Page 13 - CANNABIS NEWS FLORIDA JULY 2020
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ADVANCES IN TECHNOLOGY


                                                                                           Innovation Helping Patients

                                                                                           at Cleveland Clinic Florida’s
             Broward Health Medical Center
                                                                                          Heart And Vascular Institute
              Launches New Treatments and
                                                                                   Innovation, expertise and                       Vascular Institute can also
               Technologies During Pandemic                                       compassion are among the                         repair or replace aortic,
                                                                                                                                                 tricuspid
                                                                                  reasons why patients from
                                                                                                                                   mitral
                                                                                                                                           and
                                                                                  across the United States,                        valves using minimally
                                                                                  Latin    America     and                         invasive surgery.
                                                                                  Caribbean turn to Cleveland                       Transcatheter  aortic
                                                                                  Clinic in Florida for life-sav-                  valve replacement (TAVR)
                                                                                  ing   cardiac  treatment                         allows  physicians  to
                                                                                  options.                                         replace the aortic valve via
                                                                                   “We are unique in Florida                       a catheter inserted in the
                                                                                  because we can address heart                     groin. They can also treat
                                                                                  failure, cardiothoracic sur-                     mitral regurgitation in a
                                                                                  gery, endocarditis, hyper-     Dr. Jose Navia    similar  manner,  first
                                                                                  trophic cardiomyopathy and                       inserting a small device
                                                                                  more,” said Jose Navia, M.D., Director of   into a vein in the groin and then thread-
                                                                                  the Heart and Vascular Institute at   ing it to the heart, where it clips the
                                                                                  Cleveland Clinic Florida.           mitral valve. These minimally invasive
                                                                                   As an example, for patients suffering   approaches reduce the recovery time for
                                                                                  from cardiogenic shock, time is of the   patients, many of which remain in the
                                                                                  essence. This life-threatening condition,   clinic for only a day before going home.
                                                                                  which is commonly caused by a heart   The team can also treat hypertrophic
                                                                                  attack, occurs when a person’s heart can-  cardiomyopathy, which is an abnormal
                                                                                  not pump enough blood and oxygen to   thickening of the heart muscle. This can
          Broward Health Medical Center      car jack, and then we fill the area with a   meet the body’s needs.      make it more difficult to pump blood and
        resumed medical diagnostic screenings   cement to hold in place. This allows for   With the help of a mechanical assistive   can lead to symptoms like chest pain,
        and elective surgeries in early May. In   more alignment of the back and less   device, physicians at Cleveland Clinic   fainting or shortness of breath, especially
        addition to these services now available   chance of pain in the future.”    Weston Hospital are able to give patients   during or just after exercise. Dr. Navia
        to the community, and although the    Broward Health launched the first   time. Dr. Navia explains that this tempo-  explains that surgeons at Weston
        COVID-19 pandemic continues, new     OPTION clinical study on the Watchman   rary support helps the heart maintain a   Hospital can resect part of that muscle to
        treatments and technologies for a variety   FLX, with the first patients undergoing   normal pressure and blood flow until the   reduce the obstruction on the heart.
        of conditions have been launched to   the implantation of the device on June   patient can receive a permanent device or   Weston Hospital has been designated a
        enhance care and extend patient access   11, 2020. Broward Health Medical   a heart transplant.               Center   of   Excellence  by    the
        for the South Florida community.     Center is the first hospital in South   “This gives us the ability to treat very   Hypertrophic  Cardiomyopathy
          Broward Health Medical Center recent-  Florida to enroll patients for this national   sick patients,” said Dr. Navia. “They   Association (HCMA), making it only the
        ly installed the Hologic Clarity HD 3D   study that uses this second-generation   need to have this support because the   second organization in Florida to earn
        mammography     system  with   the   Watchman device.                     heart is so weak. This will help keep the   this designation.
        SmartCurve compression paddle at the   “This is a tremendous benefit for   patient alive.”                      “The Heart and Vascular Institute can
        Women’s Health Center.               patients to protect them from having a   In addition to these mechanical assis-  provide most of the procedures that
          “This new mammography system pro-  stroke without being on an anticoagulant   tive devices, physicians at the Heart and   patients need,” said Dr. Navia.
        vides a more comfortable and accurate   for the rest of your life,” said Ahmed
        mammogram experience,” said Regional   Osman, M.D., Broward Health Physician
        Manager of Radiology Judith Zavatsky.   Group. “This is a game changer for those   Biplane Fluoroscopy Helps Make
        “We are also able to provide 3D guided   patients who would otherwise have to be
        breast biopsy, which enables us to biopsy   on an anticoagulant indefinitely with the
        the very small lesions being found with   additional risk of bleeding on injury   Minimally Invasive Treatments
        this superior technology.”           since a lot of these patients lead very
          Also, in May, the first SpineJack proce-  active lifestyles. This device also is suc-   in the Brain Possible
        dure in Broward County was performed   cessful suited to fit all anatomies as com-
        at Broward Health Medical Center. The   pared to the previous device.”
        surgery is an outpatient procedure and   Broward Health’s mission is to provide   Specialized imaging of the brain is making minimally
        takes about 20 minutes.              high quality care to all those we serve.   invasive treatments possible at Cleveland Clinic Martin
          “This is a minimally invasive proce-  These new technologies further that mis-  Health. Neuro-interventionalist Jeffrey Miller, M.D., uses
        dure,” said Behnam Myers, D.O., and   sion while creating greater access to   biplane fluoroscopy to navigate the intricate channels of
        orthopedic  spine  surgeon.   “The   advanced care close to home.         blood vessels in the brain. This is an important ingredient
        SpineJack elevates the broken bone like a                                 in the endovascular coiling and mechanical thrombecto-
                                                                                  my procedures he performs.
                                                                                   Dr. Miller uses endovascular coiling to repair a brain
                                                                                  aneurysm before it ruptures. He accesses the brain
                                                                                  through an artery in the pelvis and fills the aneurysm with
                                                                                  soft coils to divert blood flow away from it. This reduces
                                                                                  the risk of the aneurysm bleeding or rupturing.
                                                                                   The elective procedure can take between 30 minutes   Dr. Jeffrey Miller
                                                                                  and two hours to complete and the majority of patients
                                                                                  are able to go home the next day.
                                                                                   Brain aneurysms are not uncommon, but many people may experience no symp-
                                                                                  toms until they rupture. Dr. Miller encourages people to be proactive with their health
                                                                                  and talk with their primary care physician if they have a family history of brain
                                                                                  aneurysms. Screening can help locate an aneurysm before it ruptures.
                                                                                   “Don’t be afraid to be screened,” said Dr. Miller. “Most people have a very negative
                                                                                  connotation about brain aneurysms, but the technology and procedures have come
                                                                                  dramatically far.”
                                                                                   This technology is also used in the treatment of ischemic strokes, where a blood
                                                                                  clot is obstructing blood flow to the brain. Similar to endovascular coiling, Dr. Miller
                                                                                  accesses the brain through an artery in the pelvis and performs a mechanical
                                                                                  thrombectomy to remove the clot. The results can be life-changing.
                                                                                   “It’s very exciting,” said Dr. Miller. “To see someone come into the hospital para-
                                                                                  lyzed and walk out, I can’t imagine anything more rewarding.”


         24                       July 2020                                                                southfloridahospitalnews.com                                                                       South Florida Hospital News
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