News | Heart Valve Technology | October 26, 2017

Henry Ford Hospital Cardiologist Receives National Award for Innovating Transcaval Heart Procedure

Health system performed 100th transcaval procedure in May

Henry Ford Hospital Cardiologist Receives National Award for Innovating Transcaval Heart Procedure

October 26, 2017 — The National Institutes of Health has awarded Detroit cardiologist Adam Greenbaum, M.D., for his pioneering work on the novel transcaval heart procedure.

Greenbaum, co-director of the Henry Ford Center for Structural Heart Disease, has received the prestigious 2017 Orloff Award from the NIH’s National Heart, Lung and Blood Institute. The NIH announced that Greenbaum and NIH Cardiovascular Intervention Program Senior Investigator Robert J. Lederman, M.D., were awarded for pioneering and proving the effectiveness of the transcaval procedure.

The unique procedure accesses the heart by temporarily connecting major blood vessels in the patient’s abdomen. The recognition comes as a 76-year-old metro Detroit man became the 100th patient to undergo the procedure at Henry Ford Hospital on May 11, 2017. Greenbaum performed the first human transcaval procedure in the world on July 3, 2013.

“The success of the 100th transcaval procedure at Henry Ford is truly gratifying, and the Orloff Award acknowledges the importance of our work,” said Greenbaum, who has spent years working with Lederman on new ways of accessing the heart. “The transcaval procedure provides an option for those patients who thought they had none – and for those doctors treating them.”

The Orloff Award recognizes outstanding achievements in science and the development of novel research tools in the previous year by NIH researchers and those working with them. The Orloff Science Awards are named in honor of Dr. Jack Orloff, a longtime member of the NHLBI intramural family and scientific director from 1974-1988.

A study published in November in the Journal of the American College of Cardiology showed the novel way to access the heart for transcatheter valve replacement has a 98 percent success rate.

“There were some doubters, so the reason we did this prospective trial was to prove that it could be done safely,” Greenbaum said.

Lederman developed the transcaval technique in a research setting at the NIH. He came to Henry Ford in July 2013 to observe the initial procedure and share his insights.

Since then, the procedure has been performed when the patients were either too sick for traditional open-heart surgery, or their anatomy – like small arteries — prevented the use of more traditional routes to the heart using a catheter.

The 100th patient, Hugh Lesner, had plaque build-up that made accessing his heart difficult through the traditional route. Lesner, a former union president and mill operator who retired from Great Lakes Steel after 36 ½ years, was out of the hospital the next day.

During transcaval valve replacement, a wire is guided into a leg and up through the femoral vein. An opening between the vein and artery is widened to the point of allowing a catheter to connect them, continue to the heart, and implant the new artificial aortic heart valve.

As the catheter is removed, a plug is inserted in the artery to close the hole made for the temporary connection of the two major blood vessels. Greenbaum and the Center for Structural Heart Disease team at Henry Ford Hospital are the most experienced team performing the procedure in the United States.

William O’Neill, M.D., medical director of Henry Ford’s Center for Structural Heart Disease, says the procedure could help more than 10,000 patients annually.

“The milestone brings a message of hope for other potential patients in Michigan and across the country,” said O’Neill.

For more information: www.henryfordhospital.com/structuralheart

Related Transcaval TAVR Content

VIDEO: Transcaval Access in TAVR Procedures

Study Deems Transcaval Valve Replacement Pioneered at Henry Ford Hospital Successful

First Transcaval Aortic Valve Replacement Performed in Europe

 

Related Content

New Alliance Announced Between Transcatheter Cardiovascular Therapeutics and VEITHsymposium
News | Cath Lab | June 20, 2019
VEITHsymposium and the Cardiovascular Research Foundation (CRF) announced an alliance between Transcatheter...
Novel Index Accurately Predicts PCI Success Post-Procedure Compared to Established Measurement Metrics
News | Cath Lab | June 19, 2019
Results from a comprehensive analysis demonstrate the effectiveness of measuring a non-hyperemic pressure ratio (NHPR...
Philips Healthcare, Volcano IVUS showing an implanted stent. IVUS might offer an alternative to contrast angiography in patients with acute kidney disease (AKD).
News | Cath Lab | June 14, 2019
June 14, 2019 – A late-breaking study examined the effects of intravascular ultrasound (IVUS) guided drug-eluting ste
Videos | Cath Lab | May 20, 2019
This is a walk through of the primary structural heart hybrid cath lab at...
Mobility May Predict Elderly Heart Attack Survivors' Repeat Hospital Stays
News | Cath Lab | April 23, 2019
Determining which elderly heart attack patients take longer to stand from a seated position and walk across a room may...
FDA Releases New Guidance on Medical Devices Containing Nitinol
News | Cath Lab | April 18, 2019
April 18, 2019 — The U.S.
Angiography shows a stenotic lesion in the mid right coronary artery, undilatable by standard high-pressure balloon angioplasty (inset, arrowheads). (B) Optical coherence tomography (OCT) cross-sectional (top) and longitudinal (bottom) images acquired before IVL and coregistered to the OCT lens (arrow in A) demonstrate severe near-circumferential calcification in the area of the stenosis. (C) Angiography demonstrates improvement in the area of stenosis after IVL lithoplasty.

Figure 2: Angiography demonstrates a stenotic lesion in the mid right coronary artery, undilatable by standard high-pressure balloon angioplasty (inset, arrowheads). (B) Optical coherence tomography (OCT) cross-sectional (top) and longitudinal (bottom) images acquired before IVL and coregistered to the OCT lens (arrow in A) demonstrate severe near-circumferential calcification (double-headed arrow) in the area of the stenosis. (C) Angiography demonstrates improvement in the area of stenosis after IVL (inset; note the cavitation bubbles generated by IVL [black arrows]). (D) OCT cross-sectional (top) and longitudinal (bottom) images acquired post-IVL and coregistered to the OCT lens (white arrow in C) demonstrate multiple calcium fractures and large acute luminal gain. (E) Angiography demonstrates complete stent expansion with the semicompliant stent balloon (inset) without the need for high-pressure noncompliant balloon inflation. (F) OCT cross-sectional (top) and longitudinal (bottom) images acquired post-stenting and coregistered to the OCT lens (arrow in E) demonstrate further fracture displacement (arrow), with additional increase in the acute area gain (5.17 mm2), resulting in full stent expansion and minimal malapposition.

Feature | Cath Lab | April 15, 2019 | Dean Kereiakes, M.D., FACC, FSCAI, and Jonathan Hill, M.D., DISRUPT CAD III Co-Principal Investigators
Over the last 40 years, despite multiple advancements in percutaneous coronary interventions, calcified lesions remai
BIOTRONIK’s PK Papyrus covered coronary stent. The stent ius used in emergency coronary artery dissections to repair the vessel wall.
Technology | Cath Lab | April 15, 2019
April 15, 2019 — Biotronik began its U.S.
Overlay Init