>>
>> ♪
>> ♪ >>>
>> ♪ >>> WELCOME BACK TO GREAT DAY
ON MONDAY.
ON MONDAY. THE EFFECTS OVERTIME OF CHRONIC
ARTERY DISEASE CAN BE FATAL.
THE BLOCKAGE OF THE HEART CAN
BE REMOVED AS WELL AS YOUR
CHANCE OF STROKE.
THE CAROTID ARTERY.
WHAT ARE WE TALKING ABOUT HERE?
>> LET'S TALK ABOUT ANATOMY.
THE CROWD EVERY ARTERY, YOU
HAVE TWO OF THEM, ONE ON EACH
SIDE OF THE NECK.
THAT IS THE MAIN BLOOD VESSELS
SUPPLYING BLOOD TO YOUR VEIN
YOUR BRAIN.
YOUR BRAIN. IF YOU DEVELOP A BLOCKAGE, YOU
CAN DEVELOP A STRONG .
>> THERE ARE VARIOUS REASONS
WHY WE COULD DEVELOP A
BLOCKAGE?
BLOCKAGE?
BLOCKAGE? MECH A LOT OF THE SAME RISK
FACTORS YOU HAVE FOR OUR
DISEASE OF THE SAME FOR CAROTID
DISEASE, HYPERTENSION, SMOKING,
DIABETES, HYPER CHOLESTEROL,
AGING.
AGING.
AGING. SEWED GENETIC PREDISPOSITION AS
WELL .
WELL .
WELL . >>
WELL . >> THERE ARE DIFFERENT METHODS
FOR DEALING WITH THIS BUT THIS
IS WHERE IT IS VERY IMPORTANT
FOR PEOPLE TO UNDERSTAND THAT
TECHNOLOGY IS FOREVER CHANGING
AND NOT EVERY DOCTOR OR
HOSPITAL SYSTEM DOES THE SAME
THING.
THING.
THING. WHAT IS THE OLD WAY THAT YOU
USED TO WORK ON?
>> THE OLD WAY IS TO DO WHAT IS
CALLED A CAROTID AND DIRECTOR
AND AND DIRECTLY.
IT IS A SURGICAL PROCEDURE
UNDER GENERAL AND SEIZURE
ANESTHESIA, WE MAKE A OPENING
IN YOUR NECK AND REMOVE THE
BLOCKAGE.
BLOCKAGE.
BLOCKAGE. IT IS GREAT OPERATION.
IT IS IMPORTANT TO NOTE THAT.
STILL A VERY GOOD OPERATION BUT
CARRIES RISKS WITH IT AND ONE
OF THE BIGGEST THINGS WE WORRY
ABOUT WHEN WE MANIPULATE THE
CAROTID ARTERY IS THE RISK OF
STROKE .
STROKE .
STROKE . >> ALL RIGHT, THERE IS A
PROCEDURE CALLED THE --
PROCEDURE.
PROCEDURE. YOU ARE SO EXCITED ABOUT THIS
FOR A NUMBER OF REASONS.
>> IF YOU COMPARE THE REDUCTION
-- RISK OF STROKE FOR THE TCAR
. THERE IS MUCH LESS RISK.
WE INCORPORATE A REVERSAL OF
FLOW TECH:I REALLY WANT TO
TOUCH ON THIS.
WE PLACE A SPECIAL SHEATH IN
THE CAROTID ARTERY DIRECTLY AND
WE CONNECTED TO A CIRCUIT IN
THE FEMORAL VEIN.
THAT CREATES A PRESSURE GRADIENT
OF HIGH TO LOW PRESSURE.
WHEN THAT HAPPENS, THE BLOOD
FLOW IN THE BRAIN IS REVERSED
SO WHEN YOU MANIPULATE THE
PLAQUE IN THE CAROTID ARTERY,
IF YOU PASS A BALLOON OR A
STENT THERE, IF YOU BREAK ANY
PLAQUE OFF, THAT PLAQUE WILL
COME DOWNINTO THE SHEATH AND
FILTER OUT, STAY AWAY FROM THE
BRAIN AND THE CLEAN BLOOD GETS
úFILTERED BACK INTO YOUR LIKE.
IT IS AN AMAZING REVOLUTION IN
STROKE TREATMENT.
STROKE TREATMENT. I COULD NOT BE ANY MORE EXCITED
ABOUT IT .
>> YOU HAVE PATIENTS WHO HAVE
HAD BOTH PROCEDURES AND YOU
REALLY LOVE THIS TCAR
PROCEDURE?
PROCEDURE? >> IT IS A SMALL PROCEDURE,
THE SCAR IS HARDLY NOTICEABLE.
úTHEY ARE BACK AT WORK 3 TO 4
DAYS LATER.
DAYS LATER. MOST PEOPLE THAT I DO A TCAR ON
THE HOME LESS THAN 24 HOURS
AFTER SURGERY.
AFTER SURGERY. WITH CAROTID SURGERY, USUALLY A
DAY OR TWO IN THE HOSPITAL AT
LEAST .
LEAST .
LEAST . >> WE ARE A SYMPTOMS ORIENTED
SOCIETY.
SOCIETY.
SOCIETY. HOW DOES SOMEONE KNOW AND WHAT
KIND OF CHECKUP DO WE NEED TO
DO AND HOW OFTEN TO FIGURE OUT
IF WE HAVE CAROTID ARTERY
DISEASE?
DISEASE?
DISEASE? >> MOST PEOPLE DON'T KNOW THEY
HAVE A STROKE UNTIL THEY HAVE
ONE.
ONE.
ONE. THERE ARE THINGS YOU CAN DO TO
PREVENT THE RISK OF STROKE.
IF YOU HAVE A FAMILY HISTORY OF
STROKE, HIGH BLOOD PRESSURE,
AND HAS AND ARE ON
ANTIHYPERTENSIVES, YOU SHOULD
GET SCREENED FOR CAROTID ARTERY
DISEASE.
DISEASE.
DISEASE. >> WHAT DOES THAT LOOK LIKE?
>> IT IS AN ULTRASOUND.
THEY LOOK TO SEE IF THERE IS
PLAQUE IN YOUR CAROTID ARTERY.
IF THERE IS A BUILDUP OF MOLLY
REFER YOU TO A SPECIALIST .
>> I HAD THAT DONE.
IT WAS INTERESTING TO SEE.
YOU CAN ACTUALLY SEE THAT BUT
HOW OFTEN SHOULD YOU GO?
YEARS AGO, DEBORAH WAS GOOD.
>> RIGHT .
>>'S MAY HAVE CHANGED SINCE THEN
.
.
. >>
. >> IF
. >> IF YOUR CAROTIDS ARE CLEAN,
PROBABLY ONCE EVERY 4 5 YEARS
TO GET A GENERAL SCREENING BUT
IF YOU HAVE BUILDUP, ONCE A
YEAR IS APPROPRIATE ESPECIALLY
IF YOU'RE IN THAT RANGE OF 50
TO 69% PLAQUE WILL THE, YOU
SHOULD GO ONCE A YEAR AND GET
SCREENED.
SCREENED.
SCREENED. >> I MENTIONED EARLIER HOW YOU
HAVE TO KNOW WHAT YOUR HOSPITAL
SYSTEM IS DOING, WHAT YOUR
DOCTORS ARE DOING.
MEMORIAL IS ALWAYS ON THE
FOREFRONT SO TALK ABOUT BEING
ASSOCIATED WITH THAT HOSPITAL?
>> THE GREAT THING ABOUT
MEMORIAL VERNON IS IT IS
EVOLUTIONARY, WE ARE ALWAYS
COMING UP WITH NEW THINGS .
>> LIKE TECHNOLOGY .
>> FOUR YEARS AGO WE BUILT A
BRAND-NEW HYBRID OPERATING
SUITE THAT ALLOWED US TO CARRY
OUT THESE MANY INVASIVE
PROCEDURES AND IT HAS BEEN
GREAT FOR ME. OUTCOMES ARE
BETTER, PATIENTS ARE HAPPIER
AND THEY ARE GOING HOME AND
BACK WITH LOVED ONES AND IT IS
FANTASTIC.
FANTASTIC. >> ALL RIGHT, DR., THANK YOU SO
MUCH.
MUCH.
MUCH. >>
MUCH. >> THANK YOU .
>> TO BOOK AN APARTMENT CALLS
713-222-CARE WHICH WORKS OUT TO
BE SOMEONE THREE-222-2173 OR
VISIT THIS WEBSITE.
>>> COMING UP, PUT DOWN THE
DRILL AND PICK UP LASERS.
HOW THEY CAN HELP WITH YOUR
DENTAL PROBLEMS.
>>