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Transcatheter Valves

Paul Sorajja, MDDirector, Center for Valve and Structural Heart DiseaseMinneapolis Heart InstituteAbbott Northwestern Hospital

ANW Innovation Summit 2015

CP1164518Rihal, CMN09-07-2004CP1164518Rihal, CMN09-07-2004

86 year-old manWhat would you do next?

Recurrent HFPoor EFRenal failureFrail

Flail mitral eclip in 88 yoCP1164518Rihal, CMN09-07-2004

Transcatheter Valves 2015The Bing and the BangThe Boom

The Bing and the BangThe high impact of what we regularly do

MitraClip 101CP1164518Rihal, CMN09-07-2004

Transcatheter AVR

Saves lives>400 cases at ANW

Minimizing ICU StaysTAVR to telemetryP=0.001P=0.01P=0.005Made possible with innovation

25,000 patients like her in MN now

Transcatheter MV RepairMitraClip

86 year-old manFrailHigh surgical risk

Outcomes of the Initial Experience with Commercial Transcatheter Mitral Valve Repair in the U.S.A report from the STS/ACC TVT Registry ACC 2015 LBCTPaul Sorajja, MD, Saibal Kar, MD, Amanda Stebbins, Sreekanth Vemulapalli, MD, D. Scott Lim, MD, Vinod Thourani, MD, Michael Mack, MD, David R. Holmes, Jr., MD, Wesley A. Pedersen, MD, and Gorav Ailawadi, MD

Median LOS = 3 daysMitraClip in the U.S.

92% success rate

The BoomAbbott Northwestern Hospital A World Class Center for Valve Disease

CP1164518Rihal, CMN09-07-2004

Two live case courses in 2015Four more in 2016Center of Excellence

CP1164518Rihal, CMN09-07-2004

A Partnership with Minneapolis HeartInstitute FoundationHighest worldwide experienceFirst TMVR in the U.S.

CP1164518Rihal, CMN09-07-2004

April 8, 2015

Mitral Regurgitation FactsSurvival worse than advanced cancerRossi A, et al. Heart 2011;97:1675-802 million in U.S.Only 30,000 MVR annually

#

[note to speaker, similar increase also noted even in TAVR patients]

16

Growth TogetherIntensivists, hospitalists, RNs, NPs, PAs, many others not pictured!

61%63%

The HaloAbbott Northwestern Hospitaltranscathetersurgical valve casesmitral repair surgery405%71%47%

Key pointsThe Bing and the BangOur innovations matter greatlyThe BoomTogether we do exceptional things

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