Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 79

The Tryton Side Branch Stent was the first dedicated bifurcation device to receive FDA regulatory approval in the U.S. in March 2017 for coronary artery disease (CAD). The technology was granted commercial status to treat a coronary bifurcation lesion involving a large side branch (appropriate for a ≥2.5mm stent) following years of clinical trials and research. In addition to using the new innovative Tryton Side Branch Stent, the Fort Worth cardiac catheterization lab procedure was conducted using the Corindus® robotic heart catheterization system, one of only three Corindus robotic systems in the entire Fort Worth/Dallas region.* “This case was an example of how the expertise of the interventional cardiologists on the Baylor Scott & White - Fort Worth medical staff and technology came together for a safer and improved experience for our heart patients,” according to Farhan Ali, MD, MA, MPH, FAC, FSCAI, RPVI, Medical Director for Interventional Cardiology at Fort Worth. “Because about 25 percent of patients have plaque build-up along a coronary artery segment involving a bifurcation anatomy, clinical treatment of these complex lesions can be challenging,” Dr. Ali stated. “One approach has been to avoid stenting the side branch, potentially leaving the vessel subject to higher rates of restenosis, or future narrowing of the vessel. Tryton is the first commercially available stent designed to treat side branch lesions. We are proud that the team at Baylor Fort Worth is able to bring these innovations to the region.” Approximately 20 to 30 percent of all patients undergoing percutaneous coronary interventions (PCI) to open blocked arteries have a bifurcation lesion, a condition resulting from a buildup of plaque at a site where one artery branches from another. Provisional stenting of the main branch is the existing approach to care, but in many cases when the side branch is not stented the artery may become vulnerable to complications such as occlusion (narrowing), leading to bailout stenting. CorPath Robotic Angioplasty image courtesy of Corindus CORINDUS ® ROBOTIC SYSTEM Another Fort Worth first in fiscal year 2017 was the robot-assisted technology to perform coronary angioplasties and place stents as cardiologists on the medical staffs at Baylor Hamilton Heart and Vascular Hospital, together with Baylor Heart and Vascular Services at Fort Worth, became part of a small group in the state of Texas to begin using the Corindus® Vascular Robotics CorPath System. The first and only FDA-cleared medical device to bring robotic precision to coronary angioplasty procedures, the Corindus Robotic System was purchased and placed into use in cardiac cath labs at three Baylor Scott & White Health facilities – the only locations in North Texas* – offering enhanced visualization of X-ray images combining robotic-assisted precision to benefit heart patients. *At the time of printing, Corindus® Vascular Robotics CorPath System was available at Baylor Jack and Jane Hamilton Heart and Vascular Hospital’s location in Fort Worth and Dallas as well as The Heart Hospital Baylor-Plano. Even though angioplasty is one of the most frequently performed procedures in the country with more than 900,000 cases completed annually, the procedure itself has remained largely unchanged for decades until now. This new system provides interventional cardiologists and catheterization labs innovative technology, positioning Baylor Hamilton Heart and Vascular Services at Fort Worth as a premier training site for interventional cardiologists and clinical staff from across the U.S. 77