DOCSLIB.ORG

Advanced Hybrid Operating Room Activated

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Advanced Hybrid Operating Room Activated Cover Story Hualien Tzu Chi Hospital Advanced Hybrid Operating Room Activated 18 Tzu Chi Medical & Nursing Care Vol.30 January 2021 The cardiology department, cardiac surgical department, and the medical team of Hualien Tzu Chi Hospital jointly performs the transcatheter aortic valve implantation (TAVI) in the advanced hybrid operating room, and the patient Hsu En-Li recovers well after the surgery. Tzu Chi Medical & Nursing Care Vol.30 January 2021 19 COVER STORY Hualien Tzu Chi Hospital Advanced Hybrid Operating Room Activated By/ Huang Szu-Chi If you start to experience tightness advancement of medical technology, in the chest, dizziness, or shortness of minimally invasive surgery with small breath as you grow older, please see a wounds has replaced the traditional doctor for a check-up to see if there is open heart surgery; now, there is a a heart problem. new option that is more minimally Everyone wants to live an open- invasive than minimally invasive: hearted life, but when the word “open- hybrid cardiac surgery. Hybrid cardiac heart” scares people, because it surgery is a combined approach by the implies a major surgery that require interventional cardiologist(s) and the a 20 cm incision in the chest, and cardiac surgeon(s), and the advantages connection to a heart-lung machine are smaller incision, faster operating while your heart stops beating. With the time, and quicker recovery time. Hualien Tzu Chi Hospital has set up an "Advanced Hybrid Operating Room" to allow cardiological and cardiac surgical teams to work together in the operating room to complete heart surgery in the shortest possible time. 20 Tzu Chi Medical & Nursing Care Vol.30 January 2021 Traditional Open Heart Surgery In traditional open heart surgery, an artificial heart-lung machine is used to make the heart still for a while. Tubes Aorta Location of heart The oxygen-deprived blood is delivered from the heart to a heart-lung machine, which pumps oxygen into the blood and then injects it back into the body, bypassing the heart and lungs. at Hualien Tzu Chi Hospital, said aortic Aortic Valve Degeneration or valve stenosis is a common form of Disease heart disease among the elderly, and the degeneration that comes with age The aortic valve is the outlet for blood or rheumatic heart disease can cause from the heart, and like many organs problems with the aortic valve. Just and tissues in the human body, it may because it is common does not mean it’s degenerate with age, or experience not dangerous, he added, because if left abnormalities due to diseases, which is untreated and without proper treatment, known as aortic valve stenosis, where the mortality rate of aortic valve stenosis your “heart gate” fails to open properly is nearly 50 percent. and leads to obstructed blood flow out “Fainting is a critical indicator,” Dr. of the heart and back flow of blood Michael Chen stressed. When the aortic when heart contract. Dr. Chen Yu-Chih valve hardening, calcification and other (Michael Chen), director of cardiology lesions grow serious, it may cause Tzu Chi Medical & Nursing Care Vol.30 January 2021 21 COVER STORY Hualien Tzu Chi Hospital Advanced Hybrid Operating Room Activated cardiac hypertrophy, and even heart failure. Dr. Chen said, when normal heart Open Heart Surgery - beat can no longer supply the blood flow from Minimally Invasive necessary for the whole body, the human to Hybrid Surgery body will force the heart beat harder and harder in order to satisfy the demand, and Aortic valve surgery is one of the as a result the heart muscles will become treatments for aortic stenosis. Dir. Chang increasingly hypertrophied. The problem Jui-Chih, Department of Surgery, Hualien is, there is a limitation no matter how Tzu Chi Hospital, warned that if people strong the muscle may be, and when the have symptoms such as angina pectoris, heart reaches that limit, it will enter into chest tightness, dizziness, or shortness heart failure, where the heart gradually of breath, they should see a doctor right loses its function as if it is cancerous. away. Aortic valve abnormalities can be The team is performing transcatheter aortic valve implantation (TAVI). From left to right: Medical imaging technologist, cardiac surgeon Dr. Chan Chin-Yu, director of cardiac surgery Dr. Chang Jui-Chih, and director of cardiology, Dr. Chen Yu-Chih. 22 Tzu Chi Medical & Nursing Care Vol.30 January 2021 identified clinically through ultrasound examination. if the degree of abnormality Advanced Hybrid Operating is less than moderate, regular follow- Room Combines Cardiologist and up will be arranged in conjunction with Cardiac Surgeon treatment with the cardiology department. If the abnormality is moderate or severe, One of the most important which means symptoms like angina prerequisites for a TAVI is a hybrid pectoris, chest tightness, dizziness and operating room. This is an integrated shortness of breath have all appeared, surgical platform that allows cardiologists and heart failure is only few steps away, and cardiac surgeons to work together then aortic valve replacement is needed. in the same operating room to perform According to Dir. Chang, traditional this complex procedure together. The aortic valve replacement surgery requires advanced hybrid operating room is splitting the sternum, leaving a long, equipped with advanced X-ray imaging straight scar of 20 cm in length on the and positioning systems, so that valves chest after the surgery. In traditional open can be replaced without the need to open heart aortic valve replacement surgery, the patient’s chest. the patient must be connected to a heart- In order to provide more accurate and lung machine to keep the heart still, but appropriate medical services, Hualien Tzu the heart-lung machine may produce Chi Hospital, after two years of planning, some inflammatory reactions, or may began to set up the first advanced cause complications such as pneumonia hybrid operating room in Eastern Taiwan and kidney failure. The minimally invasive in 2019, and was completed in June. aortic valve replacement can reduce the After a month of testing, four cases of time on heart-lung machine with smaller TAVI were completed in August and wounds and faster recovery; however, it is September. Dr. Lin Shinn-Zong said that still a burden to elderly patients or patients the advanced hybrid operating room can with chronic diseases. That is why TAVI be used in different departments including (Transcatheter Aortic valve implantation), orthopedics, cardiology, neurosurgery, a new procedure where heart-lung and organ transplantation, which is of machine is not required, becomes a new notable help to the medical team. He and important option. Not only does it is grateful for the support and efforts of significantly reduce surgery time, there is Master Cheng Yen, Tzu Chi Foundation less bleeding and quicker recovery. and all the medical team members, who Tzu Chi Medical & Nursing Care Vol.30 January 2021 23 COVER STORY Hualien Tzu Chi Hospital Advanced Hybrid Operating Room Activated all believe that these valuable resources hospital for his cardiovascular disease, can become an important force in and was later admitted to Hualien Tzu Chi protecting the health of our patients. Hospital for dialysis due to kidney failure. The key difference between the Recently, his blood pressure began to advanced hybrid operating room and a drop suddenly when he was on dialysis, normal operating room is that the hybrid and his systolic pressure dropped to one has a built-in imaging system that can less than 90 mmHg despite having high provide real-time images during surgery blood pressure. He fainted and was for more precise surgical treatment. sent to the emergency room, where he According to Dir. Chang Jui-Chih of the was found to have aortic valve stenosis Department of Surgery, the application after examination. Dr. Michael Chen of the advanced hybrid operating pointed out that Hsu En-Li was already room in cardiac treatment allows the experiencing chest tightness, dizziness, cardiology and surgery departments and heavy breathing, and further testing to jointly perform the TAVI. Aortic valve indicated signs of heart failure, so after replacement can be accomplished by a discussion with Dir. Chang Jui-Chih, delivering a sutureless valve through a and considering the patient’s physical cardiac catheter to the junction of the condition, he recommended Hsu En-Li to aorta and the heart, with no need for a undergo TAVI. heart-lung machine, has small incision, “I can finally breath now,” Hsu said. and noticeably less bleeding. The fact that He is especially grateful to the medical a heart-lung machine for extracorporeal team led by Dr. Michael Chen and Dir. circulation is not required can reduce Chang Jui-Chih for giving him his life surgical risk and is applicable to elderly back. Before the aortic valve replacement patients or patients with chronic diseases surgery in early August, Hsu said, he was who are not suitable for open heart wheezing when walking and often felt surgery. like he was out of breath, and now these symptoms are all gone. That is why he No Need to Open the Chest, wants to encourage other patients like Small Wounds, Less Bleeding, him to see a doctor instead of toughing Fast Recovery it out. “After the open heart surgery, I am now a happy man,” said Hsu. Hsu En-Li, nearly 80 years of age, had Most of the patients who have a cardiac stent inserted in an out-of-town undergone TAVI at Hualien Tzu Chi 24 Tzu Chi Medical & Nursing Care Vol.30 January 2021 Hospital are in their eighties, only one of them is in his forties. According to Heavy Loading of Saving Lives Dir.
Load more

Recommended publications
  • State of the Clinic | 2016
    STATE OF THE CLINIC | 2016 Cleveland Clinic Abu Dhabi The United Arab Emirates, under the wise leadership of the President His Highness Sheikh Khalifa bin Zayed Al Nahyan, is driving ahead with the development of the healthcare sector according to the highest international standards. His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of Abu Dhabi and Deputy Supreme Commander of the UAE Armed Forces TABLE OF CONTENTS Chairman of the Board Address ����������������������������������������������������������������������������������������������������������� 01 CEO Address �������������������������������������������������������������������������������������������������������������������������������������������������� 03 Cleveland Clinic Abu Dhabi Overview ����������������������������������������������������������������������������������������������� 05 Patients First Philosophy�������������������������������������������������������������������������������������������������������������������������� 07 Patient Experience ��������������������������������������������������������������������������������������������������������������������������������������� 08 Purpose-Built Facility ��������������������������������������������������������������������������������������������������������������������������������� 09 Capacity Growth ������������������������������������������������������������������������������������������������������������������������������������������� 11 Caregivers ��������������������������������������������������������������������������������������������������������������������������������������������������������
    [Show full text]
  • Paolo Denti, MD, FESC
    Curriculum Vitae Paolo Denti PERSONAL INFORMATION Paolo Denti, MD, FESC Sex Male Birth Como, 31/07/1979 | Nationality Italian Responsible of transcatheter therapy for mitral disease as Hybrid ACTUAL POSITION Cardiovascular Surgeon since 9/2013 at San Raffaele Hospital, Milan Adjunct Professor for “Hybrid Cardiac Surgery” and for Master in Interventional Cardiology since 9/2013 New percutaneous approach to structural heart disease (in particular mitral valve repair and CORE INTERESTS aortic valve implantation), pre-clinical animal/bench study of new cardiac devices, conventional heart surgery. WORK EXPERIENCE 10/2008 until now Consultant Cardiovascular Surgeon, San Raffaele Hospital Chief Prof. Alfieri Ottavio. ▪ Completely autonomous Cardiac surgeon in the preparation of the patient and in the period adjacent to the central part. Experience in cardiac explantation. ▪ More than 200 cases per year (more than 1400) of standard cardiac surgery like second operator, 30 per year like first operator. ▪ Operator in more than 200 cases of percutaneous mitral valve plasty (Mitraclip), second/third operator in more than 100 cases of percutaneous trans-aortic valve implantation (trans-femoral, axillary and apical approach), cases of trans-apical positioning of percutaneous aortic valve in previous implanted aortic valve, mitral valve or ring, and transapical closure of perivalvular prosthetic mitral valve. Operator in Neochord Implantation. ▪ First Operator in first Italian, 2nd European percutaneous transapical Tiara Mitral Valve (23/03/2016) ▪ Operator in FIM (First in man) implantation of the first percutaneous annuloplasty band (Cardioband) in 2013 in San Raffaele. and Percutaneous Tricuspid valve repair (Tricinch) (2014). ▪ Involved in sperimental animal surgery and in development of new cardiac devices (e.g.
    [Show full text]
  • Hybrid Cardiac Surgery in a Patient with Cardiogenic Shock and Ongoing Myocardial Ischemia 1Hiremathada Shanmukh, 2Ravi S Shetty
    JMEDS Hybrid Cardiac Surgery in a Patient with Cardiogenic Shock10.5005/jp-journals-10045-0086 and Ongoing Myocardial Ischemia CASE REPORT Hybrid Cardiac Surgery in a Patient with Cardiogenic Shock and Ongoing Myocardial Ischemia 1Hiremathada Shanmukh, 2Ravi S Shetty ABSTRACT CASE REPORT Suitable time for coronary artery bypass grafting (CABG) after A 72-year-old male was admitted with fracture of left acute myocardial infarction (AMI) remains controversial. Many femur neck. During the course in the hospital, he sus- randomized studies have shown that primary angioplasty in AMI may result in better results compared with fibrinolytic tained massive anterior wall MI. He subsequently devel- therapy and CABG. We herewith report a case of a 72-year- oped acute left ventricular failure (LVF) and pulmonary old patient with fracture of femur who sustained massive edema. Eventually, he was electively intubated and put on myocardial infarction (MI). Hybrid cardiac surgery which ventilator. Intra-aortic balloon pump (IABP) was inserted combines percutaneous coronary intervention and CABG was along with inotropic support. He continued to have ST performed on him. elevations in lateral leads and ongoing ischemia. His Keywords: Angioplasty, Coronary artery bypass grafting, cardiac index was 1.4 L/min/m2. Hybrid coronary revascularization, Percutaneous coronary intervention. Angiogram was performed which showed severe triple vessel disease, with critical lesion in mid-circumflex How to cite this article: Shanmukh H, Shetty RS. Hybrid Cardiac Surgery in a Patient with Cardiogenic Shock and artery (Fig. 1). Vessels were also found to be calcified. Ongoing Myocardial Ischemia. J Med Sci 2018;4(2):57-59. Angioplasty (Fig.
    [Show full text]
  • Pediatric Cardiology & Healthcare
    Chuanxi Cai, Pediat Therapeut 2016, 6:5(Suppl) http://dx.doi.org/10.4172/2161-0665.C1.030 conferenceseries.com 2nd Global Congress and Expo on Pediatric Cardiology & Healthcare September 22-24, 2016 Las Vegas, USA Enhancing the effectiveness of human cardiac stem cell therapy with the HO-1 inducer-Cobalt Protoporphyrin (CoPP) Chuanxi Cai Albany Medical College, USA he regenerative potential of c-kit+ cardiac stem cells (CSCs) is severely limited by the poor survival of cells after Ttransplantation in the infracted heart. We have previously demonstrated that preconditioning human CSCs (hCSCs) with the HO-1 inducer, CoPP, has significant cytoprotective effects in vitro. Here, we examined whether preconditioning hCSCs with CoPP enhances CSC survival and improves cardiac function after transplantation in a model of myocardial infarction induced by a 45-min coronary occlusion and 35-day reperfusion in immunodeficient mice. At 30 min of reperfusion, CoPP- preconditioned hCSCsGFP+, hCSCsGFP+, or medium were injected into the border zone. Quantitative analysis with real time qPCR for the expression of the human specific gene HLA revealed that the number of survived hCSCs was significantly greater in the preconditioned-hCSC group at 24 hours, 7 and 35 days compared with the hCSC group. Co-immunostaining of tissue sections for both GFP and human nuclear antigen further confirmed greater hCSC numbers at 35 days in the preconditioned- hCSC group. At 35 days, compared with the hCSC group, the preconditioned-hCSC group exhibited increased positive and negative left ventricular (LV) dP/dt, end-systolic elastance and anterior wall/apical strain rate (although ejection fraction was similar), reduced LV remodeling, and increased proliferation of transplanted cells and of cells apparently committed to cardiac lineage.
    [Show full text]
  • 30 Million Gift Helps Change CHOC
    Summer 2011 issue Physician Connection Newsletter volume 10 number 2 Set to open in Spring 2013, the new tower will provide advanced programs and services, and feature the latest design and safety principles. INSIDE $30 million gift CHOC announces new medical staff helps change CHOC leadership page 2 His original intention was to donate a computer to CHOC Children’s. But after touring our hospital and in the spotlight: Merl J. Carson, M.D. meeting some of our patients, Robert L. Tidwell did page 4 more than that. The Garden Grove man decided to “hybrid” Melody leave his entire estate to CHOC — at $30 million, Valve delays open the largest gift in the hospital’s history. heart surgery page 6 Mr. Tidwell’s transformative gift is accelerating CHOC’s journey from a crucial regional pediatric care center to one of the nation’s leading children’s hospitals. (continued on page 3) page 2 CHOC announces new medical staff leadership “As CHOC Children’s embarks on its new phase of growth, I will work with the medical staff on advancing academics, education and research. We will ensure that the very best physicians are afforded the privilege to care for the children of Orange County, and will work on continued refinement of physician performance metrics. I will also make every effort to ensure that CHOC provides an optimal environment for the physicians to work in, securing both physician satisfaction and retention. Ultimately, all my efforts, and those of my colleagues on CHOC’s medical staff, will remain directed at delivering the finest medical care to the children of Orange County.” GURPReeT AHUJa , M.D., PResidenT CHOC CHiLdRen’s MedicaL STaFF Their leadership, dedication CHOC Children’s and commitment ensure Medical Staff Orange County’s children We are grateful to President: and families continue receiving Vijay Dhar, M.D., Gurpreet Ahuja, M.D.
    [Show full text]
  • Vol 6, No 9 September 2014 ISSN 2072-1439 Indexed in Pubm Ed
    Journal Thoracic of Disease Vol 6, No 9 September 2014 ISSN 2072-1439 JJOURNALOURNAL ofof TTHORACICHORACIC DDISEASEISEASE www.jthoracdis.com Volume 6 Number 9 September 2014 Pages 1164-1373; E163-E208 6 Number Pages 1164-1373; Volume 9 September 2014 Published by The Official Publication of Indexed in THE FIRST AFFILIATED HOSPITAL OF GUANGZHOU MEDICAL UNIVERSITY PubMed, SCI Aims and Scope Central, Sheung Wan, Hong Kong. Tel: +852 3488 1279; The Journal of Thoracic Disease (JTD, J Thorac Dis, pISSN: Fax: +852 3488 1279. 2072-1439; eISSN: 2077-6624) was founded in Dec 2009, Email: [email protected] indexed in Pubmed/Pubmed Central in Dec 2011, and Science www.jthoracdis.com Citation Index (SCI) on Feb 4, 2013. It is published quarterly (Dec 2009- Dec 2011), bimonthly (Jan 2012- Dec 2013), and Note to NIH Grantees monthly (Jan 2014-), and openly distributed worldwide. JTD Pursuant to NIH mandate, Pioneer Bioscience Publishing publishes manuscripts that describe new findings in the field Company will post the accepted version of contributions to provide current, practical information on the diagnosis authored by NIH grant-holders to PubMed Central upon and treatment of conditions related to thoracic disease (lung acceptance. This accepted version will be made publicly disease, cardiac disease, breast disease and esophagus disease). available 2 months after publication. For further information, Original articles are considered most important and will be see www.thepbpc.org processed for rapid review by the members of Editorial Board. Clinical trial notes, Cancer genetics reports, Epidemiology Conflict of Interest Policy for Editors notes and Technical notes are also published.
    [Show full text]
  • San Doctor Autumn 2018
    The benefits of robotic San surgery in the management of endometrial cancer Doctor A/PROF FELIX CHAN MBBS MRACOG FRANZCOG CGO Associate Professor Felix Chan is a certified gynaecological oncologist and is currently the Head of the Centre for Robotic Surgery in Gynaecology at Sydney Adventist Hospital. He is also and the Director of Gynaecological Oncology for South Western Sydney Area Health District. A/Prof Chan specialises in advanced laparoscopic, robotic, vaginal and open surgery for the treatment of gynaecologic malignancies and complex gynaecological problems. He was a nominee for Australian of the Year in 2009, 2011 and 2012 and is also AUTUMN 2018 a member of the NSW Doctor’s Orchestra. P: 1300 227 428 In Australia, the incidence of endometrial cancer is resection of recurrent tumours becomes technically rising, due to the ageing population and increased possible. prevalence of obesity. Endometrial cancer can Robotic-assisted reconstructive surgery such as ileal be caused by genetic factors as found in Lynch conduit and continent urinary reservoir, become Syndrome or as a result of increased exogenous and feasible. In addition, complex surgery requiring endogenous oestrogen. a team of surgeons can be carried out efficiently After a confirmed diagnosis based on histology, the without any change of patient position. use of pre-operative imaging such as a CT scans aims Simulation and procedure specific modules allow to assess the extent of the disease. gynaecological surgeons to acquire and maintain Surgery not only removes the origin of the disease, their skills through their surgical career. it also relieves symptoms and defines the extent of Training and teaching can be standardised and the disease.
    [Show full text]
  • Hybrid Surgery for Extraction of Leads Entrapped in the Superior Vena Cava
    SCIENTIFIC LETTERS Hybrid Surgery for Extraction of Leads Entrapped ously released from the fibrous tissue in the left subclavian in the Superior Vena Cava and innominate region until reaching the proximal edge of the stent. Stylet wires, a liberator and 10 Fr polypropylene dilator sheaths (Cook®) were used. Two leads were sec- Superior vena cava (SVC) syndrome is an uncommon but tioned above the stent and removed through the atrium, and serious complication associated, among other things, with the third lead was extracted through the pocket. The epicar- chronic transvenous implanted pacemaker leads. (1) Al- dial catheter was sectioned at the level of the pericardium though there is lack of consensus about how to treat this and removed through the pocket. complication, percutaneous balloon angioplasty of the SVC Aortic cross-clamp time was 45 minutes and cardiopul- with stent implant is a commonly accepted approach leaving monary bypass time was 82 minutes. Epicardial leads were the leads in situ, or another option is prior lead extraction placed for temporary pacing and the patient was treated followed by their reimplantation after the procedure to avoid with antibiotics. One week after lead extraction, two intra- lead entrapment within the stent. Epicardial lead implan- cavitary leads were implanted through the stent and the tation could reduce the risk of thrombosis associated with postoperative course was uneventful. transvenous reimplantation. (2) Percutaneous extraction is the technique of choice for Hybrid open heart surgery and transvenous lead extrac- removing leads from infected cardiac stimulation devices tion using sheaths has developed considerably over the past with low rates of major complications and mortality.
    [Show full text]
  • Anne Arundel Medical Center Certificate of Need Application
    ANNE ARUNDEL MEDICAL CENTER CERTIFICATE OF NEED APPLICATION Johns Hopkins Cardiac Surgery at Anne Arundel Medical Center FEBRUARY 20, 2015 Table of Contents PART I – PROJECT IDENTIFICATION AND GENERAL INFORMATION......................................................4 Comprehensive Project Description ..............................................................................................12 PART II – PROJECT BUDGET ................................................................................................................25 PART III – APPLICANT HISTORY, STATEMENT OF RESPONSIBILITY, AUTHORIZATION AND RELEASE OF INFORMATION, AND SIGNATURE ....................................................................................................26 PART IV – CONSISTENCY WITH GENERAL REVIEW CRITERIA AT COMAR 10.24.01.08G(3) .........31 10.24.01.08G(3)(a). State Health Plan Services ...........................................................................31 COMAR 10.20.10 – Acute Hospital Services ..............................................................................31 .04 Standards ...............................................................................................................................32 A. General Standards................................................................................................................32 (1) Information Regarding Charges..................................................................................33 (2) Charity Care Policy......................................................................................................34
    [Show full text]
  • Hybrid Cardiac Surgery
    ADVANCES IN CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, AND CARDIOTHORACIC SURGERY Affiliated with Columbia University College of Physicians and Surgeons and Weill Cornell Medical College Dr. Leonard N. Girardi Appointed Cardiothoracic SUMMER 2015 Surgeon-in-Chief at NewYork-Presbyterian/Weill Cornell Emile A. Bacha, MD Leonard N. Girardi, MD, an internationally Chief, Division of Cardiac, renowned expert in complex aortic procedures, has Thoracic and Vascular Surgery been appointed Cardiothoracic Surgeon-in-Chief at NewYork-Presbyterian/ NewYork-Presbyterian/Weill Cornell Medical Columbia University Medical Center Director, Congenital and Center, and Chairman of the Department of Pediatric Cardiac Surgery Cardiothoracic Surgery at Weill Cornell Medical NewYork-Presbyterian Hospital College. Dr. Girardi succeeds O. Wayne Isom, MD, [email protected] who in his 30 years as head of the Department developed it into one of the highest ranked cardio- Allan Schwartz, MD thoracic surgery centers in the country. Chief, Division of Cardiology “Dr. Girardi brings a unique blend of world NewYork-Presbyterian/ class clinical expertise, commitment to excellence Columbia University Medical Center in medical education and research, and outstanding [email protected] leadership skill that will build on and further strengthen Weill Cornell’s Department of Leonard N. Girardi, MD Cardiothoracic Surgeon-in-Chief Cardiothoracic Surgery in the coming years,” NewYork-Presbyterian/ says Steven J. Corwin, MD, CEO of NewYork- Weill Cornell Medical Center
    [Show full text]
  • Hepatitis C Cardiac Surgery C N I
    IN THIS ISSUE Colorectal Surgery Hepatitis C Cardiac Surgery c n I , l Isaac George, MD, performs a New surgeon brings expertise c Direct-acting antiviral medications i g r u S p.1 p.2 p.4 surgical, interventional, e in robotic colorectal surgery v boost cure rate, shorten duration i t i u t n I and hybrid heart and 2 1 of therapy 0 2 © valve surgery winter 20 12 ALL THE POSSIBILITIES OF MODERN MEDICINE Greetings Message from the Chairman As the new year unfolds, I want to thank the faculty and staff who have given so much during 2012. Many of our cardiothoracic surgeons played key roles in the American Heart Association conference and the Transcatheter Cardiovascular Therapeutics conference, demonstrating their continued leadership in conventional, hybrid, and interventional procedures. Numerous divisions have established new programs, including the Vein Center in the Division of Vascular Surgery and the new Price Family Center for Comprehensive Chest Care in Thoracic S urgery. Meanwhile, the Medical ECMO program continues to expand rapidly. In this issue of healthpoints, readers will meet Drs. Steven Lee-Kong and Isaac George , who are among this year's new faculty. Welcome to all our new faculty, and I wish all readers a happy, healthy year ahead. n Craig R. Smith, MD Chairman, Department of Surgery New Faculty Profile: Steven Lee-Kong, MD Division of Colorectal Surgery welcomes talented new surgeon. In response to a continuous increase in February 2013), Dr. Lee-Kong will be the only surgeon trained patient volume, the Division of Colorec - to perform robotic colorectal surgery at NYP/Columbia.
    [Show full text]
  • 11 Ways to Prevent Stroke INSIDE It’S Never Too Late to Strike out Against a Potentially Devastating Brain Attack
    VOLUME 21 • NUMBER 7 MARCH 2011 11 ways to prevent stroke INSIDE It’s never too late to strike out against a potentially devastating brain attack. Fish oil questioned as treat­ ment for heart disease . 3. ike close cousins, heart disease and the growth of artery-clogging plaque, or the Eating fish is a better strategy than stroke share a common lineage. Both development of atrial fibrillation. This long gulping pills. emerge from a mix of nature (genes), gestation means it is often possible to avoid a Hybrid heart surgery Lnurture (upbringing and environment), and stroke by fighting arterial corrosion. expands options . 4. personal choice (smoking, exercise, etc). Collaborative approach aims to For most of us, personal choice largely de- Two types of stroke improve cardiac care. termines whether a stroke lies ahead. New A stroke occurs when blood stops flowing to Transfusion and heart surgery: guidelines on the prevention of stroke sug- part of the brain. Cut off from their supply of Only when needed . 5. gest that a healthy lifestyle can cut the risk of oxygen, brain cells begin dying within min- Unnecessary blood transfusion can having one by 80%. No drug, device, or other utes. Sometimes the damage is fatal—stroke do more harm than good. intervention can come close to doing that. is the fourth leading cause of death in the Heart beat . 6–7. The term “stroke” conjures up a frightening United States, accounting for almost 135,000 Crashing stock market and heart bolt out of the blue. It certainly feels that way deaths each year.
    [Show full text]