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A team from Harrington Heart and Vascular Institute University Hospitals was the first in the United States to report a safer and minimally invasive strategy for removing heart infections associated with right-sided infective endocarditis. press release from UH

New strategy – published in the journal “Catheterization and Cardiovascular Intervention”, the journal of the Society for Cardiovascular Angiography and Intervention, treats infection with the Triever system with FLEX technology, which reportedly was originally developed to treat pulmonary embolism.

The new procedure, performed in an awake patient catheterization laboratory, uses intracardiac echocardiography and fluoroscopy, eliminating the need for an uncomfortable tube (transesophageal echocardiography) in the patient’s throat, according to the report.

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Mehdi Shishehbor – President of the UH Harrington Heart and Vascular Institute and Lead Innovation Officer for Angela and James Hambrick – and his team of interventional cardiologists and cardiac surgeons have completed more than a dozen successful cases at UH Cleveland Medical Center.

“The beauty of using Triever technology for this purpose is that it can be performed on an awake patient, no heart-lung machine is required, no general anesthesia is required, and the procedure takes about 20 minutes,” said Shishekhbor, who, together with his colleagues, launched a multisite registry for further evaluation of the interference – in the submitted application. “I was optimistic in my experience that we will be able to use this new Triever technology in a much safer and less intense way to be able to cure infections. We first offered it to a patient who was not a good surgeon. candidate and we were surprised at its effectiveness. “

This type of heart infection is usually treated using two “imperfect” surgical and interventional options, according to the release: open heart surgery (which is invasive and requires significant recovery) and AngioVac (which requires general anesthesia during surgery). room, as well as a complete apparatus of the heart and lungs).

“This is a real revolution in the treatment of these patients,” said Dr. Yasser Abu-Omar, director of the Department of Cardiothoracic Transplantation and Mechanical Circulation Procedures at UH. “We no longer need to go directly to the operation. We can try this approach first, cure the infection, discharge patients from the hospital and refer them to drug addiction treatment. If they feel well, no further surgery is needed. … However, if we confirm that they need surgery, we can offer it after rehabilitation. This is a real paradigm shift. “

This story was first published in our sister publication, Crane’s Cleveland business.


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