good to be with you this afternoon I’m going to talk about the new
going to talk about the new
going to talk about the new revolutionary technologies in our field
revolutionary technologies in our field
revolutionary technologies in our field cardiology a quick review of the heart
cardiology a quick review of the heart
cardiology a quick review of the heart in 60 seconds we all be in our area
in 60 seconds we all be in our area
in 60 seconds we all be in our area cardiologists for that one of the
cardiologists for that one of the
cardiologists for that one of the disease states of pretty knowledgeable
disease states of pretty knowledgeable
disease states of pretty knowledgeable individuals Charles so if you have heart
individuals Charles so if you have heart
individuals Charles so if you have heart disease that’s cardiac related matter
disease that’s cardiac related matter
disease that’s cardiac related matter sweetheart they can be coronary or
sweetheart they can be coronary or
sweetheart they can be coronary or blockages in your heart you know
blockages in your heart you know
blockages in your heart you know electrical problems in your heart you
electrical problems in your heart you
electrical problems in your heart you have structural problems the muscle
have structural problems the muscle
have structural problems the muscle thing did that the balance inside part
thing did that the balance inside part
thing did that the balance inside part divides we’re going to produce some of
divides we’re going to produce some of
divides we’re going to produce some of those today whether I do advancement my
those today whether I do advancement my
those today whether I do advancement my highlight three that have come a really
highlight three that have come a really
highlight three that have come a really long to in the last year really some of
long to in the last year really some of
long to in the last year really some of the last couple months so if you are
the last couple months so if you are
the last couple months so if you are thinking about health care you can’t be
thinking about health care you can’t be
thinking about health care you can’t be not just a physician it takes a big team
not just a physician it takes a big team
not just a physician it takes a big team of people to be in the healthcare
of people to be in the healthcare
of people to be in the healthcare environment takes administrators with a
environment takes administrators with a
environment takes administrators with a staff technicians it takes providers
staff technicians it takes providers
staff technicians it takes providers like myself and you sucker got health
like myself and you sucker got health
like myself and you sucker got health care appealing to you wherever we’re men
care appealing to you wherever we’re men
care appealing to you wherever we’re men she said into that paradigm where there
she said into that paradigm where there
she said into that paradigm where there were plenty of opportunities to affect
were plenty of opportunities to affect
were plenty of opportunities to affect patients and in our health care I have
patients and in our health care I have
patients and in our health care I have large so for me the ton of money indeed
large so for me the ton of money indeed
large so for me the ton of money indeed was long for I was thirty years ago two
was long for I was thirty years ago two
was long for I was thirty years ago two years ago I was sitting at Hammond like
years ago I was sitting at Hammond like
years ago I was sitting at Hammond like new car today for years undergraduate
new car today for years undergraduate
new car today for years undergraduate school four years of medical school
school four years of medical school
school four years of medical school three years of residency four years of
three years of residency four years of
three years of residency four years of fellowship so after 12 years of hand
fellowship so after 12 years of hand
fellowship so after 12 years of hand I wasn’t quite halfway through the
I wasn’t quite halfway through the
I wasn’t quite halfway through the journey so says the moment you get
journey so says the moment you get
journey so says the moment you get sometimes four places but it is this is
sometimes four places but it is this is
sometimes four places but it is this is my career so this is your heart is four
my career so this is your heart is four
my career so this is your heart is four different chambers so you have two
different chambers so you have two
different chambers so you have two uppers and two bottles so it’s pretty
uppers and two bottles so it’s pretty
uppers and two bottles so it’s pretty simple right and left this is your left
simple right and left this is your left
simple right and left this is your left atrium this is your left ventricle right
atrium this is your left ventricle right
atrium this is your left ventricle right right atrium blood deoxygenated blood
right atrium blood deoxygenated blood
right atrium blood deoxygenated blood comes in through the right side of this
comes in through the right side of this
comes in through the right side of this out of the pulmonary valve for your to
out of the pulmonary valve for your to
out of the pulmonary valve for your to your lungs and is oxygen stuff comes
your lungs and is oxygen stuff comes
your lungs and is oxygen stuff comes your blood cells and then all force back
your blood cells and then all force back
your blood cells and then all force back into the left atrium and then shoots out
into the left atrium and then shoots out
into the left atrium and then shoots out the electrical in here aorta and out to
the electrical in here aorta and out to
the electrical in here aorta and out to your body that’s this your mark in 20
your body that’s this your mark in 20
your body that’s this your mark in 20 seconds the heart is surrounded by
seconds the heart is surrounded by
seconds the heart is surrounded by arteries that this is what I like to do
arteries that this is what I like to do
arteries that this is what I like to do I’m an interventional cardiologist the
I’m an interventional cardiologist the
I’m an interventional cardiologist the arteries are are your blood supply to
arteries are are your blood supply to
arteries are are your blood supply to your heart muscle so many times heart
your heart muscle so many times heart
your heart muscle so many times heart disease to be here somebody attacked is
disease to be here somebody attacked is
disease to be here somebody attacked is the biggest data cause heart disease is
the biggest data cause heart disease is
the biggest data cause heart disease is corner our disease and a blockage ER or
corner our disease and a blockage ER or
corner our disease and a blockage ER or develop a problem with the flow in one
develop a problem with the flow in one
develop a problem with the flow in one of these arteries but you could also
of these arteries but you could also
of these arteries but you could also have a bowel problem so you have four
have a bowel problem so you have four
have a bowel problem so you have four chambers you have four valves they also
chambers you have four valves they also
chambers you have four valves they also like the doors that let blood and in and
like the doors that let blood and in and
like the doors that let blood and in and out of your heart muscle so you have a
out of your heart muscle so you have a
out of your heart muscle so you have a mitral valve the tricuspid valve aortic
mitral valve the tricuspid valve aortic
mitral valve the tricuspid valve aortic valve and a whole lot of bowel again
valve and a whole lot of bowel again
valve and a whole lot of bowel again both allowing the directional blood flow
both allowing the directional blood flow
both allowing the directional blood flow line to your and out of your heart
line to your and out of your heart
line to your and out of your heart muscle so the EC is percutaneous
muscle so the EC is percutaneous
muscle so the EC is percutaneous coronary intervention that’s what
coronary intervention that’s what
coronary intervention that’s what routine basis has been quite a journey
routine basis has been quite a journey
routine basis has been quite a journey so back in the and the 80s rolled it off
so back in the and the 80s rolled it off
so back in the and the 80s rolled it off the screen but all we had was polka
the screen but all we had was polka
the screen but all we had was polka playing all the limbs of plastic so if
playing all the limbs of plastic so if
playing all the limbs of plastic so if you had a blockage in heart artery we
you had a blockage in heart artery we
you had a blockage in heart artery we put a balloon in it and pray play the
put a balloon in it and pray play the
put a balloon in it and pray play the balloon and pray that everything was
balloon and pray that everything was
balloon and pray that everything was gonna be okay when we deflating the
gonna be okay when we deflating the
gonna be okay when we deflating the balloon but oftentimes the artery this
balloon but oftentimes the artery this
balloon but oftentimes the artery this behavior claps right back on itself
behavior claps right back on itself
behavior claps right back on itself you put the bullying back out they were
you put the bullying back out they were
you put the bullying back out they were there for a while and then praying that
there for a while and then praying that
there for a while and then praying that when you deflated with everything will
when you deflated with everything will
when you deflated with everything will be okay but often the case was that
be okay but often the case was that
be okay but often the case was that people being sinner marginally down the
people being sinner marginally down the
people being sinner marginally down the hallway to have emergency bypass surgery
hallway to have emergency bypass surgery
hallway to have emergency bypass surgery because the RA just would not behave
because the RA just would not behave
because the RA just would not behave that way to stay over so we came along
that way to stay over so we came along
that way to stay over so we came along in the nineties the stencils from metal
in the nineties the stencils from metal
in the nineties the stencils from metal frames that helped scaffold already open
frames that helped scaffold already open
frames that helped scaffold already open so when you put the balloon inside of
so when you put the balloon inside of
so when you put the balloon inside of the stent inflate the balloon and the
the stent inflate the balloon and the
the stent inflate the balloon and the stick is expanded inside re and it
stick is expanded inside re and it
stick is expanded inside re and it already doesn’t can’t collapse again
already doesn’t can’t collapse again
already doesn’t can’t collapse again right so you put a piece of metal in
right so you put a piece of metal in
right so you put a piece of metal in well now we have second-generation
well now we have second-generation
well now we have second-generation instance so these are called
instance so these are called
instance so these are called drug-eluting so oftentimes the snip with
drug-eluting so oftentimes the snip with
drug-eluting so oftentimes the snip with sometimes insight trauma because we’re
sometimes insight trauma because we’re
sometimes insight trauma because we’re gonna inflate and traumatically inside
gonna inflate and traumatically inside
gonna inflate and traumatically inside the heart that already reacts to that
the heart that already reacts to that
the heart that already reacts to that trauma sometimes causes it every clock
trauma sometimes causes it every clock
trauma sometimes causes it every clock back up now these stents have drugs that
back up now these stents have drugs that
back up now these stents have drugs that on the outside of them it helps your
on the outside of them it helps your
on the outside of them it helps your body not have this
body not have this
body not have this adverse response and where we are today
adverse response and where we are today
adverse response and where we are today we’re in the newly released fully
we’re in the newly released fully
we’re in the newly released fully absorbable scaffold so it’s a system
absorbable scaffold so it’s a system
absorbable scaffold so it’s a system that actually is absorbed by your body
that actually is absorbed by your body
that actually is absorbed by your body over the course of time there’s quite a
over the course of time there’s quite a
over the course of time there’s quite a bit of pathways there’s about 10 years
bit of pathways there’s about 10 years
bit of pathways there’s about 10 years for it to evolve so if you put a spin in
for it to evolve so if you put a spin in
for it to evolve so if you put a spin in with why this is an artery we like a
with why this is an artery we like a
with why this is an artery we like a little skin to develop around the stance
little skin to develop around the stance
little skin to develop around the stance so that the stem took a camera inside
so that the stem took a camera inside
so that the stem took a camera inside the harder you wouldn’t even tell where
the harder you wouldn’t even tell where
the harder you wouldn’t even tell where the stent was there’s like a little skin
the stent was there’s like a little skin
the stent was there’s like a little skin cell layer that covers the stand
cell layer that covers the stand
cell layer that covers the stand sometimes that doesn’t always happen
sometimes that doesn’t always happen
sometimes that doesn’t always happen you may have a piece of the metal frame
you may have a piece of the metal frame
you may have a piece of the metal frame is never fully covered that can lead to
is never fully covered that can lead to
is never fully covered that can lead to late problems you can have plaque that
late problems you can have plaque that
late problems you can have plaque that develops Africa outside the skin and you
develops Africa outside the skin and you
develops Africa outside the skin and you can have what it was alluded to earlier
can have what it was alluded to earlier
can have what it was alluded to earlier is if the vessel just traumatically
is if the vessel just traumatically
is if the vessel just traumatically incites this growth inside the vessel in
incites this growth inside the vessel in
incites this growth inside the vessel in Harry’s done vessel back on and you can
Harry’s done vessel back on and you can
Harry’s done vessel back on and you can have maladies at abduction to the
have maladies at abduction to the
have maladies at abduction to the vessels that have traumas happened so
vessels that have traumas happened so
vessels that have traumas happened so these metal stents that we put in
these metal stents that we put in
these metal stents that we put in routinely are very good they help tons
routinely are very good they help tons
routinely are very good they help tons of thousands of people daily but
of thousands of people daily but
of thousands of people daily but sometimes they can lead to late term
sometimes they can lead to late term
sometimes they can lead to late term events so we’re always looking for it
events so we’re always looking for it
events so we’re always looking for it next cure and the stents have metal
next cure and the stents have metal
next cure and the stents have metal yours can have a permanent implant be
yours can have a permanent implant be
yours can have a permanent implant be there with your life forever necessarily
there with your life forever necessarily
there with your life forever necessarily want to have something there forever we
want to have something there forever we
want to have something there forever we can help it
can help it
can help it so in great artifact people don’t want a
so in great artifact people don’t want a
so in great artifact people don’t want a permanent implant you can’t get past it
permanent implant you can’t get past it
permanent implant you can’t get past it sometimes through little side branches
sometimes through little side branches
sometimes through little side branches that are there and so we’ve got some new
that are there and so we’ve got some new
that are there and so we’ve got some new data from this new absorbable stem that
data from this new absorbable stem that
data from this new absorbable stem that maybe over a course of time not having a
maybe over a course of time not having a
maybe over a course of time not having a current pathway this is five years out
current pathway this is five years out
current pathway this is five years out that kind of like toes as the skin and
that kind of like toes as the skin and
that kind of like toes as the skin and inside you is healed so this is the
inside you is healed so this is the
inside you is healed so this is the principal so if you’re an orthopedist
principal so if you’re an orthopedist
principal so if you’re an orthopedist secret screws and all that your bones
secret screws and all that your bones
secret screws and all that your bones are y’all some of you guys don’t have
are y’all some of you guys don’t have
are y’all some of you guys don’t have that happened to you so now these
that happened to you so now these
that happened to you so now these plastic screws that actually absorb and
plastic screws that actually absorb and
plastic screws that actually absorb and she we use suture material that absorbs
she we use suture material that absorbs
she we use suture material that absorbs and now we have spins that are
and now we have spins that are
and now we have spins that are absorbable this is made out of
absorbable this is made out of
absorbable this is made out of essentially starch just like cornstarch
essentially starch just like cornstarch
essentially starch just like cornstarch so it’s poly lactic acid that is kind of
so it’s poly lactic acid that is kind of
so it’s poly lactic acid that is kind of just like any other stent is the same
just like any other stent is the same
just like any other stent is the same model these little stem cells that allow
model these little stem cells that allow
model these little stem cells that allow us to expand artery so this is a ton of
us to expand artery so this is a ton of
us to expand artery so this is a ton of course we put a spin in it has a little
course we put a spin in it has a little
course we put a spin in it has a little healing process over three months and
healing process over three months and
healing process over three months and then three months to really none less
then three months to really none less
then three months to really none less the stiff starts to get absorbed by your
the stiff starts to get absorbed by your
the stiff starts to get absorbed by your body and then
body and then
body and then at two years is completely absorbed and
at two years is completely absorbed and
at two years is completely absorbed and replaced with a little the electrical
replaced with a little the electrical
replaced with a little the electrical structure the wall of your heart so
structure the wall of your heart so
structure the wall of your heart so pretty pretty pathways that this is what
pretty pretty pathways that this is what
pretty pretty pathways that this is what I stand inside party looks like so this
I stand inside party looks like so this
I stand inside party looks like so this is up
is up
is up you see these metal frames that are into
you see these metal frames that are into
you see these metal frames that are into this is a gentleman that had multiple
this is a gentleman that had multiple
this is a gentleman that had multiple students over ten years but this is what
students over ten years but this is what
students over ten years but this is what a horrible Scott Hall would look like
a horrible Scott Hall would look like
a horrible Scott Hall would look like Sing se margarita fix no residual that’s
Sing se margarita fix no residual that’s
Sing se margarita fix no residual that’s the principle so these days beginner are
the principle so these days beginner are
the principle so these days beginner are comfortable to what we have
comfortable to what we have
comfortable to what we have best-in-class with Zionist over this
best-in-class with Zionist over this
best-in-class with Zionist over this dead this is what a stent artery looks
dead this is what a stent artery looks
dead this is what a stent artery looks like so this will play right here
[Music]
[Music] vessels right here this is the gentleman
vessels right here this is the gentleman
vessels right here this is the gentleman with the back blockage right there you
with the back blockage right there you
with the back blockage right there you can see with the arteries block and then
can see with the arteries block and then
can see with the arteries block and then we do already the blockage right there
we do already the blockage right there
we do already the blockage right there this is moderating this is the hole in
this is moderating this is the hole in
this is moderating this is the hole in the balloon
the balloon
the balloon that’s it going in the vessel so where
that’s it going in the vessel so where
that’s it going in the vessel so where there was a blockage is no longer there
there was a blockage is no longer there
there was a blockage is no longer there and you don’t see the snip a metal frame
and you don’t see the snip a metal frame
and you don’t see the snip a metal frame that we typically see when we fix our
that we typically see when we fix our
that we typically see when we fix our T’s in coronary world so that’s the best
T’s in coronary world so that’s the best
T’s in coronary world so that’s the best stents and want us to technology 101 so
stents and want us to technology 101 so
stents and want us to technology 101 so the second part thing they’re wrong with
the second part thing they’re wrong with
the second part thing they’re wrong with your heart is paste is the electrical
your heart is paste is the electrical
your heart is paste is the electrical problem so we’re all sitting here today
problem so we’re all sitting here today
problem so we’re all sitting here today because our hearts are beating at a
because our hearts are beating at a
because our hearts are beating at a certain rate we all have these little
certain rate we all have these little
certain rate we all have these little cells calls times
cells calls times
cells calls times in our hearts it tells how fast and us
in our hearts it tells how fast and us
in our hearts it tells how fast and us little heartbeats you go so some people
little heartbeats you go so some people
little heartbeats you go so some people have an abnormality with that that we
have an abnormality with that that we
have an abnormality with that that we the pacemaker gets sick they end up
the pacemaker gets sick they end up
the pacemaker gets sick they end up needing a permanent pacemaker implanted
needing a permanent pacemaker implanted
needing a permanent pacemaker implanted to take over this work well this is an
to take over this work well this is an
to take over this work well this is an example of electrical phenomenon so this
example of electrical phenomenon so this
example of electrical phenomenon so this is a hardening beep and also you see no
is a hardening beep and also you see no
is a hardening beep and also you see no weakness asystole
weakness asystole
weakness asystole and in the heart it’s backed up again so
and in the heart it’s backed up again so
and in the heart it’s backed up again so that’s a gentleman who needs a permanent
that’s a gentleman who needs a permanent
that’s a gentleman who needs a permanent pacemaker put in
pacemaker put in
pacemaker put in I’ll take over that electrical need for
I’ll take over that electrical need for
I’ll take over that electrical need for the heart to do its work so this is the
the heart to do its work so this is the
the heart to do its work so this is the advent of pacemakers to this Dillman had
advent of pacemakers to this Dillman had
advent of pacemakers to this Dillman had a 1951 this is where we mark this may
a 1951 this is where we mark this may
a 1951 this is where we mark this may have to be plugged in and we are in the
have to be plugged in and we are in the
have to be plugged in and we are in the hospital
hospital
hospital permanently to stay alive and this is
permanently to stay alive and this is
permanently to stay alive and this is the machine that’s inaudible electrical
the machine that’s inaudible electrical
the machine that’s inaudible electrical signal to his heart they’re smarter by
signal to his heart they’re smarter by
signal to his heart they’re smarter by 1957 they had a size down to this little
1957 they had a size down to this little
1957 they had a size down to this little capacitor that would tell the heart and
capacitor that would tell the heart and
capacitor that would tell the heart and these wires would be inserted and again
these wires would be inserted and again
these wires would be inserted and again the lasts for like six months and have
the lasts for like six months and have
the lasts for like six months and have to be replaced we’ve come a long way and
to be replaced we’ve come a long way and
to be replaced we’ve come a long way and this is what’s typically put in so this
this is what’s typically put in so this
this is what’s typically put in so this is a pacemaker goes underneath the
is a pacemaker goes underneath the
is a pacemaker goes underneath the collar bone over here on your left side
collar bone over here on your left side
collar bone over here on your left side because the UMaine into your heart these
because the UMaine into your heart these
because the UMaine into your heart these little wires are position under x-ray to
little wires are position under x-ray to
little wires are position under x-ray to provide a signal a little electrical
provide a signal a little electrical
provide a signal a little electrical impulse for your heart to beat at a
impulse for your heart to beat at a
impulse for your heart to beat at a certain frequency or this is what it was
certain frequency or this is what it was
certain frequency or this is what it was like when an x-ray
like when an x-ray
like when an x-ray right here so now we come up with
right here so now we come up with
right here so now we come up with another generation by the time you guys
another generation by the time you guys
another generation by the time you guys go into biology or medicine this will be
go into biology or medicine this will be
go into biology or medicine this will be even smaller but this is the new micro
even smaller but this is the new micro
even smaller but this is the new micro pacemaker so this is the size of the
pacemaker so this is the size of the
pacemaker so this is the size of the bullet 22 caliber bullet that goes into
bullet 22 caliber bullet that goes into
bullet 22 caliber bullet that goes into the heart muscle to do that job
the heart muscle to do that job
the heart muscle to do that job solicited the victim paradigm this just
solicited the victim paradigm this just
solicited the victim paradigm this just got released within the last two months
got released within the last two months
got released within the last two months we did the first one our hospital in the
we did the first one our hospital in the
we did the first one our hospital in the state actually weeks ago so just an
state actually weeks ago so just an
state actually weeks ago so just an exciting time so this is a catheter so
exciting time so this is a catheter so
exciting time so this is a catheter so this is two that we put in your vein or
this is two that we put in your vein or
this is two that we put in your vein or as the tube up towards your right side
as the tube up towards your right side
as the tube up towards your right side of your heart it’s got the right
of your heart it’s got the right
of your heart it’s got the right ventricle and this thing is buried into
ventricle and this thing is buried into
ventricle and this thing is buried into the wall of the heart muscle and it’s
the wall of the heart muscle and it’s
the wall of the heart muscle and it’s got a little time on it that the
got a little time on it that the
got a little time on it that the catheter it drapes and stuff down into
catheter it drapes and stuff down into
catheter it drapes and stuff down into the heart and we press it into your
the heart and we press it into your
the heart and we press it into your heart muscle and then release it capsule
heart muscle and then release it capsule
heart muscle and then release it capsule form it’s got a little x that digging
form it’s got a little x that digging
form it’s got a little x that digging into the heart muscle gets trapped there
into the heart muscle gets trapped there
into the heart muscle gets trapped there and if we’re comfortable without well
and if we’re comfortable without well
and if we’re comfortable without well that devices been trapped inside then we
that devices been trapped inside then we
that devices been trapped inside then we cut little tethers a little dental floss
cut little tethers a little dental floss
cut little tethers a little dental floss is attached to it and we let it free and
is attached to it and we let it free and
is attached to it and we let it free and so this is so believed up here the
so this is so believed up here the
so this is so believed up here the permanent device this boat battery will
permanent device this boat battery will
permanent device this boat battery will last 12 years pretty incredible right so
last 12 years pretty incredible right so
last 12 years pretty incredible right so you mentioned your cell phone requires
you mentioned your cell phone requires
you mentioned your cell phone requires 24 hours and is dead this thing this
24 hours and is dead this thing this
24 hours and is dead this thing this little battery is inside the
little battery is inside the
little battery is inside the last for 12 years pretty incredible so
last for 12 years pretty incredible so
last for 12 years pretty incredible so our third topic today is restenosis so
our third topic today is restenosis so
our third topic today is restenosis so this is another big transformative
this is another big transformative
this is another big transformative therapy that we use in our patients each
therapy that we use in our patients each
therapy that we use in our patients each and every day and this is called aortic
and every day and this is called aortic
and every day and this is called aortic pray or Tadasana sisters this is the
pray or Tadasana sisters this is the
pray or Tadasana sisters this is the structural part your valid again on top
structural part your valid again on top
structural part your valid again on top of your heart fails to open this day or
of your heart fails to open this day or
of your heart fails to open this day or now as you might be born with this
now as you might be born with this
now as you might be born with this abnormal this is what Arnold
abnormal this is what Arnold
abnormal this is what Arnold Schwarzenegger had this is a rheumatic
Schwarzenegger had this is a rheumatic
Schwarzenegger had this is a rheumatic fever not usually a big problem in our
fever not usually a big problem in our
fever not usually a big problem in our country but in India this is still a big
country but in India this is still a big
country but in India this is still a big player and then obviously just seen
player and then obviously just seen
player and then obviously just seen anything older and your valve source
anything older and your valve source
anything older and your valve source engine to generate just like say an
engine to generate just like say an
engine to generate just like say an arthritic knee which to generate that
arthritic knee which to generate that
arthritic knee which to generate that the palate isn’t open as freely as it
the palate isn’t open as freely as it
the palate isn’t open as freely as it wants to and gets restricted so this
wants to and gets restricted so this
wants to and gets restricted so this disease is terrible once you have this
disease is terrible once you have this
disease is terrible once you have this almost if you have the aorta missus is
almost if you have the aorta missus is
almost if you have the aorta missus is like having a trouble in cancer so if
like having a trouble in cancer so if
like having a trouble in cancer so if your survival rate is 50% at one year
your survival rate is 50% at one year
your survival rate is 50% at one year without the new valve this is the
without the new valve this is the
without the new valve this is the terrible prognosis if you do acquire
terrible prognosis if you do acquire
terrible prognosis if you do acquire works pinnaces this is the whole way of
works pinnaces this is the whole way of
works pinnaces this is the whole way of fixing the mouse to the start surgeon
fixing the mouse to the start surgeon
fixing the mouse to the start surgeon would open up your chest of a correct
would open up your chest of a correct
would open up your chest of a correct day order we cut out the old valve and
day order we cut out the old valve and
day order we cut out the old valve and put a new one in
put a new one in
put a new one in survey to see all the sutures and you
survey to see all the sutures and you
survey to see all the sutures and you kind of glided in the place then you
kind of glided in the place then you
kind of glided in the place then you cinch it down investigator I ordered bow
cinch it down investigator I ordered bow
cinch it down investigator I ordered bow has been put in by this picture so what
has been put in by this picture so what
has been put in by this picture so what about another way so a lot of our
about another way so a lot of our
about another way so a lot of our patients will they need to a point in
patients will they need to a point in
patients will they need to a point in life where the too sick to go through
life where the too sick to go through
life where the too sick to go through the major heart surgery so we can fix
the major heart surgery so we can fix
the major heart surgery so we can fix the valve that is on the back end II
the valve that is on the back end II
the valve that is on the back end II wouldn’t survive the rigors of surgery
wouldn’t survive the rigors of surgery
wouldn’t survive the rigors of surgery because it’s a very rigorous process to
because it’s a very rigorous process to
because it’s a very rigorous process to go through so this is dr. Brenda who’s
go through so this is dr. Brenda who’s
go through so this is dr. Brenda who’s from Germany and he’s the he’s really
from Germany and he’s the he’s really
from Germany and he’s the he’s really the grandfather of interventional
the grandfather of interventional
the grandfather of interventional cardiology so he’s the first one who
cardiology so he’s the first one who
cardiology so he’s the first one who came up with a balloon angioplasty and
came up with a balloon angioplasty and
came up with a balloon angioplasty and he also thought about Nordic valves so
he also thought about Nordic valves so
he also thought about Nordic valves so this is the gentleman what we did the
this is the gentleman what we did the
this is the gentleman what we did the same thing for a ballet class he was
same thing for a ballet class he was
same thing for a ballet class he was what this is called and 1988 we did the
what this is called and 1988 we did the
what this is called and 1988 we did the first value last a pin
but anyway the story over God let’s put
but anyway the story over God let’s put a balloon inside and and then crank now
a balloon inside and and then crank now
a balloon inside and and then crank now though but unfortunately just like any
though but unfortunately just like any
though but unfortunately just like any other ordinary it will collapse back on
other ordinary it will collapse back on
other ordinary it will collapse back on itself
itself
itself so we’ve come up with a stent mouth this
so we’ve come up with a stent mouth this
so we’ve come up with a stent mouth this is called hammer this is you pry her
is called hammer this is you pry her
is called hammer this is you pry her this may be known in the leg press but
this may be known in the leg press but
this may be known in the leg press but this is a valve is sewn inside this
this is a valve is sewn inside this
this is a valve is sewn inside this whole stem frame that is deployed across
whole stem frame that is deployed across
whole stem frame that is deployed across the heart muscle across the earth valve
the heart muscle across the earth valve
the heart muscle across the earth valve it was playing so this is the secret now
it was playing so this is the secret now
it was playing so this is the secret now 15 years out this is the first one done
15 years out this is the first one done
15 years out this is the first one done in 2002 you can see how scared these
in 2002 you can see how scared these
in 2002 you can see how scared these guys look but this is the this is the
guys look but this is the this is the
guys look but this is the this is the back this valve is one of a stent being
back this valve is one of a stent being
back this valve is one of a stent being expanded inside this artery so this is
expanded inside this artery so this is
expanded inside this artery so this is how we do these procedures so this is
how we do these procedures so this is
how we do these procedures so this is all done through a catheter protectors
all done through a catheter protectors
all done through a catheter protectors achieved under deliver American trigger
achieved under deliver American trigger
achieved under deliver American trigger so this guy is done from your firm Ord
so this guy is done from your firm Ord
so this guy is done from your firm Ord aorta and is gonna retroflex back bears
aorta and is gonna retroflex back bears
aorta and is gonna retroflex back bears them to stick balance we’ve put a wire
them to stick balance we’ve put a wire
them to stick balance we’ve put a wire past the aortic valve as your hearts
past the aortic valve as your hearts
past the aortic valve as your hearts beating and this is machine it’s a large
beating and this is machine it’s a large
beating and this is machine it’s a large sheet and that’s what’s really happening
sheet and that’s what’s really happening
sheet and that’s what’s really happening the last five years the machine has gone
the last five years the machine has gone
the last five years the machine has gone from something the size of your thumb to
from something the size of your thumb to
from something the size of your thumb to something about the size of a pen like a
something about the size of a pen like a
something about the size of a pen like a writer writing that this is the value
writer writing that this is the value
writer writing that this is the value sorry as we put it across the bow this
sorry as we put it across the bow this
sorry as we put it across the bow this is the balloon we expand a balloon
is the balloon we expand a balloon
is the balloon we expand a balloon deflate the balloon that balloon comes
deflate the balloon that balloon comes
deflate the balloon that balloon comes out
out
out a little bit more compliant a little bit
a little bit more compliant a little bit
a little bit more compliant a little bit more flexible and now we’re putting in
more flexible and now we’re putting in
more flexible and now we’re putting in the transcatheter valve there comes we
the transcatheter valve there comes we
the transcatheter valve there comes we just have to position it correctly
just have to position it correctly
just have to position it correctly inside the tube going inside the stent
inside the tube going inside the stent
inside the tube going inside the stent Frank sit down
Frank sit down
Frank sit down across the stick down here since
across the stick down here since
across the stick down here since expanded the balloon comes out the new
expanded the balloon comes out the new
expanded the balloon comes out the new valve is working in place and everything
valve is working in place and everything
valve is working in place and everything is now we’re gonna buy a new palace in
is now we’re gonna buy a new palace in
is now we’re gonna buy a new palace in order so that relieves the burden for
order so that relieves the burden for
order so that relieves the burden for the nation and half the way
the nation and half the way
the nation and half the way so this is a picture of schematic
so this is a picture of schematic
so this is a picture of schematic exactly what it looks like on your
exactly what it looks like on your
exactly what it looks like on your x-rays what we see when we’ll see that’s
x-rays what we see when we’ll see that’s
x-rays what we see when we’ll see that’s pretty greedy so that’s that’s a quick
pretty greedy so that’s that’s a quick
pretty greedy so that’s that’s a quick review of cardiology I think that you
review of cardiology I think that you
review of cardiology I think that you know I feel is exciting I love the
know I feel is exciting I love the
know I feel is exciting I love the technology of a physiology of hard work
”
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