 |
|
Heart valves implanted without open-heart surgery
January 08, 2009An innovative approach for implanting a new aortic heart valve without open-heart surgery is being offered to patients at NewYork-Presbyterian Hospital/Columbia University Medical Center. Known as the PARTNER (Placement of AoRTic traNscathetER valves) trial, this Phase 3 multicenter study is being led by national co-principal investigators Dr. Martin Leon and Dr. Craig Smith and is focused on the treatment of patients who are at high risk or not suitable for open-heart valve replacement surgery.
The Edwards SAPIEN transcatheter heart valve, made of bovine pericardial tissue leaflets hand-sewn onto a metal frame, is implanted via one of two catheter-based methods -- either navigated to the heart from the femoral artery in the patient's leg, or through a small incision between the ribs and into the left ventricle. It is then positioned inside the patient's existing valve, using a balloon to deploy the frame, which holds the artificial valve in place. Both procedures are performed on a beating heart, without the need for cardiopulmonary bypass and its associated risks.
"This breakthrough technology could save the lives of thousands of patients with heart valve disease who have no other therapeutic options," says Dr. Leon, the study's national co-principal investigator, associate director of the Cardiovascular Interventional Therapy (CIVT) Program at NewYork-Presbyterian Hospital and Columbia University Medical Center, and professor of medicine at Columbia University College of Physicians and Surgeons.
Annually, some 200,000 people in the U.S. need a new heart valve, but nearly half of them do not receive a new valve for a variety of reasons.
"This study may show that transcatheter valve replacement is a safe and effective alternative to open surgery, which remains the 'gold standard' for most patients," says Dr. Smith, study co-principal investigator, interim surgeon-in-chief and chief of cardiothoracic surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center, and the Calvin F. Barber Professor of Surgery at Columbia University College of Physicians and Surgeons.
The transcatheter valve procedures take about 90 minutes, compared with four to six hours for open-heart surgery. In open-heart surgery, the surgeon cuts through the breastbone, stops the heart, removes the valve and replaces it. Open-heart surgery can require a two- to three-month recovery period, compared to only a few days for the transcatheter approach.
The PARTNER trial is a prospective randomized study with two separate treatment arms. In the surgical arm, patients are randomized to receive either the Edwards SAPIEN transcatheter heart valve or an Edwards surgical valve via open-heart surgery. In the non-surgical, medical management arm, patients considered to be non-operative are randomized to receive either the Edwards SAPIEN transcatheter heart valve or appropriate medical therapy.
New York- Presbyterian Hospital/Columbia University Medical Center
Annually, some 200,000 people in the U.S. need a new heart valve, but nearly half of them do not receive a new valve for a variety of reasons.
"This study may show that transcatheter valve replacement is a safe and effective alternative to open surgery, which remains the 'gold standard' for most patients," says Dr. Smith, study co-principal investigator, interim surgeon-in-chief and chief of cardiothoracic surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center, and the Calvin F. Barber Professor of Surgery at Columbia University College of Physicians and Surgeons.
The transcatheter valve procedures take about 90 minutes, compared with four to six hours for open-heart surgery. In open-heart surgery, the surgeon cuts through the breastbone, stops the heart, removes the valve and replaces it. Open-heart surgery can require a two- to three-month recovery period, compared to only a few days for the transcatheter approach.
The PARTNER trial is a prospective randomized study with two separate treatment arms. In the surgical arm, patients are randomized to receive either the Edwards SAPIEN transcatheter heart valve or an Edwards surgical valve via open-heart surgery. In the non-surgical, medical management arm, patients considered to be non-operative are randomized to receive either the Edwards SAPIEN transcatheter heart valve or appropriate medical therapy.
New York- Presbyterian Hospital/Columbia University Medical Center
Open-heart Surgery Current Events and Open-heart Surgery News RSSSurgeon 'gluing' the breastbone together after open-heart surgery
An innovative method is being used to repair the breastbone after it is intentionally broken to provide access to the heart during open-heart surgery. The technique uses a state-of-the-art adhesive that rapidly bonds to bone and accelerates the recovery process.
Diseased Heart Valve Replaced Through Small Chest Incision
When 91-year-old Irvin Lafferty was diagnosed with severe blockage of his heart valve-hardening that is formally known as aortic valve stenosis-open-heart surgery was out of the question.
Octogenarians can be good candidates for heart surgery
Patients 80 years and older who are in overall good health are perfectly able to withstand open-heart surgery, according to the latest study of Dr. Kevin Lachapelle of the McGill University Health Centre (MUHC). His findings were presented this morning in Toronto during the 2008 Canadian Cardiovascular Congress.
Northwestern Memorial's Bluhm Cardiovascular Institute Trials Implantable Device to Manage Congestive Heart Failure Symptoms
Northwestern Memorial's Bluhm Cardiovascular Institute is one of seven programs in the country participating in new study aimed at improving the heart's pumping action and helping to manage congestive heart failure symptoms.
Taking back-to-school to heart
With a new environment, new friends and new activities, the first day of school is a big step in the lives of young school-age children and one that requires all their cognitive, motor and social-emotional skills.
Infectious heart disease death rates rising again say scientists
Infectious heart disease is still a major killer in spite of improvements in health care, but the way the disease develops has changed so much since its discovery that nineteenth century doctors would not recognize it.
Novel approach may protect against heart attack injury
Researchers at The Children's Hospital of Philadelphia have manipulated cell activity that occurs during the interruption of blood flow to strongly protect heart tissue in animal studies.
Scientists develop new techniques for detecting harmful blood clots/air bubbles in arteries
New techniques for detecting emboli (harmful blood clots/air bubbles in arteries) developed at the University of Leicester have played a major role in dramatically reducing stroke rates after carotid endarterectomy. This is an operation designed to remove narrowings in the main arteries supplying the brain before they can cause a stroke.
NYC-area 1st: Morgan Stanley Children's Hospital performs transcatheter pulmonary valve replacement
A breakthrough new procedure may improve quality of life for children and adults with a common type of congenital heart defect that interferes with the body's ability to oxygenate blood through the lungs.
Some patients with heart attack shock survive years after aggressive treatment
Despite advances in treatment, people with a heart attack who survive the first hit and get to a hospital remain in danger. Almost one out of 10 of these patients will develop cardiogenic shock in which the heart malfunctions, causing an inadequate amount of blood to be pumped to the vital organs.
More Open-heart Surgery Current Events and Open-heart Surgery News Articles
 |
The Open Heart Companion: Preparation and Guidance for Open-Heart Surgery Recovery by Maggie Lichtenberg (Author) |
 |
Open Heart Surgery The Brian Jonestown Massacre (Primary Contributor) |
 |
Open Heart Surgery by Virgin Wool |
 |
Baseball hat/cap for open heart surgery patients one size fits all colors Black, Olive Green, Tan, White a great gift for a friend or love one. Distributed by J&L Disttibutors, Price $ 15.50 ea. by J&L Distributors This product is only for those of us who had open heart surgery, there are approximately eight million living survivors in this prestigous club. You must have a scar the full length of your chest for the rest of your life to be a member of this exclusive "zipper club" Baseball hat is a mid profile 100% brushed cotton twill w/ buckram backing, six panels with red sewn eyelets, velcor closure one size fits all, Embroidered Red Heart W/ Gold Letters on black caps with a zipper going down the middle of the heart. Very professionally done. Price $ 15.50 ea. Distributed by J&L Distributors Only. |
 |
Scar Healing Silicone Sheet 7.5 cm x 25 cm (3"x10") for large sized scars caused by Tummy Tucks Surgery, Large scars from surgical procedures (e.g.: open heart surgery) and scars caysed by plastic surgery procedures to the thighs, legs, waist. Excellent for scar management, scar therapy and scar removal. by ReJuveness Inc. For medium/large straight scars caused by minor cuts, abrasions, and surgical procedures (e.g.: cesarean sections and appendectomy) and plastic surgery procedures arms, foot and chest. |
 |
Charlie Rose with Bruce Springsteen (August 5, 2002) Charlie remarks briefly on his health and return to the show after medical problems. Then, an encore presentation of a rebroadcast of a conversation from August 24, 1999, with and performance by rock icon Bruce Springsteen. This product is manufactured on demand using DVD-R recordable media. Amazon.com's standard return policy will apply. |
 |
I Feel Good Also With: Warner Bros. (Producer) |
 |
The Cardiac Recovery Handbook: The Complete Guide to Life After Heart Attack or Heart Surgery, Second Edition by Paul Kligfield (Author) Maybe a suspicious angiogram has the doctor suggesting bypass surgery. Maybe a major heart attack has you confined to the ICU. After a heart attack or heart surgery, you have a hundred questions and your family has more. How long will I be in the hospital? What are the side effects of that medication? Why do I feel so depressed? What can I eat? Can I exercise? One of the nation's most respected cardiologists answers all your questions in The Cardiac Recovery Handbook. In clear, everyday language, the book covers all aspects of cardiac recovery—from the initial diagnosis of heart disease to medications and surgical options, from hospitalization to rehabilitation, from diet and exercise to keeping your spirits up. No question is left unanswered. Filled with a wealth of vital... |
 |
Open Heart Surgery Virginwool: Open Heart Surgery! Virginwool is: Gar Willard (vocals, guitar); Jordan Pouzzner (vocals); Adam Loewy (bass); & Brett Cook (drums). TRACKS: 1. Nevermind Her Lips; 2. I Think Her Mother Loves Me; 3. You're the Girl; 4. Climbing Boulders; 5. Better For You; 6. Lonely Man; 7. Timeframe; 8. Goodman Vibe; 9. Angel; 10. Picked Apart; 11. New Song; & 12. Between the Lies. |
 |
King of Hearts: The True Story of the Maverick Who Pioneered Open Heart Surgery by G. Wayne Miller (Author) Few of the great stories of medicine are as palpably dramatic as the invention of open-heart surgery, yet, until now, no journalist has ever brought all of the thrilling specifics of this triumph to life. This is the story of the surgeon many call the father of open-heart surgery, Dr. C. Walton Lillehei, who, along with colleagues at University Hospital in Minneapolis and a small band of pioneers elsewhere, accomplished what many experts considered to be an impossible feat: He opened the heart, repaired fatal defects, and made the miraculous routine. Acclaimed author G. Wayne Miller draws on archival research and exclusive interviews with Lillehei and legendary pioneers such as Michael DeBakey and Christiaan Barnard, taking readers into the lives of these doctors and their... |
| © 2009 BrightSurf.com |