Less than a decade ago, patients with a life-threatening heart condition called aortic stenosis needed open heart surgery to replace their heart valve. Surgery wasn’t an option for some patients — and without surgery, patients with severe symptoms had a life expectancy of only about 2 years.
Kaiser Permanente led breakthroughs in cardiology to change that. About 6 years ago, we launched the Heart Valve Program in collaboration with Overlake Medical Center in Bellevue. Now, many heart patients can have effective treatment without needing major surgery.
“Our Heart Team is improving patients’ lives with minimally invasive procedures that treat structural heart disease,” says Scott Haugen, MD, cardiology chief at Kaiser Permanente Bellevue Medical Center. Dr. Haugen is also co-director of the Heart Valve Program.
How does the treatment work?
TAVR (transcatheter aortic valve implantation/replacement) is a procedure that involves inserting a tiny tube, or catheter, into an artery in the upper leg. The tube is moved all the way up to the heart. Through it, the doctor can replace the failing heart valve.
“After getting the patient ready, the actual procedure takes only 30 to 40 minutes. Most patients are walking in 8 hours and go home in 24 hours,” says Dr. Haugen. “TAVR is extending life expectancy for aortic stenosis patients and improving patients’ quality of life.” Our Heart Team does 80 to 90 TAVR procedures each year.
Until 2016, TAVR was approved by the Food and Drug Administration (FDA) for only high-risk heart patients. Later, it was approved for moderate-risk patients, and finally for low-risk patients.
More progress for our cardiology patients
The Heart Team also performs a minimally invasive MitraClip procedure to correct a condition in which the heart valve leaks blood in 2 directions. The team is also building its program for other innovative procedures. “This is an exciting time in cardiology because patients now have new options for feeling better and living longer,” says Dr. Haugen. “It’s great to play a part in that.”
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