Health

Published on May 27th, 2015 | by Millennium Magazine Staff

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Lexington Medical Center Marks First Anniversary of Transcatheter Aortic Valve Replacement

Pictured Lexington Medical Center’s TAVR Team. L to R: Jeffrey Travis, MD; Robert Malanuk, MD, FACC; Kristen Davis, MSN, RN, CCRN; Robert Leonardi, MD, FACC; Dee Prastein, MD

Hospital Has the Most Experience Performing TAVR in the Midlands

West Columbia, S.C. — Reaching a significant milestone in comprehensive cardiovascular care for the people of our community, Lexington Medical Center has become the most experienced hospital in the Midlands for transcatheter aortic valve replacement, known as TAVR. The procedure allows doctors to replace the heart’s aortic valve with a catheter instead of open heart surgery.

Lexington Medical Center is celebrating the one-year anniversary of beginning its TAVR program. So far, the hospital has performed more than 60 TAVR procedures, more than any other hospital in the Midlands. TAVR is considered the greatest advance in cardiology since coronary angioplasty.

Currently, TAVR is for patients with severe aortic stenosis who are high-risk candidates for open heart surgery because of their age, history of heart disease, or other health issues.

“We feel so lucky to be able to help these people, many of whom are debilitated by heart failure and did not have any good options in the past,” said Dr. Robert Leonardi of Lexington Cardiology at Lexington Medical Center, who works with a team of clinicians on the hospital’s TAVR team.

Patients with severe aortic stenosis have a narrowed aortic valve that does not allow blood to flow efficiently. As the heart works harder to pump enough blood through the smaller opening in the valve, the heart eventually becomes weak. Over time, that can lead to life-threatening heart problems.

To replace the diseased aortic valve with TAVR, the new aortic valve is compressed into a catheter. Doctors thread the catheter through the body to the inside of the diseased aortic valve. Then, they deploy the new valve inside the diseased aortic valve, which becomes the anchor for the new valve. The new valve is functional immediately and normal blood flow is restored.

Lexington Medical Center performed the first fully percutaneous TAVR procedure in South Carolina. With this minimally invasive technique, doctors deployed the new aortic valve through just a small puncture in the femoral artery in the leg. The hospital also performed the first TAVR procedure in South Carolina where the patient was awake, and it remains the only South Carolina hospital routinely doing the procedures fully percutaneously, without putting patients to sleep, and without the need for a transesophageal echocardiogram. This “minimalist” approach has been shown to make recovery from valve replacement easier.

Lexington Medical Center hosted a reception on the hospital campus in May with patients who underwent TAVR, clinicians and hospital employees.

To learn more about cardiovascular care at Lexington Medical Center, visit LexMed.com/heart
About Lexington Medical Center
Lexington Medical Center, in West Columbia, S.C., anchors a health care network that includes six community medical centers throughout Lexington County and employs a staff of 6,000 health care professionals. The network also includes comprehensive cardiovascular and oncology care affiliated with Duke Medicine, an occupational health center, the largest skilled nursing facility in the Carolinas and 58 physician practices. At its heart is the 414-bed state-of-the-art Lexington Medical Center, with a reputation for the highest quality care. Lexington Medical Center has won “Best Hospital” by readers of The State for 12 years, “Best Hospital” by readers of the Free Times, “Best Place to Have a Baby” by readers of Palmetto Parent, the “Consumer Choice Award” from the National Research Corporation and the prestigious “Summit Award” from Press Ganey for outstanding patient satisfaction. Visit LexMed.com

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