>>>
>>> YOU
>>> YOU SAW JENNIFER THERE SAYING GO.
SAYING GO. PROXIMATELY ONE IN FOUR PEOPLE
ARE BORN WITH A HOLE IN THEIR
HEART AND DON'T KNOW IT.
IF LEFT UNTREATED, THE DEFECT
COULD LEAD TO A STROKE OR HEART
ATTACK.
ATTACK.
ATTACK. A
ATTACK. A REALITY STAR FROM THE REAL
HOUSEWIVES OF ATLANTA HAD A
MINI STROKE BECAUSE OF A HEART
DEFECT.
DEFECT.
DEFECT. DR. DANIEL HER MAN WITH
MEMORIAL CYPRESS HER MAN
HOSPITAL.
HOSPITAL.
HOSPITAL. I GOT TO ASK YOU, ARE YOU
RELATED TO THAT FAMILY?
>> NO CONNECTION OFFICIALLY.
.
. >>
. >> WHEN
. >> WHEN YOU SAY A HOLE IN THE
HEART, MOST OF US WOULD KNOW
IMMEDIATELY IF WE HAD A HOLE
BUT A LOT OF PEOPLE DON'T HAVE
SYMPTOMS.
SYMPTOMS.
SYMPTOMS. >> SO WE'RE TALKING ABOUT
SPECIFICALLY A PFO.
SO THIS SI REALLY COMMON FLAP
IN THE HEART THAT AS YOU SAID
GENERALLY WHEN WE'RE BORN IT
SEALS OFF BUT IN SOME PEOPLE IT
DOESN'T AND IT CAN BE A
MECHANISM FOR STROKE IN ADULTS.
>> WHAT DO SYMPTOMS LOOK LIKE?
>> BASICALLY JUST THIS SMALL
FLAP IN THE HEART THAT CAN BE A
MECHANISM FOR A STROKE SO IF
YOU HAVE A CLOT THAT TRAVELS UP
FROM THE LEG VEIN, IT'S THIS
OPPORTUNITY AND LITTLE FLAP
THAT SOMETIMES WITH CERTAIN
PRESSURE CHANGES CAN ALLOW
THINGS TO SLIP THROUGH AND GO
THROUGH THE HEART AND TRAL TO
THE BRAIN AND CAUSE A STROKE.
>> WITH THAT SAID, WHO SHOULD
GO IN AND GET CHECKED?
>> IT'S NOT SOMETHING WE SCREEN
FOR.
FOR.
FOR. IT'S
FOR. IT'S REALLY SOMETHING WE SEARCH
FOR WHEN SOMEBODY HAS HAD A
STROKE, PARTICULARLY IF THEY'RE
YOUNG AND HAVE NO OTHER
VASCULAR REASON TO HAVE A
STROKE.
STROKE.
STROKE. STROKE GENERALLY WE THINK OF AS
SOMETHING THAT HAPPENS IN OLDER
FOLKS AND PEOPLE WHO HAVE
VASCULAR DISEASE LIKE DIBETES
AND SMOKERS, THINGS LIKE THAT.
WHENEVER WE HAVE STROKE THAT
CAN STILL HAPPEN IN YOUNG
PEOPLE, WE HAVE TO SEARCH FOR A
CAUSE AND SOMEBODY WHO IS IN
THEIR 40S OR 50S, THAT'S WHEN
YOU START TO THINK COULD THIS
BE THIS LITTLE FLAP CAUSING THE
STROKE.
STROKE.
STROKE. >> WE WERE TALKING DURING THE
COMMERCIAL BREAK IN TERMS OF
TREATMENT.
TREATMENT. TREATMENT TODAY HAS CHANGED SO
MUCH.
MUCH.
MUCH. MUCH LESS AGGRESSIVE ON THE
BODY AND LESS DRAMA.
TREATMENT LOOKS LIKE WHAT?
>> LET'S SAY YOU HAD A STROKE
AND LET'S SAY THAT WE DON'T
HAVE ANY OTHER REASON FOR YOU
TO HAVE HAD A STROKE AND WE
FIND THIS LITTLE PFO.
THAT'S WHEN IT MAKES SENSE TO
CONSIDER THERAPY TO PREVENT YOU
FROM HAVING ANOTHER.
SO THERE'S MEDICAL THERAPY,
THINGS LIKE TAKING BLOOD
THINNERS AND ASPIRIN OR MORE
POTENT BLOOD THINNERS BUT
WHAT'S BEEN DEVELOPED IS A
CATHETER BASED TECHNOLOGY WHERE
YOU'RE ABLE TO CLOSE THE FLAP
AND DO IT IN A VERY MINIMALLY
INVASIVE WAY.
INVASIVE WAY. >> BY INVERTING THE CATHETER.
>> RIGHT.
>> RIGHT.
>> RIGHT. WE DO THIS IN OUR CATH LAB,
IT'S DONE WITH WHAT'S CALLED
CONSCIOUS SEDATION, NOT WITH
GENERAL ANESTHESIA AND WE GO
THROUGH A TINY HOLE IN THE
GROIN.
GROIN.
GROIN. WE
GROIN. WE GO UP AND START THE
CATHETER, WE GO INSIDE THE
HEART AND ACROSS THE FLAP AND
DEPLOY A DEVICE THAT SITS THERE
IN THE HOLE AND SEALS IT OFF.
>> THE AZ MAKING THING ABOUT
THAT, RECOVERY TIME IS NOT WHAT
IT'S USED TO.
>> THIS IS A CATHETER BASED
MINIMALLY INVASIVE PROCEDURE.
IT TAKES 30 MINUTES AT MOST AND
PATIENTS ARE GENERALLY GOING
HOME THE SAME DAY THEY HAVE THE
PROCEDURE.
PROCEDURE. SOMETIMES THEY STAY A NIGHT.
>> ONCE THAT'S DONE, IT'S FIXED
FOR GOOD.
FOR GOOD.
FOR GOOD. >> ONCE THE DEVICE IS THERE, WE
DON'T LET IT GO UNTIL WE'RE
HAPPY WHERE WE'RE AT AND IT
SEALS OFF AND WE'RE USING
SEVERAL DIFFERENT WAYS OF
ASSESSING WHERE THE DEVICE IS
PLACED.
PLACED.
PLACED. ONCE WE'RE HAPPY WITH IT, WE
TURN IT AND LET IT LOOSE AND
SITS THERE.
SITS THERE. >> EVERYBODY ON THE SHOW TODAY,
I WANT TO BRAG ON Y'ALL.
WHAT'S GREAT ABOUT HAVING A
SYSTEM LIKE MEMORIAL HER MAN,
CORDOOLOGISTS THROUGHOUT THAT
YOU ALL CAN CONFER AND TALK TO
EACH OTHER ABOUT WHAT A PATIENT
IS GOING THROUGH.
>> YEAH, THAT'S REALLY WHERE
MEDICINE HAS HEADED.
TRADITIONALLY IT'S BEEN ONE
DOCTOR, ONE PATIENT AND YOU'RE
WORK NG A SILO AND THAT'S
REALLY CHANGING AND BECOMING
MORE COLLABORATIVE.
MORE COLLABORATIVE. I WORK ALL THE TIME WITH HEART
SURGEONS DOING PROCEDURES
TOGETHER.
TOGETHER.
TOGETHER. WE TALK WITH PEOPLE ACROSS
MEDICAL SPECIALTIES.
MEDICAL SPECIALTIES. >> THAT'S WHAT HAPPENED WITH MY
MOM.
MOM.
MOM. ONE
MOM. ONE LOCATION THAT TALKED TO
ANOTHER AND THEY GOT HER TAKEN
CARE OF.
CARE OF.
CARE OF. >> WE'RE A SYSTEM.
>> THANK YOU VERY MUCH.
>> TO BOOK AN APPOINTMENT, CALL
713-222-CARE.