Dr. Virbhan Balai

Dr Virbhan Balai is an interventional cardiologist in Delhi with 18 years of experience specialising in complex coronary interventions, structural heart disease, cardiac electrophysiology, device implantation, and peripheral vascular interventions, currently practising at Manipal Hospital, Dwarka, Delhi.

He completed his FNB in Interventional Cardiology from Max Super Speciality Hospital, Saket, trained as Senior Resident at AIIMS, New Delhi, received the Dr APJ Abdul Kalam Health Award 2023, and has been invited as faculty at international conferences including PCR Tokyo Valves, INDIA VALVE 2022, and SCAI Virtual Lab.

He consults in English and Hindi.

Area of Expertise

Complex Coronary Intervention

Patients with advanced coronary artery disease including left main disease, calcific vessels, and chronic total occlusions are managed by Dr Virbhan Balai with imaging guided and device assisted coronary techniques:

• Primary PCI and complex PTCA
• Left main coronary stenting
• Rotablation and orbital atherectomy
• Intravascular lithotripsy (IVL)
• IVUS, OCT, FFR, and IFR guided intervention

Structural Heart Intervention

Patients with valvular and structural cardiac conditions are managed with advanced transcatheter repair and replacement procedures:

• Transcatheter aortic valve replacement (TAVR)
• Transcatheter mitral valve replacement (TMVR)
• MitraClip for mitral regurgitation
• Tricuspid valve intervention
• Balloon mitral valvuloplasty (BMV)

Cardiac Device Implantation

Patients requiring pacing, defibrillation, and resynchronisation devices are managed with implantation of advanced cardiac electronic devices:

• Permanent pacemaker implantation
• Leadless pacemaker implantation (Micra)
• Implantable cardioverter defibrillator (AICD)
• Subcutaneous AICD implantation
• Cardiac resynchronisation therapy (CRT-D and CRT-P)

Electrophysiology and Arrhythmia Management

Patients with cardiac arrhythmias are evaluated with electrophysiological studies and managed with catheter based ablation techniques:

• Electrophysiology study (EPS)
• Radiofrequency ablation (RFA)
• Complex arrhythmia ablation
• Atrial fibrillation management
• SVT and VT ablation

Congenital and Structural Device Closure

Patients with congenital heart defects and structural cardiac anomalies are managed with device based catheter closure procedures:

• ASD device closure
• VSD device closure
• PDA device closure
• RSOV closure
• LAA occluder implantation

Haemodynamic Support and Advanced Procedures

Patients with cardiogenic shock and high risk interventions are managed with mechanical circulatory support devices and advanced procedural techniques:

• Impella device for cardiogenic shock
• ECMO support management
• IABP implantation
• Alcohol septal ablation for HOCM
• High risk PCI with mechanical support

Peripheral and Vascular Intervention

Patients with peripheral arterial disease and aortic conditions are managed with minimally invasive endovascular techniques:

• Peripheral transluminal angioplasty (PTA)
• EVAR and TEVAR procedures
• Peripheral vascular disease management
• Endovascular aortic intervention
• Vascular access and intervention planning

Credentials and Qualifications

• MBBS, VMMC and Safdarjung Hospital, New Delhi (2008)
• DLO (Oto-rhinolaryngology), VMMC and Safdarjung Hospital, New Delhi
• MD General Medicine, PGIMER and Dr RML Hospital, New Delhi (2013)
• DNB Cardiology, National Heart Institute, New Delhi (2017)
• FNB Interventional Cardiology, National Board of Examinations and Max Super Speciality Hospital, Saket, New Delhi (2021)

Awards and Academic Recognition

• Dr APJ Abdul Kalam Health Award 2023
• INDIA VALVE 2022 TAVR Hall of Fame presenter for Transaortic TAVR with Porcelain Aorta, TAVR in Challenging Anatomy, and TMVR
• Invited faculty at PCR Tokyo Valves (2023), SCAI Virtual Lab (2021), and Society of Coronary Imaging and Physiology (SCIP) (2022)

Research and Publications

Dr Virbhan Balai has published book chapters in peer reviewed cardiology textbooks and presented at national and international cardiac conferences:

• "Culprit versus Non-Culprit Vessel Angioplasty in STEMI." Chapter 58, CSI Updates 2021
• "Efficacy, Safety and Promising of Atorvastatin versus Rosuvastatin in LDL Cholesterol Reduction Potential and CVD Protection." Chapter 22, Advances in Statin Therapy and Beyond in CVD (ASTC)
• "Coronary Plaque Regression in Statin Intervention Trials: Does It Hold the Ground?" Chapter 19, Cardiology 2021 Edition, LIPIDS
• Research on prevalence of coronary heart disease risk factors including novel and conventional risk factors
• Research on intensive nutritional and lifestyle modification in uncontrolled Type 2 Diabetes Mellitus

Professional Memberships

• Cardiological Society of India, Life Member (L-4824)
• Association of Physicians of India, Life Member (L-17169)
• Indian Academy of ECHO, Delhi, Life Member (LM-026)
• American College of Cardiology, Member
• European Society of Cardiology, Member
• Society of Cardiovascular Angiography and Intervention, USA, Member
• Asia Pacific Vascular Society, Member

Professional Experience

Current Hospital Affiliation

Dr Virbhan currently practises at:

• Manipal Hospital, Dwarka, Delhi, Consultant Interventional Cardiology

Previous Associations

• Max Super Speciality Hospital, Saket, New Delhi, Consultant
• BLK Max Super Speciality Hospital, Delhi, Associate Consultant
• AIIMS, New Delhi, Senior Resident
• National Heart Institute, New Delhi, Resident

Book an Appointment with Dr Virbhan Balai, Interventional Cardiologist in Delhi

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