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What’s New... What’s New... What’s New...

Delray Beach Doctor Performs First TCAR Broward Health Coral Springs Upgrades
on the East Coast Of Florida Interventional Radiology and Vascular Lab

Dr. Joseph Ricotta, a vascular surgeon and endovascular
therapy specialist at Tenet Florida Cardiovascular Care
(TFCC), recently performed one of the first TransCarotid
Artery Revascularization (TCAR) surgeries in the State of
Florida at Delray Medical Center’s new Endovascular
Hybrid Operating Room Suite. Dr. Ricotta begins the TCAR
procedure with a small incision above the clavicle to access
the patient’s carotid artery. Then, Dr. Ricotta inserts a pliable
sheath into the carotid artery and links it to a component
which reverses blood flow away from the brain in an effort
to avert, by use of filter, any clot forming plaque from trav- Dr. Joseph Ricotta
eling to the patient’s brain system. During the TCAR, Dr.
Ricotta and his team filter the blood and then return it to
the body via an additional sheath in the femoral vein of the patient’s thigh.
As the TCAR procedure progresses and blood flow continues to be reversed, Dr. The Broward Health Coral Springs Radiology Lab had its ribbon cutting ceremony cut by
Ricotta uses a neuroprotection system during the TCAR to perform a balloon angio- City of Coral Springs Vice Mayor Lou Cimaglia accompanied by Joy Carter, Coral Springs
plasty and stenting, to open blood flow in veins. Once Dr. Ricotta places the stent in City Commissioner (on his left) and next to her is Broward Health president and CEO
the artery to eliminate the plaque from the carotid artery, the reversal flow mechanism Beverly Capasso, and (far right) BH CEO Jared Smith with other Coral Springs Chamber
is turned off and blood flows freely to the brain into its intended path free from stroke members along with (far left) Dr. Guy Zingaro/BHCS Chief of Staff.
inducing plaque.
“Before the development of the TCAR procedure the treatment options presented
challenges of their own. The previous option, a carotid endarterectomy is quite inva- Broward Health Coral Springs (BHCS) celebrated the opening of its interventional
sive and can lead to complications in patients at risk for an open surgical procedure,” radiology and vascular lab with a ceremonial ribbon cutting attended by City of
Dr. Ricotta said. Coral Springs Vice Mayor Lou Cimaglia, Broward Health president and CEO Beverly
The TCAR procedure can be another option available for high surgical risk patients Capasso, Broward Health Coral Springs CEO Jared Smith, BHCS’ Medical Director
needing a carotid endarterectomy. The TCAR procedure gives vascular surgeons, like of Radiology Carl Raboi, and members of the community. The lab, the first in
Dr. Ricotta, an alternative tool in their toolbox to clear harmful plaque from the Florida to offer this technology, will provide enhanced services to the local commu-
carotid artery which could cause stroke. nity including improved image quality, minimized X-ray exposure, and superior 3D
imaging.
“The new interventional radiology lab is a great resource for the Coral Springs
Regional Cancer Center Expansion Opens community,” said Beverly Capasso, Broward Health president and CEO. “We con-
stantly strive to provide a better patient experience by offering industry-leading
imaging tools that prioritize safety without sacrificing high-quality imaging or effi-
ciency.”
Patients of BHCS now have access to fast and safe interventional radiology exams
with the installation of Canon Medical Systems’ InfinixTM-i Sky + angiography sys-
tem. The unique double sliding C-arm design of the Infinix-i Sky + gives physicians
the flexibility to perform a wide array of procedures and delivers exceptional patient
care with 3D imaging anywhere it is needed.
BHCS will be using the Infinix-i Sky + for a variety of interventional procedures
including stroke, blood clot removal, artery stenting and uterine fibroid emboliza-
tion. The Infinix-i Sky + features a unique double sliding C-arm design that allows
interventional radiologists and vascular surgeons to perform 3D imaging anywhere,
with 210 degrees of anatomical coverage on both the right and left side of the
patient and a high speed 3D rotation of up to 80 degrees per second. The system
incorporates dose management tools to help clinicians minimize X-ray exposure to
the patient, including technology like Canon Medical Systems’ Dose Tracking
System that estimates peak skin dose exposure in real time.
Expansive windows provide abundant natural lighting in the reception and rehabilitation
areas of the expanded Regional Cancer Center.
Cleveland Clinic Florida Designated Center of
A new, 24,000-square-foot building is now open at the Regional Cancer Center in Excellence for Hypertrophic Cardiomyopathy
Fort Myers. The Regional Cancer Center is a collaboration of Lee Health, 21st
Century Oncology and Florida Cancer Specialists. The construction project began last
year to accommodate a growth in services, including expansion of the pharmacy, pal- Cleveland Clinic Florida has been designated a Center of Excellence by the
liative care services, genetic counseling and survivorship programs. Hypertrophic Cardiomyopathy Association (HCMA), making it only the second
Fighting cancer is hard enough without having to undergo the stress and inconven- organization in Florida to earn this designation.
ience of traveling out of the area for treatment. The Regional Cancer Center offers “Achieving this recognition signifies our commitment to improving patient out-
treatment for nearly every aspect of cancer care, in one convenient location. comes for those affected with hypertrophic cardiomyopathy,” said Wael Barsoum,
Collectively, Regional Cancer Center is the fourth largest community cancer treat- M.D., CEO and President of Cleveland Clinic Florida. “Dr. Craig Asher and his team
ment center in the state of Florida. With more than 15,000 patient visits each year in our Heart and Vascular Center deserve recognition for earning this designation and
treating a variety of malignancies in both men and women, RCC survival rates meet for their dedication to providing support, education and advocacy for patients with
or exceed the national average for all cancer treatment facilities hypertrophic cardiomyopathy across South Florida.”
The expansion is home to the Regional Cancer Center’s multidisciplinary clinic – a Centers of Excellence are evaluated based on expertise, volume of care, quality of
one-stop shop for patients and a model for breast care nationwide. On the day of clin- research, patient communication and responsiveness, facilities and patient and med-
ic, patients meet and have one-on-one assessments with the medical oncologist, sur- ical education.
geon and radiation oncologist. These meetings help the patient retain and absorb the Cleveland Clinic Florida’s Robert and Suzanne Tomsich Department of Cardiology
information about their diagnosis, understand their options, and feel more empow- offers patients advanced diagnosis, innovative treatments and comprehensive manage-
ered and included in the decision-making process. ment of cardiovascular diseases, including HCM. It works in conjunction with
Cleveland Clinic's Sydell and Arnold Miller Family Heart & Vascular Institute in
Ohio, the largest cardiovascular practice in the United States.

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32 August 2018 southfloridahospitalnews.com South Florida Hospital News