UK HealthCare has been a pioneer in transcatheter heart
valve interventions for more than 25 years. Since performing the first balloon
aortic valvuloplasty in 1984, our doctors have expanded the range of catheter-based
repair to mitral, pulmonic,
and prosthetic valve diseases.
Gill Heart Institute continues to offer the most complete and most experienced transcatheter valve program in the region. Recent treatments added include transcatheter aortic
valve replacement (TAVR) in 2012
and MitraClip in 2014.
interventional cardiologist John Gurley, MD, UK’s heart valve team includes
cardiologists, cardiac surgeons, advanced imaging specialists, cardiac
anesthesiologists, nurse practitioners,
and care coordinators. The team
performs TAVR and MitraClip and other
minimally invasive heart valve procedures in a state-of-the-art hybrid
operating suite at the new UK Albert B. Chandler Hospital.
cases, we use open-chest surgery to fix heart valve problems. But to get to the
heart, we have to cut through the tissue and bone. For some patients, this is
too risky. For them, TAVR may be an option.
new valve is collapsed inside a
tube. We thread the tube into the heart through an artery. To
place the new valve, we push a balloon
is a treatment for MR (mitral
MR happens when the heart’s mitral valve leaks. This can cause the heart to
work harder than it should. The MitraClip
is a device that helps the valve close. It may be used when open-chest surgery
is too risky.
tube into the heart through an vein.
goes in on smaller tube. We push the small tube through the larger one. Once in
place, the MitraClip
will help keep the valve from leaking.
is a treatment for A Fib (atrial fibrillation). A Fib is a
problem with the heart beat. It can cause blood clots. Blood thinners are often
used to treat it. If a patient cannot take blood thinners, LARIAT may be an
clots caused by A Fib come from the LAA (Left Atrial Appendage). The LAA is a
small sac that can be closed off. The LARIAT device lets us tie a suture shaped
like a lasso around the LAA. Two tubes are used to guide the lasso into place
and tie it off. This prevents stroke by keeping clots from leaving the LAA.
stands for patent foramen ovale.
This is when a child’s heart has a hole that never closed. We fix this with an
implant that covers the hole.
tube goes into a vein and is threaded into the heart. Once the tube is in
place, we push the implant through the tube. The implant will expand and cover
the hole. The implant will stay in the heart for
the rest of the patient’s life.
is a system from for bypassing blood flow. It can also remove blood clots and
blockages. Often, medicines can dissolve clots. If medicines do not work, we
may need to do open chest surgery. But for some patients, the AngioVac
may be a safer option. The tip of the tube is shaped like a funnel. This makes
it easier for blockages to enter the tube.
place two tubes in the patient’s veins. Once they are in place, a machine
removes and filters the blood. It then returns the blood to the body.
Laura Daniel, CST
Micah Douglas, RN
Vicky Turner, ARPN
Laura Daniel, CSTlaura.firstname.lastname@example.org
Micah Douglas, RN, BSNmgdoug2@uky.edu859-218-3456
Vicky Turner, ACNP-BC, APRN, CCRN859-257-5049
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