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What’s New...What’s New...

Migraine Headaches? Consider New BASILICA Technique

Aspirin for Treatment and Prevention Created by the NIH Recently
South Florida's

Monthly There are effective prescription medications available to treat Performed By Interventional
acute migraine headaches as well as to prevent recurrent
Healthcare Newspaper Cardiologists in South Florida

attacks. Nonetheless, in the United States many patients are not
PO Box 812708 adequately treated for reasons that include limited access to
Boca Raton, FL 33481-2708 health care providers and lack of health insurance or high co- Miguel Diaz, M.D., FACC, FSCAI,
Phone: (561) 368-6950 pays, which make expensive medications of proven benefit an experienced and expert clinical
unaffordable. The rates of uninsured or underinsured individu- and interventional cardiologist and
als have been estimated to be 8.5 percent nationwide and 13 Marquand Patton Jr., D.O., FACC,
Website: percent in Florida. Furthermore, for all patients, the prescrip- FSCAI, FSVM, FASE, FASNC, RPVI, a
www.southfloridahospitalnews.com tion drugs may be poorly tolerated or contraindicated. highly-skilled and expert interven-

Researchers from Florida Atlantic University’s Schmidt tional cardiologist specializing in
CHARLES FELIX College of Medicine have proposed aspirin as a possible option structural, coronary and peripheral
CAROL FELIX for consideration by primary care providers who treat the interventions, both with Tenet
Publishers majority of patients with migraine. Their review includes evi- Florida Physician Services (TFPS)
dence from 13 randomized trials of the treatment of migraine and on-staff at Palmetto General Dr. Miguel Diaz
NANCY LAMMIE in 4,222 patients and tens of thousands of patients in preven- Hospital in Hialeah, have recently
Editor tion of recurrent attacks. completed one of the first BASILICA
Their findings, published in the American Journal of procedures ever in the State of
JUDY GRAMM Medicine, suggest that high-dose aspirin, in doses from 900 to Florida. The BASILICA procedure is
Editorial Manager & Webmaster 1,300 milligrams given at the onset of symptoms, is an effective performed when there is high-risk for
and safe treatment option for acute migraine headaches. In coronary artery occlusion during
JMC GRAPHICS addition, some but not all randomized trials suggest the possi- transcatheter aortic valve replace-
Art/Production bility that daily aspirin in doses from 81 to 325 milligrams may ment (TAVR). While a BASILICA
lammienancy@aol.com be an effective and safe treatment option for the prevention of procedure is rarely needed, it can be
412-877-5321 recurrent migraine headaches. a life-saving measure in rare cases

CONTRIBUTING WRITERS “Our review supports the use of high dose aspirin to treat when the implanted TAVR leaflet
Daniel Casciato acute migraine as well as low dose daily aspirin to prevent occludes the coronary artery. The
recurrent attacks,” said Charles H. Hennekens, M.D., Dr.PH, BASILICA technique involves using a
Barbara Fallon Dr. Marquand Patton
corresponding author, first Sir Richard Doll Professor and sen- catheter to direct an electrified
Vanessa Orr ior academic advisor in FAU’s Schmidt College of Medicine. guidewire through the base of the left Jr.
Lois Thomson
“Moreover, the relatively favorable side effect profile of aspirin coronary cusp leaflet into a snare in the left ventricular outflow
and extremely low costs compared with other prescription drug tract (LVOT). Then, according to the National Institutes of
therapies may provide additional clinical options for primary Health, National Heart, Lung and Blood Institute (NIH), the
LOOK FOR OUR health care providers treating acute as well as recurrent guidewire is used to split the leaflet so that it cannot block the
migraine headaches.” coronary artery once it has been pushed aside by the tran-
NEXT ISSUE scatheter heart valve.
The NIH-developed BASILICA technique prevents obstruc-
IN FEBRUARY tion in heart valve replacement cases. Furthermore, according
Cleveland Clinic Indian River to the NIH, the BASILICA procedure has shown successful
TO REACH US results for certain high-risk patients. The NIH adds that this
FOR Hospital First to Offer Lung Valve novel technique has proven successful in preventing coronary
artery obstruction during transcatheter aortic valve replace-
ADVERTISING Treatment for COPD Patients ment (TAVR), a rare but often fatal complication. Called the
OR EDITORIAL Bioprosthetic Aortic Scallop Intentional Laceration to prevent
Call (561) 368-6950 on the Treasure Coast Iatrogenic Coronary Artery obstruction (BASILICA), the tech-
nique will increase treatment options for high-risk patients
or e-mail
Cleveland Clinic Indian River Hospital announced hat is now who need heart valve procedures and might not otherwise be
carol@southfloridahospitalnews.com
offering a new procedure designed to help patients with COPD treated. The findings by researchers at the National Institutes of
or advanced emphysema breathe easier. The procedure, which Health have been published in the Journal of the American
College of Cardiology: Cardiovascular Interventions (June
involves placing endobronchial valves in patients’ lungs, was

SUBSCRIPTIONS recently FDA-approved. Cleveland Clinic Indian River Hospital 2019).

is the first hospital on the Treasure Coast to offer this new treat-

One Year $40 ment option for patients with advanced respiratory conditions.
The treatment is performed during a bronchoscopy, a proce- West Palm Beach VA Starts
Two Years $60 dure that allows a doctor to examine the inside of the lungs,
Three Years $75 including the bronchi, which are the main airways into the New Research Program
lungs. Depending on the severity of the case, an average of one

to four tiny valves are placed in the airways to block off the dis- The West Palm Beach VA Medical Center (WPBVAMC) is one
To subscribe, eased parts of the lungs. The valves reduce hyperinflation by step closer to fulfilling the second goal of its Strategic Plan – to
call (561) 368-6950 preventing air from being trapped in the diseased area of the Become A Center For Research And Learning. Effective
or subscribe online at lung and allowing healthier parts of the lung to take in more air, November 15, 2019, the Office for Human Research Protections
lifting pressure off the diaphragm. (OHRP) granted the WPBVAMC’s Research & Education
southfloridahospitalnews.com. “This advanced lung treatment offers patients living with Service approval to re-open its research program. Partnering
____________ COPD an opportunity to significantly improve their overall with Nova Southeastern University, the WPBVAMC expects to

quality of life,” said Diego Maldonado, M.D., Pulmonologist at begin conducting research studies in the first part of 2020.

All rights reserved. Reproduction CCIRH. “We are excited to be the first hospital in our area to “Re-opening our research program after 13 years is the cul-
in whole or part without written provide this new treatment at our Pulmonary Medicine mination of extensive efforts by our team over the last couple
permission prohibited. Copyright © 2019.
Department. This is a perfect example of Cleveland Clinic of years,” said Associate Chief of Staff for Education and
Indian River Hospital striving to provide patients with the latest Research Dr. Ramon Cuevas. “Key partnerships with academic
innovation and services.” and trusted institutions will allow us to make a strong impact
in the field of research that we expect will benefit Veterans for
Don’t forget to include years to come.”
In addition to its partnership with Nova Southeastern, the
South Florida Hospital News WPBVAMC has also partnered with the South Florida Veterans
& Healthcare Report Affairs Foundation for Research and Education, a non-profit
in your Marketing Plans research and education foundation. The partnership, Cuevas
states, will further allow the medical center to manage educa-
Call Charles at 561-368-6950 for a Media Kit tional and research grants to fuel scholarly activity.

32 January 2020 southfloridahospitalnews.com South Florida Hospital News