Page 1

Congenital Heart Center Referral Guide

To make a patient referral: Phone (Grand Rapids): 616.267.9150 Phone (Lansing): 517.484.0004 Fax: 616.267.1408 For consults and transfers: HDVCH Direct Phone: 877.391.2345

The Congenital Heart Center at Helen DeVos Children’s Hospital specializes in diagnosing and treating all congenital heart conditions, even complex conditions treated only by the most advanced congenital heart programs in the country. Our team is committed to providing the highest standard of care and has been recognized for it by ranking among the best in cardiology and heart surgery, according to U.S. News & World Report’s Best Children’s Hospitals, and earning a distinguished three-star rating from The Society of Thoracic Surgeons for patient care and outcomes.


From unborn babies to adults, our team is on the forefront of congenital heart care and giving patients greater possibilities. The Congenital Heart Center is committed to providing the highest standard of care to help individuals live longer, healthier lives. Our team is comprised of cardiologists, interventionalists and cardiothoracic surgeons who are experts in helping children and adults with various heart defects, diseases and conditions. This includes offering innovative solutions when options are limited or unavailable, utilizing leading-edge technology (3-D printing) and active research to further advance the diagnosis, treatment and management of the heart. Our high-quality outcomes are achieved through the collaborative efforts of our experts and are supported by low follow-up illness and readmission rates.

Advanced Cardiac Imaging

Research and Innovation

We have state-of-the-art advanced cardiac imaging services, including multimodality MRI, computed tomography (CT) and nuclear imaging. These images are read by specialists in congenital heart defects.

To help further possibilities in treatment, the Congenital Heart Center is committed to research and innovation. We have a dedicated cardiology research program that studies aspects of care and complements our clinical services for children and adults.

‘A huge leap for individualized medicine’ Joseph Vettukattil, MD, and colleagues from Helen DeVos Children’s Hospital announced the successful integration of computed tomography and three-dimensional transesophageal echocardiography to print a hybrid 3-D model of a patient’s heart in summer 2015. In August 2015, Nicholas Borgman became the first congenital heart surgery patient to benefit from a 3-D anatomic model of his own heart, printed by integrating 3DTEE and MRI. “We are engineering for life,” said Dr. Vettukattil. “You want to have respect for the heart and cause minimum disturbance. Nicholas is the first patient with a 3-D heart to benefit from integrated imaging techniques.” The 3-D model, printed by Burton Precision and Engineering 4 Life of Comstock Park, Michigan, made things easier for Nicholas. It also made the procedure more efficient and precise for his surgical team, led by Marcus Haw, MBBS, who was assisted by congenital cardiothoracic surgeons Neal Hillman, MD, and Giedrius Baliulis, MD. The 3-D model allows cardiovascular surgeons to make a more precise determination of what actually lies ahead before opening the chest of a patient like Nicholas. 2


396 Fetal cardiology consultations (FY2017)

Fetal Heart Program

1,497 Adult congenital visits (FY2017)

One Purpose: Maximizing health outcomes for all congenital heart patients

6,341

Pediatric cardiology visits (FY2017)

We provide compassionate diagnostic services for women and families faced with possible cardiac abnormalities in their unborn babies. During a consultation, our fetal cardiologists perform a detailed ultrasound focusing on the baby’s heart. If the baby is diagnosed with a heart defect, the experts in the Congenital Heart Center partner with other specialties to plan and coordinate high-quality care for mom and baby.

1,134 Adult EKGs

Adult Congenital Heart Program

Pediatric Cardiac Intensive Care Unit

Our pediatric heart specialists work specifically with our adult congenital heart specialists to provide a personal, seamless transition of care as children reach adulthood. We are accredited by the Adult Congenital Heart Association as an ACHD Comprehensive Care Center, and are one of the few centers with both pediatric and adult congenital specialists on the same team in the same location. Our adult congenital heart multidisciplinary team includes a dedicated care coordinator and medical social worker.

Our new pediatric cardiac intensive care unit is a six-bed unit that allows cardiac patients to receive specialized, multidisciplinary intensive care from the pediatric critical care and Congenital Heart Center teams. The PCICU will be part of the Congenital Heart Unit and Specialty Services on Floor 7 of the hospital, so many patients can begin, continue and complete their inpatient care within one location and with one unified team of clinicians.

(FY2017)

8,094 Pediatric EKGs (FY2017)

Hope for the newborn heart Babies with hypoplastic left heart syndrome often require open heart surgery within the first two to three days of their lives, a procedure that is both invasive and dangerous. Joseph Vettukattil, MD, came up with the proposal for a device that could change all that. With the help of Spectrum Health Innovations and engineering staff and students from Michigan Technological University, the device may become a reality. An alternative to open heart surgery is a procedure called a hybrid intervention. A surgeon opens the chest and puts a band on the pulmonary artery branches, and the interventional cardiologist puts a stent from the pulmonary artery to maintain blood flow to the body. Dr. Vettukattil’s new device, which would be designed to avoid the need for immediate surgery, could, if approved by the FDA, be a huge breakthrough in pediatric heart surgeries of this type. The device, formally known as a transcatheter single ventricle device, is designed to be deployed in a baby’s heart via a catheter. Teaming up with staff and students from Michigan Technological University, the device is getting closer to testing.

Using a 3-D printed heart model of an actual patient, Michigan Tech biomedical engineering students worked closely with Dr. Vettukattil and their professors to develop a prototype for the device. The device has already won several awards at the school’s 2017 Design Expo. This coming school year, students plan to work on figuring out the best way to decrease the flow to the pulmonary arteries. Eventually, the hope is that the device will be ready for animal studies, followed by human clinical trials. 3


Interventional Cardiology

3-D Echocardiography and Printing

We offer a full range of catheter-based technologies to enable the least invasive, most effective diagnostic and treatment approaches for a variety of lesions. All catheter-based procedures are performed by specially trained interventional cardiologists.

We are one of the world’s leading centers for three-dimensional echocardiography. Our experts were the first in the world to successfully integrate CT and three-dimensional transesophageal echocardiography (3DTEE) to print a hybrid 3-D model of a patient’s heart. Our cardiologists and surgeons use 3-D printing technology to assist and plan for complex congenital heart surgery.

Electrophysiology Program Our fellowship-trained pediatric electrophysiologist helps manage arrhythmias in children and young adults, as well as adults with congenital heart disease. This includes implanting and supporting pacemakers, performing catheter ablations and conducting a full range of noninvasive diagnostic tests.

Cardiothoracic Surgery FY2014 – 2017

Catheterizations

Electrophysiology

FY2014 – 2017

FY2014 – 2017

98.4% Surgical Survival Rate†

1,171

774

SURGERIES

275 313

PROCEDURES

PROCEDURES

From The Society of Thoracic Surgeons National Database

Fluoroscopy We use state-of-the-art technology that is specially geared toward children, including catheter ablations using 3-D mapping with minimal fluoroscopy, to decrease a person’s exposure to radiation. Fluoroscopy provides real-time continuous X-ray “movie” clips useful for guiding cardiac catheterization procedures.

35.0

40.7

Average Fluoroscopy Time (CY2017) 34.5

30.0 25.0 20.0 15.0 10.0 5.0 0.0

40.7

40.0 29.3

Average fluoroscopy time in minutes

Average fluoroscopy time in minutes

40.0

The amount of fluoroscopy time (radiation exposure) and number of procedures requiring ionizing radiation may increase the risk for harmful or undesirable effects. We had lower average fluoroscopy time at Helen DeVos Children’s Hospital in 2017 compared to overall IMPACT Registry® fluoroscopy time for benchmarked cardiac catheterization procedures.

7

35.0

34.5 24.3

30.0

29.3 17

25.0 14.4

20.0

Atrial septal 5.0 defect

0.0

17.2 24.3

13.5

12.2 17

11.6

15.0 10.0

18.9

14.4

18.9

15

13.1 17.2 15

13.5

12.2

11.6

13.1 1

7

Patent ductus arteriosus Atrial septal defect

6.1

Coarctation

Patent ductus arteriosus

Aortic valvuloplasty Coarctation

Helen DeVos Children’s Hospital

Pulmonary valvuloplasty Aortic valvuloplasty

Proximal pulmonary stent Pulmonary valvuloplasty

Pulmonary valve replacement Proximal pulmonary stent

6.1

EP Ablation 1

Pulmonary valve replacement

EP Ablation

IMPACT Registry®

The IMPACT Registry® of the American College of Cardiology’s National Cardiovascular Registry is a quality and safety initiative to assess Helen DeVos Children’s Hospital IMPACTData Registry® outcomes in pediatric and adult patients with congenital heart disease who undergo diagnostic catheterizations and catheter-based interventions. The IMPACT Registry® conducts objective audits of each hospital’s data to decrease bias and improve accuracy of reported information.

4


Cardiovascular and Thoracic Surgery Our congenital cardiac surgeons perform all levels of congenital heart surgery on children and adults, with successful outcomes comparable to other leading institutions. Our surgeons work closely with the expert pediatric and adult cardiologists to plan and perform high-quality surgery in individuals with congenital heart disease. Our surgeons are supported by a full team of specialists, including anesthesiologists, neonatologists, intensive care providers, nurses, technicians and child life staff.

98.8

%

FY2017 Surgical Survival Rates†

98.4

318 SURGERIES

FY2014 – 2017

%

1,171 SURGERIES

From The Society of Thoracic Surgeons National Database

Surgical Survival Rate (FY2014 – 2017) †

Operation Least Complex

HDVCH†

Coarctation (no CPB)

97.1%

Ventricular septal defect (VSD)

100%

AV canal

100%

Tetralogy of Fallot (ToF)

100%

Bidirectional Glenn

100%

Arterial switch

100%

Fontan

100%

Arterial switch + VSD

100%

Truncus arteriosus

100%

Most Complex

Norwood

Surgical survival rate as reported to The Society of Thoracic Surgeons National Database, a quality improvement and patient safety initiative among cardiothoracic surgeons. Each year, 10 percent of STS congenital heart surgery database participants are randomly selected for an audit, which is designed to evaluate the accuracy, consistency and comprehensiveness of data collection, and to validate the integrity of the data contained in the database.

The STS categorizes surgical cases by increasing complexity. The table shows surgical survival rates at Helen DeVos Children’s Hospital for increasing levels of complexity (not adjusted for comorbidities).

90.5%

Predicted vs. Actual Operative Mortality (FY2014 – 2017) †

Least Complex

Most Complex

STS Predicted/ Expected Mortality Based on Patient Population

Actual/Observed Mortality†

Overall

3.2%

1.6%

STAT 1

0.4%

0.0%

STAT 2

2.1%

0.5%

STAT 3

2.6%

1.0%

STAT 4

7.4%

3.7%

Overall Star Rating

STAT 5

14.4%

13.8%

★★★

The Society of Thoracic Surgeons (STS) star rating is based on the overall risk-adjusted observed-to-expected operative mortality ratio for all patients undergoing pediatric and/or congenital cardiac surgery.

Surgical survival rate as reported to The STS National Database. The STS mortality metrics take into account how sick and fragile a hospital’s patient population is in order to predict the expected outcome for that specific hospital. Factors such as comorbidities, acuity and complexity are taken into consideration in this analysis. In this metric, having a lower actual/observed mortality than the STS predicted/expected mortality is preferable.

Distinguished Three-Star Rating from The Society of Thoracic Surgeons For the second year in a row, the Congenital Heart Center received a three-star rating, the highest star rating for excellence in patient care and surgical outcomes, from The Society of Thoracic Surgeons. We are one of 11 in the country to receive this rating.

5


Congenital Heart Center Team Cardiovascular Surgeons

Cardiologists – Grand Rapids

Marcus Haw, MBBS, MS, FRCS, FECTS

Stephen Cook, MD, FACC

Special Interests: Pediatric and adult congenital cardiac surgery, Fontan circulation, biventricular repair in borderline cases, cardiopulmonary bypass, right ventricular function

Special Interests: Adult congenital cardiology, clinical research in ACHD patients

Giedrius Baliulis, MD, FRCS

Sihong Huang, MD

Co-director, Congenital Heart Center Division Chief, Pediatric Cardiothoracic Surgery

Special Interests: Pediatric and adult congenital cardiac surgery

Director, Adult Congenital Heart Program Spectrum Health Medical Group

Spectrum Health Medical Group Special Interests: Adult congenital cardiology, transitional care in teenagers and young adults with congenital heart disease

Neal Hillman, MD

Emy Kuriakose, MD

Special Interests: Congenital heart surgery and research in pulmonary hypertension and right heart failure

Special Interests: Advanced noninvasive cardiac imaging, pediatric cardiology

Spectrum Health Medical Group

Cardiologists – Grand Rapids Joseph Vettukattil, BSc, MBBS, MD, DNB, FRCPCH, FRCP, FRSP, CCST

Spectrum Health Medical Group

Kim J. Lee, MD

Spectrum Health Medical Group Special Interest: Transesophageal echocardiography

Co-director, Congenital Heart Center Division Chief, Pediatric Cardiology

Special Interests: Heart catheterization and interventional cardiology, 3-D echocardiography, clinical research

Christopher Ratnasamy, MD Spectrum Health Medical Group

Yasser Al-Khatib, MD, FAAP, FACC, FSCAI

Special Interests: Cardiac electrophysiology, arrhythmias

Spectrum Health Medical Group

Special Interests: Heart catheterization and interventional cardiology

Jeffrey R. Schneider, MD

Spectrum Health Medical Group

Enrique Oliver Aregullin, MD

Special Interest: Prenatal diagnosis of congenital heart disease

Spectrum Health Medical Group

Special Interests: Pediatric interventional cardiology, cardiogenetics, exercise physiology

Stanley Sedore, MD, PhD

Spectrum Health Medical Group Special Interests: Arrhythmias and electrophysiology, cardiac genetics, exercise physiology

6


What We Treat We treat the full spectrum of congenital heart defects, including: Heather Sowinski, DO

Spectrum Health Medical Group Special Interests: Fetal and transesophageal echocardiography

Cardiologists – Lansing John Dysart, MD

Spectrum Health Medical Group Special Interests: Pediatric echocardiology, exercise physiology in preventive medicine

David Stone, DO

Spectrum Health Medical Group

• Structural defects −−Obstruction to blood flow −−Holes in the heart or septal defects −−Cyanotic heart defects −−Complex congenital conditions −−Adult congenital conditions • Electrical problems −−Arrhythmia −−Tachycardias −−Wolff-Parkinson-White syndrome −−Long Q-T syndrome • Common heart problems −−Cardiomyopathy −−Syncope −−Exercise-related heart problems −−Stroke episodes related to heart

Special Interests: Noninvasive imaging, exercise cardiology, sudden cardiac death

Anas Taqatqa, MD

Spectrum Health Medical Group

Visit helendevoschildrens.org/ congenital-heart-center for more information.

Special Interests: Fetal cardiology, echocardiology

7


Contact Us We offer clinics in several locations in order to provide patients with access to quality care close to home. Call 616.267.9150 for information about clinics in Grand Rapids, Cadillac, Holland, Muskegon, St. Joseph or Traverse City. Call 517.484.0004 for information about clinics in Lansing, Mt. Pleasant and Owosso. 25 Michigan Street NE Grand Rapids, MI 49503 Munson Healthcare Cadillac Hospital 400 Hobart Street, 4th Floor Cadillac, MI 49601 Spectrum Health Integrated Care Campus at Holland 588 E. Lakewood Boulevard Holland, MI 49424 Spectrum Health Integrated Care Campus at North Muskegon 2009 Holton Road Muskegon, MI 49445 Health Park Medical Suites 3950 Hollywood Road, Suite 240 St. Joseph, MI 49085 Munson Medical Center 1105 Sixth Street Traverse City, MI 49684 3960 Patient Care Drive, Suite 113 Lansing, MI 48911 1205 S. Mission Street, Suite 4 Mt. Pleasant, MI 48858 802 W. King Street, Suite K Owosso, MI 48867

To make a patient referral: Phone (Grand Rapids): 616.267.9150 Phone (Lansing): 517.484.0004 Fax: 616.267.1408 For consults and transfers: HDVCH Direct Phone: 877.391.2345

Spectrum Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. [81 FR 31465, May 16, 2016; 81 FR 46613, July 18, 2016] ATENCIÓN: Si usted habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.844.359.1607 (TTY: 711). .(TTY: 771) 1.844.359.1607 ‫ اتصل على الرقم‬.‫ فبإمكانك الحصول على المساعدة اللغوية المتاحة مجا ًنا‬،‫إذا كنت تتحدث اللغة العربية‬

8

X14774 FY20.11.8.S © Spectrum Health 08.2019

Profile for Helen DeVos Children's Hospital

Congenital Heart Center at Helen DeVos Children's Hospital  

The Congenital Heart Center at Helen DeVos Children’s Hospital specializes in diagnosing and treating all congenital heart conditions, even...

Congenital Heart Center at Helen DeVos Children's Hospital  

The Congenital Heart Center at Helen DeVos Children’s Hospital specializes in diagnosing and treating all congenital heart conditions, even...

Advertisement