By Adam Pick on December 17, 2018
I just received a great question from Peter about heart valve replacement devices. Peter asked me, “Hi Adam – I have moderate-to-severe aortic stenosis and I will need surgery soon. I’m curious to know… How do surgeons select a valve replacement for me? It seems like there are so many choices our there – mechanical, tissue, sutureless valves, that new INSPIRIS valve and TAVR. What are the key criteria the docs use to choose a valve replacement. Can you please ask a surgeon for me? Thanks, Peter”
(Sources: Abbott, Cryolife, Edwards Lifesciences)
This is a phenomenal and VERY appropriate question. For patients with diseased heart valves that are beyond repair, it is so critical that you and your surgeon are on the “same page” when it comes to valve selection given the different types of valve that are available today.
By Adam Pick on March 8, 2018
Big News! Great News! Awesome News!
Yesterday, I learned that the FDA has approved the world’s smallest mechanical heart valve replacement from Abbott for pediatric patients. This valve, known as the Masters HP 15mm mechanical heart valve, will enable doctors to treat newborns and infants needing mitral valve or aortic valve replacement.
By Adam Pick on December 12, 2017
At the Heart Valve Summit, I received a great question about sternum healing, wires and infection. Joachim asked me, “Publications have revealed that 50 to 80% of sternal infections are discovered after discharge, and that cardiac patients have the highest readmission rates. Since the sternal wires are the only force holding the sternum together after surgery, why is it that external chest supports are not a standard, adjunctive, and precautionary procedure after surgery?”
To get Joachim an expert opinion, I was very fortunate to sit down with Dr. Steve Bolling, a leading cardiac surgeon from Michigan Medicine in Ann Arbor. Here are the highlights from our chat:
By Adam Pick on November 22, 2017
Given all the recent developments about “Valve-in-Valve” procedures, my inbox is swelling up with questions. For example, Connie asked me, “I had my aortic valve replaced in 2014. What are the chances of Valve-in-Valve replacement for smaller sizes such as 21mm Edwards Magna Ease pericardial valve?”
I loved Connie’s question as it raises so many critical elements of valve therapy including valve size, valve re-operations and the new transcatheter procedures that are just now receiving FDA approval. For that reason, I wanted a “Rock Star” response to help our community learn more.
By Adam Pick on July 12, 2017
There is an outright explosion of medical advances specific to heart valve devices. In this edition of “Medical Wow!”, I’d like to introduce you to Project ImaValve.