Cottage Health 2020 Culture Audit

New, Innovative Structural Heart Services at Cottage Heart & Vascular Center NEW: A new era of cardiac health care has emerged at Cottage Health. Technological advancements that were once unimaginable are now everyday occurrences at Santa Barbara Cottage Hospital (SBCH), and patients are benefitting with improved outcomes through minimally invasive procedures and quicker recovery times. What is structural heart disease? It refers to heart disease that is acquired through wear and tear or disease that people are born with. An example is a leaky heart valve or a hole in the chambers of the heart. The SBCH Heart & Vascular Center offers specialized surgery for different types of structural heart disease. With tiny, implantable devices and minimally invasive procedures, these innovative treatments offer options for patients who in the past would have been considered too high risk for surgery. The results are changing their lives for the better. • Transcatheter Aortic Valve Replacement (TAVR) – TAVR is one of the most significant advancements in structural heart disease over the past decade. For patients with aortic valve stenosis, this procedure allows a new aortic valve to be placed inside the old diseased aortic valve. • Watchman – Patients with atrial fibrillation have an increased risk of stroke, because clots can form inside the left atrial appendage in the top chamber of the heart. While blood thinners can reduce the risk of stroke, not all patients are suited for those medications, and a procedure known as left atrial appendage occlusion offers a treatment option for these patients with the implantable Watchman device. • Transcatheter Mitral Valve Repair (TMVR) – The MitraClip is a breakthrough therapy to correct a leaky mitral valve. Approved by the FDA in 2013, this transcatheter procedure is used to clip the leaky portion of the valve, closing it more completely so that blood flow through the heart is restored. • Patent Foramen Ovale (PFO) Closures – A PFO is a hole in the heart that didn’t close properly after birth. This affects about 25% of the general population, but most people don’t realize they have it. PFOs are often discovered during tests for other problems. • Transesophegeal Echocardiography (EEF) is a test that produces images of the heart by using ultrasound to make detailed pictures of the heart and the arteries leading to and from it. It’s different from a standard echocardiogram in that the echo transducer for TEE is attached to a thin tube that passes through the patient’s mouth, down the throat and into the esophagus, and extremely clear pictures are captured since the esophagus is so close to the heart’s upper chambers. 78/119 Start | Contents | Highlights | Business Description | Hiring & Welcoming | Inspiring | Speaking | Listening | Thanking | Developing | Caring | Celebrating | Sharing • Listening 6.28

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