Cool medical video of the day

[George K]

One of the easiest and quickest open heart operations is the repair of an ASD - Atrial Septal Defect. Patients are usually younger, as young as in their 20s, sometimes. They usually have no serious co-morbidities. Time on the pump was usually short, frequently as little as 20 minutes.

Now, it can be done without surgery:

https://my.clevelandclinic.org/health/treatments/16838-cardiac-implant-closure-devices-in-adults

[Axtremus]

Nice!

[Jolly]

That's Cleveland Clinic.

How long until it gets out to us nomads in the hinterlands?

[George K]

Now with fluoroscopic video of how it's done.

[taiwan_girl]

Just amazing the advances in medical technology!!!!

I don't have the brain to imagine what it will be like in 100 years.

[Mik]

We will look like Civil War medicine to them.

[Jolly]

I dunno...It goes in spurts. Status quo for a decade or so, then boom, boom, boom...

[bachophile]

@Jolly said in Cool medical video of the day:

That's Cleveland Clinic.

How long until it gets out to us nomads in the hinterlands?

ASD repair by catheterization should be available at any large medical center with a decent cardiac cath unit, its not just cleveland clinic level

https://www.ochsner.org/services/interventional-cardiology-program

https://www.ochsner.org/services/heart-valve-disease

Aortic valve non-surgical replacement (TAVR)
Aortic valve surgical repair and replacement
Surgical mitral valve repair and replacement
Surgical mitral valve repair and replacement
Non-surgical mitral valve repair (Mitra-clip)
Balloon mitral valvuloplasty
Surgical pulmonary valve repair and replacement
Transcatheter pulmonary valve replacement
Pulmonary valvuloplasty
Paravalvular leak closure
Surgical maze procedure
Atrial appendage occlusion (Watchman, Amplatzer Amulet and Lariat devices)
Non-Surgical atrial septal defect (ASD) and patent foramen ovale (PFO) closure
Transcatheter mitral valve replacement
Percutaneous ventricular septal defect repair

[George K]

As I said, ASD repair was one of my favorite open heart procedures. My second favorite was an aortic valve replacement done for aortic stenosis. The valve is "tight" and the heart is straining to pump blood through a narrowed opening. When the conduit is opened, the heart gets really happy. I wonder how these people do after trans catheter MVR.

(for the medical folks)

My least favorite was mitral valve repair for mitral regurgitation. The heart is "used" to pumping blood into a low-pressure system (backward into the left atrium) and when that conduit is fixed, it has to pump into a high pressure system - the aorta. It's not used to working so hard, so it actually gets worse before it gets better.

[bachophile]

and aortic stenosis patients are the most dangerous to do general surgery on. ive had patients referred for AVR as a "condition" for going ahead with cancer surgery. (benign general surgery is a no brainer. u dont want to kill someone for a gall bladder or hernia)

[George K]

@bachophile said in Cool medical video of the day:

aortic stenosis patients are the most dangerous to do general surgery on give anesthesia to

FIFY. The number of old men coming for prostate surgery with AS...

And the clueless fleas suggest "cleared for spinal anesthesia."