October 2nd, 2011 by DeborahSchwarzRPA in News
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Ventricular Assist Devices (VADs) are small pumps that take over the work of the heart in pumping the blood through the body. Patients who need a heart transplant, but for whom there is no donor heart available, might be given a VAD for what’s called a bridge-to-transplant while they wait for a donor.
PediMag, the pediatric version of the adult device, CentriMag, is an external device designed for short-term use in infants with heart failure. PediMag can also be used to support children after heart transplant surgery if they experience organ rejection and need time for their hearts to rest and heal, according to Jonathan M. Chen, MD, Surgical Director of Pediatric Heart Transplantation at Morgan Stanley Children’s Hospital of New York. Dr. Chen has extensive experience treating children with heart failure and has recently authored an account of his first successful use of the PediMag as a biventricular bridge-to-transplant in an infant.
The PediMag ventricular assist device is Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
August 20th, 2011 by DeborahSchwarzRPA in News
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As of May 2011, performance of MitraClip, a minimally invasive procedure to correct mitral regurgitation, has been voluntarily suspended due to a problem with its catheter delivery system.
Since 2008, about 3000 patients with severe mitral valve regurgitation (leaky mitral valve) have been treated with MitraClip rather than open surgery. In this minimally invasive procedure a small clip is delivered via catheter to the heart, where it is carefully placed over the center of the mitral valve. This non-surgical option has been an important alternative for patients who may be unable to withstand open surgery. MitraClip has been advanced and investigated at NewYork-Presbyterian/Columbia since the first EVEREST trial in 2004, and is currently available throughout the U.S. as part of the EVEREST II trial. Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
August 1st, 2011 by Jessie Gruman, Ph.D. in Opinion
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News of the World wasn’t read by 15 percent of the British public because it told people what they should know. It got there by giving them what they wanted: stories about the peccadilloes of the rich and famous, accounts of the gross incompetence of government and of course, pictures of naked ladies.
Setting aside the fact that News of the World is no more, its publishers and editors knew how to sell the “news.” As free online news replaces print, every click, every page view, every second of viewing per page is tracked in the fierce competition for ad dollars, and so the selling of news increasingly influences its reporting. Titles, format and content are tweaked by editors to “optimize the metrics.” Reporters succeed and fail based on their ability to write articles that attract eyeballs, not Pulitzer prizes.
In the health domain, the effects of these demands were described in a series of conversations the Center for Advancing Health hosted with health care journalists over the past month.* The themes that emerged were that journalists are often encouraged to: Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
July 31st, 2011 by DeborahSchwarzRPA in News, Research
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Every year, a half million bronchoscopies are performed in the U.S. in order to investigate lesions within patients’ lungs. Because conventional bronchoscopy cannot reach the distant regions of the lungs, more invasive surgical procedures are often needed to diagnose lung nodules that may be malignant.
The General Thoracic Surgery Division at NewYork-Presbyterian/Columbia has begun using a new technology, superDimension Electromagnetic Navigation Bronchoscopy™ (ENB). ENB creates a computer-generated reconstruction of the lungs from a CT scan of the tracheobronchial tree, explains Lyall A. Gorenstein, MD, FRCS (C), FACS, Director, Minimally Invasive Thoracic Surgery. Using these reconstructed images, the system creates a visual pathway so that surgeons can guide steerable catheters to where lung nodules are located, facilitating examination and biopsy.
“This enables us to Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
June 4th, 2011 by DeborahSchwarzRPA in News
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New York Times article highlights transplant donor and recipients at New York-Presbyterian Hospital
UK NHS Organ Donation Checkbox
As organ transplantation has advanced and improved in recent decades, more and more patients’ lives are saved every year. But the most pressing problem in organ transplantation has yet to be solved: the shortage of donor organs available to the thousands of people waiting on lists for a new kidney, liver, lung, heart, or other organ. People who intend to donate may not indicate their wishes to family members before their death, or families are reluctant to make that decision in the midst of profound grief and loss. For others, donating an organ was just never something they knew much about or even considered.
When they do choose to donate a loved one’s organs, families usually remain anonymous, as do those whose lives they save. Perhaps that is why articles like the one in the New York Times on May 16, 2011, touch and inspire readers so deeply. This version of an increasingly common story captures the essential soul-searching, as well as the profound gratitude, hope, and solace, that marked the meeting of Mirtala Garcia and the people who received her husband’s organs. Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
