Good morning, we are live at St. Luke's Hospital in
the vascular lab, my name is Katie Maybanks.
I'm the nurse practitioner for the structural heart and valve program at UnityPoint Health
in Cedar Rapids, I am joined today fortunately by my doctor's Richard Kettelkamp, Dr. Georges Hajj and Dr. Gary Weide.
We are all associated with the
Heart and Vascular Institute
at UnityPoint Health and Cedar Rapids
We are live today in the vascular lab where we perform transcatheter aortic valve
replacements or TAVR as we like to call it
We are the only hospital in Cedar Rapids approved to perform TAVR.
This procedure was we began performing this procedure in 2016 and
Just last month. We performed our 102 ever
so TAVR is a procedure for patients with failing heart valves that are not candidates for a
Traditional open-heart surgery. So today we thought we'd get together and discuss tavern what it is and
More about how it's benefiting so many patients in the Eastern, Iowa
So the first question is for you, Dr. Hajj
Would you please explain what happens during the TAVR procedure?
The type of procedure involves multiple providers or it's extremely important
To have a team
Team starts with anesthesia that brings the patient
And
with an imaging cardiologist who specialized in the cardiac imaging that it's usually a
ultrasound probe to take good pictures of the heart valve and then continues with
Interventional and surgical team interventional
Like
Access is typically done through the groin
surgery
Access is through the groin to pass the catheter
we are able to see the heart above the
Imaging cardiologist his happiness is part of the solution
Members and
subsequently there is also
To base the heart on his base and the fast heartbeat and then the body is deployed while the heartening based
Subsequently after the moment of the heart. All the equipment is
patient is usually awakened in the procedure or name the
anesthesia
Physician and the patient is talking about
Great
Dr. Weide
well
Can you discuss what are the benefits for our high-risk patients that traditionally can't?
undergo open-heart surgery and what is the age range this procedure is appropriate for
well
While both procedures carry risks and a lot of the risks are shared
between open-heart surgery and transcatheter valve replacement
I think one of the keys is as many of the risk that we would share their common are much lower for the catheter
based their
Stroke particularly, one of them bleeding complications infection complications are much lower over risk that we see from the traditional open-heart surgeries
That's one
from it
Unlike heart surgeon, it takes two or three months to fully heal up and recover these patients recover much faster. They're typically in the hospital
One to two days sometimes three but within a couple weeks they're kind of back to doing their normal thing
I might get their open-heart surgery can taking over two three months
So it's one of the major benefits I think of having a transcatheter valve
While age is a factor, we look at I wouldn't say it's the only factor we look at I think
Many of our patients are in their eighth and ninth decade of life
But we've seen a number of patients due to various other medical issues
Much younger than that, that would not be a good candidate role in our surgery. So this provides in a good alternative option
In dr. Kevin camp could you talk a little bit about what patients?
What the patients were having to either say about the recovery and also touch a little on the future of chapter four
I think they're pleasantly surprised at you know, how
Quickly, they're able to recover from from the procedure. You see there is a particularly invasive
So in one of the biggest issues is the access point
favorite ever seen
In terms of how they feel afterwards I think across the border patients feel better
In fact some patients will say how surprised they are
How they work they didn't realize how poorly they felt before the procedure then afterwards magic. I'm just
Doing more light and so they seem to read them
A specific example is the other 94 year old building
She couldn't play golf
Perceived in which is backwards
As far as the future the program University intend to continue to
To give take on locations
We have more more challenging patients as we as we proceed or difficult procedures more difficult access points
additionally, there's a lot of new varieties for
structural
non-invasive procedures such as mitral valve and other territories
All right, so thanks for so much for
joining me guys and
We wanted to learn a little bit more about Tavor
So we wanted to share that with you. If you would like to learn more about tavern you can go to unity point orgy
/cr TAVR and that's all the time we have. Thanks for watching