AW: [HSF] Percutaneous Valves

[Michael Firstenberg]

These are not really all of that bad.... so far.... for us "open valve
surgeons".
I have seen several first hand and right now they really are an
Institutional Tour de Force.  Think of it - patients "too sick for AVR" (of
course we can debate that definition).  The ones I have seen, required very
(and I mean very) skilled 1) Echocardiologists 2) CT anesthesia 3)
Interventional Cards AND 4) an Aortic surgeon - all working together.  Even
with this group, they are still far from ready for application outside of
the meccas.  And, it is not just putting them in, but also dealing with
potential problems and co-morbidities.

Besides, as we know, "knock off" a few "heathy" patients who
could/should/would have had AVRs and someone (administration? risk
management? legal? common sense?) will shut down this activity real quick.
These are no longer the days of Grundzig, Battista, Gibbon, etc......


-michael



On 2/2/07, Hgrmd at aol.com <Hgrmd at aol.com> wrote:
>
> Nand,
> I agree.  Percutaneous AVI's are coming.  Get ready.
> Hal
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