Wayne Magazine May 2017 | страница 21

Though only recently approved by the U.S. Food and Drug Administration, TAVR was pioneered at Morristown Medical Center through clinical trials, allowing patients to be among the first nationwide to benefit from this major advance. “Studies have shown that TAVR is meeting gold stan- dards for valve replacement,” asserted cardiac surgeon James P. Slater, MD, surgical director of mechanical circulatory support, MMC. “Based on research that spans five years, the technique yields equivalent outcomes for patients cate- gorized as high or intermediate risk, with a faster recovery than open-heart surgery.” As a result, the procedure is now offered to younger and healthier patients as well. TAVR and conventional surgery offer vastly different approaches to valve replacement. Open-heart surgery requires a 15-inch incision, enabling physicians to open the chest wall and temporarily stop the heart before removing the impaired valve and putting a new valve in its place. The arduous operation is followed by a lengthy hospital stay and recuperation. In contrast, TAVR is performed in less than an hour. The collapsible replacement valve is delivered to the heart with a catheter, which the surgeon threads through an artery in the groin similar to a heart catheterization. Instead of removing the diseased valve, physicians implant the new one inside. Patients are usually out of bed the next day and back to their normal routines within a couple of weeks. For patients like Robert Regent, who’ve undergone both types of valve replacement, the experiences are like night and day. Without Skipping a Beat Drs. Blitz and Slater performed Regent’s TAVR last May at Morristown Medical Center. “It was incredi- ble,” asserted Regent. “I went in on a Thursday and was home by Monday. No big zipper down my chest. No long recovery. This procedure was far less traumatic than the first one.” “At one time, New York City was the center of medicine. Now hospitals in New Jersey have the same capabilities,” he continued, expressing appreciation for the collaborative care between his community hospital and a premier heart center. Today Regent is balancing a full social calendar – play- ing horseshoes, bocce ball and ping pong. Most of all, he looks forward to getting back on the golf course this spring. “At my age you’re always recovering,” he joked. “But I feel pretty good for 84!” ❖ To learn more about TAVR, visit atlantichealth.org/valve or call 1-888-4AH-DOCS. Chilton Magazine SUMMER 2017