Memorial First In Region To Replace Heart Valve With No Surgical Incision

Tuesday, August 5, 2014

Me­morial is the only hospital in the Chattanooga region chosen as a site to implant a remarkable new device, a transcatheter aortic valve re­placement, or TAVR, which is inserted into the aortic valve with no surgical incision. TAVR is a procedure for select patients with severe symptomatic aortic stenosis (narrowing of the aortic valve opening) who are not candidates for traditional open heart surgery or are high-risk operable candidates.

Brian Negus, M.D. cardiologist at The Chattanooga Heart Institute at Memorial, and a member of Memorial’s Heart Valve Pro­gram, performed a heart cath­eterization on 83 year old William Horton and found the aortic valve disease had severely pro­gressed, which was the primary reason that he was expe­riencing shortness of breath when he walked even a short distance.

Dr. Negus, and the other mem­bers of the valve program team, Richard Morrison, M.D., and Clifton Reade, M.D., cardiovascular surgeons, along with Mark Thel, M.D., and William Oellerich, M.D., cardi­ologists at The Chattanooga Heart Institute with Memorial, carefully considered possible treatments for Mr. Horton.

“In all previous TAVR cases, we introduced the valve through an actual incision either in the side, chest or groin,” said Richard Morrison, M.D., cardiovascular surgeon at Memorial. “It is typically a two inch incision.  This time, however, we were able to perform the entire procedure through just a prick in the groin where a catheter was introduced (similar to a heart catheterization, but with a slightly larger catheter). Mr. Horton was up on his feet two hours after the procedure. There is no incision to take care of, just a prick site.”

According to Clifton Reade, M.D., cardiovascular surgeon at Memorial, “The newly approved smaller retroflex valve delivery system for TAVR that often requires no surgical incision was approved by the FDA on Monday, June 16, 2014.  We were able to use this device on Mr. Horton.”

“This newly approved device is for sicker patients. We were able to replace the patients’ aorta valve and send him home potentially within 48 hours, which is remarkable,” said William Oellerich, M.D., cardi­ologist at The Chattanooga Heart Institute with Memorial.

“The staff at Memorial has been beyond exceptional,” said Juanita Horton, wife of William Horton. “I know William is looking forward to getting back to the bowling alley and playing the game he loves.”

Memorial is the only hospital in the Chattanooga area chosen as a site for the use of the TAVR valve.  In October of 2011, when Memo­rial was selected, it was one of only 24 hospitals nationwide chosen to use this newly approved FDA device.

Multiple medical and surgical issues must be considered when evaluating a patient as a possible recipient of the TAVR valve. “It’s pretty amazing to at­tend a case review where there are two surgeons and three cardiologists in a room work­ing together to determine treat­ment options. That is one of the most unique things about the valve program,” said Jennifer Welch, coordinator of Me­morial’s Heart Valve Program.

“With more research and study, TAVR will likely lead from high risk to lower risk groups of patients making the procedure more widely available,” says Dr. Oellerich.

If you have been diagnosed with valve disease, talk with your doctor about Memorial Hospital’s Heart Valve Program or call 495-HEART (4327).


Parkridge Health System Dropping Inpatient Medical Care And Surgical Services At Parkridge West At Jasper, Tn.

Parkridge Health System will discontinue providing inpatient medical care and surgical services at Parkridge West at Jasper, Tn., effective April 6.  Parkridge West will continue to offer 24-hour emergency services, outpatient imaging and laboratory services, and Mountainview Treatment Center will continue to serve inpatient adult behavioral health patients.  Officials ... (click for more)

Aledade Partners With Qsource To Create Primary Care Physician-Led ACO In Tennessee

Maryland-based Aledade, Inc. has announced a partnership with Qsource to help independent primary care physicians in Tennessee form and operate an Accountable Care Organization. Aledade partners with independent doctors to create and run ACOs, networks of physicians who band together to deliver coordinated care to patients.  They operate under a payment structure that rewards ... (click for more)

Cleveland, Tn., Production Company Owner Charged With Defrauding Church Of God International Of $100,000

The head of a Cleveland, Tn., production company has been charged with defrauding the Cleveland-based Church of God International of $100,000 in connection with his part in setting up the church's world convention in Orlando, Fla., in 2010. Troy Scot Carter was charged by federal authorities with securities fraud. A four-page criminal information says the church hired Carter ... (click for more)

City Set To Commission $200,000 Mural On MLK Boulevard By Famed Muralist Meg Saligman; Foundations To Cover Cost

The city is set to commission a $200,000 mural on the side of the AT&T Building on MLK Boulevard by famed muralist Meg Saligman. Ms. Saligman has created over 50 murals all over the world, including one called  "Fertile Ground" that is 32,500 square feet in Omaha, Neb. Her most famous mural is "Common Threads" on the west wall of the Stevens Administrative Center ... (click for more)

Finley Stadium Needs To Grow Up - And Response

RE:  Finley Stadium Financial Picture Rosy; Beer And Alcohol Sales Approved; AstroTurf Almost Ready and City, County Pitching In $250,000 Each For New Finley Stadium AstroTurf I read a story here five days ago about a rosy future for Finley stadium. It lead me to believe that the stadium was making money and even improvements with donations.  Then we get a short ... (click for more)

Roy Exum: The Sunday Funnies

They say March roars in like a lion and leaves like a lamb. So as you reach for your lambs-wool sweater on this last Sunday of the month, allow me to lighten up a bit with a new edition of my Sunday Funnies. I have a delightful crowd that keeps me supplied in jokes and these are some of the best that have come my way: A WOMAN'S PERFECT BREAKFAST -- She's sitting at the table ... (click for more)