AW: [HSF] Percutaneous Valves

[Tea Acuff]

"Think of it - patients "too sick for AVR" (of course we can debate that definition)"

This, of course, is the whole point. It is pretty easy to get a surgeon to pass on a case. Some of us operate all the time on ones that have been. And they sometimes operate on ones that I wouldn't (right then anyway) or they send them back and then I do. That ninety year out in two days after off pump AVR didn't look that bad. I probably would pop on a couple of grafts too since we are off pump anyway! Hey, let's call that a "hybrid" AVR. Is the lead author for this study going to be Lewis Carroll?

tea


----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, February 2, 2007 11:46:55 AM
Subject: Re: AW: [HSF] Percutaneous Valves


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
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------