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In the past, physicians had to rely
            on X-ray as well as touch and feel to
            guide their tools while trying to treat   Patient grateful for
            complicated arterial disease.  With the
            lumivascular approach, physicians can
            more accurately navigate their devices   vascular services
            and treat PAD lesions, thanks to the
            OCT images they see from inside the
            artery.
                                                    Dexter Mattingly enjoys doing     his Peripheral Artery Disease.  He
            “We are very fortunate to offer our     upholstery work at Junction City.    noted that the vascular services
            patients the latest technology in       The Danville resident probably    provided by Dr. Hamdalla helped
            treating PAD,” said Dr. Hussam          enjoys his work a bit more now    to increase the circulation in his
            Hamdalla, vascular and endovascular     that he is seeing improvement with  right leg, allowing the toe on his
            specialist at Ephraim McDowell          the symptoms he had experienced   right foot to heal and enabling him
            Heart & Vascular Institute.  “For       from Peripheral Artery Disease    to walk on it.
            the first time, we can now clean the    (PAD).
            arteries with a surgical precision      The 60-year-old Mattingly realizes   “My left leg was worse than my
            that is unmatched, which allows for     that years of smoking contributed   right one, and it has done a lot
            minimal complications and better        to his PAD, which caused him      better since Dr. Hamdalla worked
            outcomes without the need for           to experience painful cramping,   on it,” Mattingly said.
            surgery.”
                                                    numbness and discoloration in his   Peripheral Artery Disease affects
                                                    legs and feet because of the      between 8 and 12 million adults
            HALO System                             build-up of plaque in the arteries   in the United States and 202
                                                    that was blocking blood flow.     million people globally.  In severe
            Esophageal cancer is the fastest        Mattingly said the blood flow in   cases, individuals with PAD often
            growing form of cancer in the United    his right leg was limited while it   have to undergo invasive bypass
            States, and individuals with Barrett’s   was almost non-existent in his left   surgeries or even amputation of
            esophagus have a 40 to 130 times        leg.                              their affected limb.  Ephraim
            higher incidence of developing                                            McDowell Regional Medical
            that cancer than those without the      When a Lexington physician told   Center has invested in advanced
            condition.  Now, that pre-cancerous     Mattingly there was nothing he    technology to perform minimally-
            tissue in the lining of the esophagus   could do to correct his health    invasive procedures to successfully
            can be destroyed with endoscopic        problem, he thought he would      treat PAD, thus saving patients
            radiofrequency ablation therapy using   just have to live with the pain of   from the bypass surgeries and
            the HALO System.                        PAD.  Then a friend at work told   amputation.
                                                    him about Dr. Hussam Hamdalla,
            The HALO procedure utilizes an          a board-certified vascular and    Mattingly said he has a brother
            ablation catheter to remove a very      endovascular specialist at Ephraim   who has had trouble with his legs
            thin layer of the diseased esophagus.    McDowell Heart & Vascular        for the last 25 or 30 years, and he
            The procedure is performed in           Institute.                        is now seeing Dr. Hamdalla after
            an outpatient setting, without                                            the success of his own treatment.
            incisions, and typically takes less     “Dr. Hamdalla fixed me right
            than 30 minutes to perform.  The        up,” said Mattingly, who has had   “Dr. Hamdalla is a heck of a good
            therapy allows for the regrowth of      four surgical procedures to treat   doctor,” Mattingly said.
            normal cells in the esophagus, and
            is considered to be a highly effective
            treatment for eradicating Barrett’s
            esophagus.


            Ephraim McDowell Health Source                                                                   Summer 2016        7
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