QI
Hospitals
TAVR presents an alternative to open heart surgery at St. Francis Hospital Heart care is constantly evolving, and patients and physicians are increasingly leaning toward non-invasive options, which present fewer side effects, a shorter recovery and less time in the hospital for patients—with an equal or greater final result to open procedures. Trans Aortic Valve Replacement (TAVR) minimally invasive valve replacement, an alternative to open heart surgery, involves the surgeon going through the groin or carotid to replace the valve rather than an open procedure. At Saint Francis Hospital-Memphis, the TAVR Program is reaching its 2nd anniversary and close to 100 procedures. The vast majority of our patients discharge to go home the day after their TAVR procedure. Many are now being transferred to the floor after bedrest rather than staying overnight in the ICU. Due to the minimally invasive nature of the procedure, TAVR patients report getting back to normal activities quicker and an overall satisfaction with the procedure.
Methodist Le Bonheur Healthcare: Pioneering same-day discharge after transcatheter aortic valve replacement, other heart procedures The COVID-19 pandemic spurred drastic changes to the practice of medicine, requiring healthcare systems to find innovative solutions to deliver care and reduce the risk of virus exposure. During this time, Dr. Mehul Patel from Methodist Le Bonheur Healthcare developed a protocol for sameday discharge after transcatheter valve replacement or repairs and Watchman procedures. Qualifying patients receive treatment for structural heart disease and are discharged within the same day. Methodist leads the way as the pioneer of this protocol. “We were the first center in the world to do the broadest spectrum of all structural heart procedures and safely send qualifying patients home on the same day,” said Dr. Mehul Patel, director of Methodist’s structural heart disease program and hybrid lab. The same-day protocol was widely acclaimed at The American College of Cardiology-Quality Summit, awarded “Best-Abstract” at the prestigious 2021 London Valves conference and “Top-Abstract” at 2022 Cardiovascular Research Technologies conference. Today, healthcare organizations around the globe leverage Methodist’s protocol to deliver timely patient care while making it possible for patients to spend the night in the comfort of their own homes.
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