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  • Structural Heart Program

    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.

    The UK 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.

    Led by 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. 


  • Services offered

    Transcatheter Aortic Valve Replacement (TAVR)

    What is it?

    In most 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.

    How does it work?

    The 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 through the tube.

    MitraClip

    What is it?

    This is a treatment for MR (mitral regurgitation). 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.

    How does it work?

    We thread a tube into the heart through an vein. The MitraClip 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.

    Lariat

    What is it?

    This 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 option.

    How does it work?

    Most 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. 

    PFO Closure

    What is it?

    PFO 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.

    How does it work?

    A 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.

    AngioVacs

    What is it?

    AngioVac 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.

    How does it work?

    We 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.

  • Additional staff

    Laura Daniel, CST

    Micah Douglas, RN

    Vicky Turner, ARPN

  • Contact us

    Scheduling

    859-218-1892

    Laura Daniel, CST
    laura.daniel@uky.edu
    859-218-1892

    Micah Douglas, RN, BSN
    mgdoug2@uky.edu
    859-218-3456

    Vicky Turner, ACNP-BC, APRN, CCRN
    859-257-5049

    Fax: 859-257-6717

  • Appointments and referrals

    Appointments to the Structural Heart Program are most often requested by a referring physician. To request an appointment, complete this secure, online form »


Page last updated: 4/13/2015 2:54:20 PM