commercial use in treating severe aortic stenosis,
more than 50,000 procedures have been performed
uncommon, and use of the transcarotid approach is
extremely rare, Dr. Turi says. Only about 20 transcarotid
procedures have been performed nationally--two of which
were performed by specialists at the medical school and
RWJUH. Until Rossi's surgery in June, none of them had
involved a valve-in-valve procedure.
tial risk for stroke," Dr. Turi explains.
tions literature as "a truly dedicated TAVR team approach."
lar surgery, and interventional cardiology, among others.
viduals were present in the hybrid operating room, including
cardiologist Hemal Gada, MD, assistant professor of medi-
sor of surgery; and Dr. Lee and Dr. Turi, as well as cardiac
anesthesiologists, nursing staff from the cardiac catheteriza-
choice for relatively healthy individuals in
need of aortic valve replacement, the availabil-
option further expands the number of individuals who can
receive lifesaving treatment, says Dr. Lee.
kinds of minimally invasive surgeries, and several different
kinds of TAVR procedures. As a result, we can really tailor
the treatment to the patient's needs and overall medical
condition," he says. "There is almost no circumstance in
which we can't treat a patient now."
once was a procedure exclusively for people who were
absolutely inoperable has now been expanded to include
individuals who are at high risk from surgery.
smaller--about half the size they were originally, he says.
More patients have expanded options, they are ambulated
and out of the hospital in days instead of weeks, and ongo-
ing refinements are taking place in the technology, he adds.
procedure at RWJUH is in the late 80s, Dr. Turi
has performed a TAVR procedure on a patient
older and more frail, the ability to have an alternative to
open surgery has a lot of appeal to patients, Dr. Turi says:
it's a shorter procedure, it involves deep sedation instead of
sit in a chair that same night. TAVR eliminates some of the
fear people have about surgery in general, he says.
"At first I was weak and couldn't do much, but now I'm
but I'll sit down for a few minutes and will be fine. Little by
little, I'm getting better all the time," she says. "The last three
lost more than 50 pounds, bringing her well below the
acceptable weight range for a woman of her height. She
would have a piece of chicken smaller than her palm and
able to eat more, which I'm really happy about. My appetite
is still improving, and I'm hoping to gain more weight to get
into the correct weight range."