansion of Primary PCI, complex coronary interventions for ischaemic heart disease with calcific vessels and CTO using Rotablation, Transcatheter heart valve (TAVI/Mitraclip) procedures for valve disease, Intracoronary transplantation of autologous stem cells for failing hearts, septal ablations and multiple device therapies for congenital heart diseases are examples of the discussed novel interventional cardiac therapies that are gaining pace as treatment modalities available for complex cardiac patients in Sri Lanka.