Members in the News – December 2017
Spring Valley Hospital Now Offers Minimally Invasive Procedure for Diseased Aortic Valves
Spring Valley Hospital now offers transcatheter aortic valve replacement (TAVR), a minimally invasive method to replace the aortic valve. TAVR is performed on patients with a diagnosis of aortic stenosis, which is caused by a build-up of calcium deposits on the valve. In turn, this makes the heart pump harder and restricts blood flow. This common but serious valve disease can lead to heart failure or cardiac arrest if left untreated.
The minimally-invasive procedure is performed by an interdisciplinary medical team, including an interventional cardiologist, cardiovascular thoracic surgeon, nurses and techs. During the procedure, a collapsible valve is inserted within the diseased valve, and becomes responsible for regulating blood flow. The diseased valve is not removed; the new valve pushes it aside. The procedure is performed in a specially-designed, 1200 square-foot suite called a hybrid operating room.
The TAVR procedure can replace traditional open heart surgery by threading a catheter through the femoral artery near the groin or via a small chest incision. This provides a viable option to treat aortic stenosis in patients who may not be good candidates for open heart surgery.
“TAVR is a relatively recent, well researched and life changing procedure that changes the way we treat intermediate and high risk aortic stenosis patients,” said Georges Tanbe, MD, medical director of Spring Valley Hospital’s cardiac catheterization lab. “The technology transforms a large operation into a minimally-invasive, percutaneous procedure with reduced pain, blood loss and recovery times.”
Aortic stenosis is a lethal disease that remains under-treated, according to Nauman Jahangir, MD, cardiovascular thoracic surgeon with Las Vegas Cardiovascular Surgery Specialists. “Transcatheter and minimally invasive valve surgery techniques are opening up opportunities for life-saving procedures to a larger group of patients who can now look forward to an improved quality of life and a better and longer life span.”
“I’m very pleased to add TAVR to our other advanced heart and vascular procedures,” said Leonard Freehof, CEO/Managing Director of Spring Valley Hospital. “It’s one more way we can enhance a patient’s quality of life by providing minimally invasive options for heart disease.”
Centennial Hills Hospital Brings New Brain Technology to Northwest Las Vegas
Centennial Hills Hospital now performs minimally invasive procedures to treat stroke and other neurological diseases by utilizing neurointerventional radiology procedures in its new biplane lab.
Neurointerventional radiology involves gently threading a catheter the width of a spaghetti strand from the femoral artery to the brain to perform specialized procedures. Benefits of these procedures to patients include shorter hospital stays, reduced recovery times, and less visible surgical scarring.
Some of the key neurological procedures available include:
- Thrombolytic therapy – using the catheter to dissolve a clot in the brain that is blocking blood flow.
- Endovascular coil treatment – using coils at the site of a brain aneurysm to induce clotting; this reduces the ability of the aneurysm to burst and cause a stroke.
- Endovascular therapy for large vessel occlusions (LVOs) – LVOs are a type of stroke resulting from the blockage of a major brain artery, decreasing blood flow to key areas of the brain.
- Arteriovenous malformation (AVM) – AVM is an unusual jumble of blood vessels connecting arteries and veins. In turn, this disrupts the normal flow of blood from the heart to the tissues via arteries, while veins return the blood from the tissues to the heart. Left untreated, the AVM could rupture, causing further medical complications of a stroke and hemorrhage in the brain, or brain damage.
“The addition of neurointerventional radiology equipment and a specially trained team enhances our neurology services, which include our Advanced Primary Stroke Center and our neurosurgery program,” said Sajit Pullarkat, CEO/Managing Director of Centennial Hills Hospital. “Advanced neurological services allow our community to receive the care they need, close to home.”
According to the American Heart Association, both genetic and lifestyle risk factors can lead to blood clots, which can cause heart attacks, strokes and other organ damage. Genetic factors include a personal history of clots before age 40 or unexplained miscarriages, or a family history. Related medical conditions include diabetes, heart failure, atrial fibrillation, atherosclerosis (plaque buildup), or blood vessel inflammation. Lifestyle risk factors include smoking, obesity, pregnancy, long periods of sitting, lengthy bed rest, cancer, and using hormone replacement therapy or birth control bills.
Dignity Health and Catholic Health Initiatives to Combine to Form New Catholic Health System Focused on Creating Healthier Communities
Catholic Health Initiatives (CHI) and Dignity Health have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system. The combination brings together two leading health systems, allowing the organizations to expand their mission of service and create a healthier future for people and communities across 28 states.
The new health system will build a stronger operational and financial foundation to expand access to quality care, build upon complementary resources and capabilities, and reinvest in critical areas to accelerate improvements in care delivery.
“We are joining together to create a new Catholic health system, one that is positioned to accelerate the change from sick-care to well-care across the United States,” said Kevin E. Lofton, chief executive officer of CHI. “Our new organization will have the talent, depth, breadth, and passion to improve the health of every person and community we serve.”
“By combining our ministries and building upon our shared mission, we will expand our commitment to meeting the needs of all people with compassion, regardless of income, ethnicity, or language,” said Lloyd Dean, president and chief executive officer of Dignity Health. “We foresee an incredible opportunity to expand each organization’s best practices to respond to the evolving health care environment and deliver high-quality, cost-effective care.”
Key strategic and reinvestment priorities for the new system will include:
- The expansion of community-based care, offering access to services in a variety of outpatient and virtual care settings closer to home
- Clinical programs focused on special populations and those suffering from chronic illnesses to keep people and communities healthier for longer
- Further advancement of digital technologies and innovations like stroke robots and Google Glass, which create a more personalized and efficient care experience
The new health system will include more than 700 care sites and 139 hospitals, offering people and communities access to quality care delivered by approximately 159,000 employees and more than 25,000 physicians and other advanced practice clinicians. The organizations are geographically complementary with no overlap across hospital service areas.