{"id":4180,"date":"2024-10-10T16:05:54","date_gmt":"2024-10-10T08:05:54","guid":{"rendered":"http:\/\/cghmc.com.ph\/cghmc-staging\/?p=4180"},"modified":"2024-10-11T15:43:29","modified_gmt":"2024-10-11T07:43:29","slug":"cghmc-heart-institute-team-completes-another-milestone-procedurewith-left-atrial-appendage-occlusion","status":"publish","type":"post","link":"https:\/\/cghmc.com.ph\/cghmc-staging\/cghmc-heart-institute-team-completes-another-milestone-procedurewith-left-atrial-appendage-occlusion\/","title":{"rendered":"CGHMC\u00a0 Heart Institute Team Completes Another Milestone Procedure with Left Atrial Appendage Occlusion"},"content":{"rendered":"
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\n\t\t\t\t\t\t\t\t\tThe Structural Heart team at Chinese General Hospital and Medical Center (CGHMC) Heart Institute (HI), led by its head, Dr. Timothy Dy announced a successful Left Atrial Appendage Occlusion (LAAO) procedure performed on a patient with Atrial Fibrillation (AF). \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tThe LAAO procedure, performed with the Omega Eclipse device, is recommended for patients who have AF and who are at risk for stroke but cannot take blood thinners or anticoagulation. For most patients with AF, anticoagulation is the recommended stroke prevention treatment.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tAccording to Dr. Dy : \u201cThere was only one such procedure done locally before, in 2016, when we had the opportunity to implant the first LAAO device at CGHMC HI. From what I understand, there have not been any such procedures since. So we now have the only two LAAO procedures in the Philippines.\u201d\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tThe patient, an elderly gentlemen with AF, has multiple other problems including slow heart beat requiring prior permanent pacemaker implantation, heart artery blockages for which he has previously undergone angioplasty and stenting. kidney problems, for which he is undergoing long-term hemodialysis, and a history of blockage in a large vein in his chest that required venous stenting. Even though AF requires strong blood thinners to prevent stroke, due to his age and multiple co-morbid conditions, he is considered high bleeding risk (HBR). The desire of the family and the medical team is to mitigate this risk by avoiding long-term anticoagulation.\t\t\t\t\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\tLAAO was planned with the help of a cardiac CT scan to assess the shape and size of the Left Atrial Appendage (LAA). An intraprocedural transesophageal echocardiogram (TEE) was likewise performed for real time assessment of LAA size and position of the LAAO. Multiple steps of the procedure were guided both by X-ray and echo. After careful evaluation and consideration, a 28mm Omega Eclipse was chosen and successfully deployed into the LAA. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tThe patient is currently doing well and is benefitting from the device, as he will able to avoid a stroke despite not being on any anticoagulant.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tAF continues to be a major cause of stroke. As mentioned, the main stay of treatment is anticoagulation. However, many patients with AF are not candidates for long-term anticoagulation due to high-bleeding risk (HBR) or high-risk for trauma (such as falls). More than 90% of strokes from AF are due to clots in the left atrial appendage (LAA) that are brought by blood flow into the brain. In 2015, the Watchman device became the first U.S. FDA approved device for LAAO. CGHMC\u2019s HI performed the Philippine\u2019s first LAAO with Watchman. Now it performed the country\u2019s second using the Omega Eclipse.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tTo date, the Heart Institute at Chinese Gen has successfully achieved numerous milestone procedures that have firmly established its expertise in the field of cardiovascular medicine. The team\u2019s remarkable medical achievements have set new benchmarks in heart care, contributing significantly to the advancement of cardiovascular procedures. Among the cutting-edge interventions routinely being performed in CGHMC HI are:\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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  1. EVAR \u2013 Endovascular Aneurysm Repair: A minimally invasive procedure to address aneurysms in the abdominal aorta, hastening patient recovery and reducing risks compared to open surgery.<\/li>
  2. TAVR \u2013 Transcatheter Aortic Valve Replacement: An innovative technique for replacing a narrowed aortic valve in patients with aortic stenosis through the groin, offering an alternative for patients who would otherwise need to undergo open-heart surgery.<\/li>
  3. TEER \u2013 Transcatheter Edge-to-Edge Repair (MitraClip): This less invasive approach is pivotal in treating patients with severe leakage of the mitral valve (regurgitation), enhancing valve function, and patient quality of life.<\/li>
  4. TEVAR \u2013 Thoracic Endovascular Aortic Repair: A minimally invasive procedure that repairs a dissected or aneurysmal thoracic aorta, decreasing operative risk, shortening hospital stay, improving prognosis and reducing recovery time.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t\t\t\t\t\tAs a leader in medical innovation, the Heart Institute has continued to be at the cutting edge of care for cardiovascular patients needing the most complex and specialized care. These efforts are designed to maximize patient safety and improve clinical outcomes, reflecting our overarching mission to provide \u201cexceptional care within reach.\u201d Our commitment to state-of-the-art cardiovascular treatments ensures that our patients receive the highest international level quality care, closer to home.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t\t\t\t\t\t

    For more information, please contact the Heart Institute – Cardiovascular Catheterization and Intervention Unit (Cathlab) at 02 8711-4141<\/a> local 291 or 02 8743 1442<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    The Structural Heart team at Chinese General Hospital and Medical Center (CGHMC) Heart Institute (HI), led by its head, Dr. Timothy Dy announced a successful Left Atrial Appendage Occlusion (LAAO) procedure performed on a patient with Atrial Fibrillation (AF). The LAAO procedure, performed with the Omega Eclipse device, is recommended for patients who have AF […]<\/p>\n","protected":false},"author":1,"featured_media":4210,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_eb_attr":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[33],"medical_topic":[],"post_folder":[],"class_list":["post-4180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-hs-heartinstitute"],"acf":[],"yoast_head":"\nCGHMC\u00a0 Heart Institute Team Completes Another Milestone Procedure with Left Atrial Appendage Occlusion - CGHMC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CGHMC\u00a0 Heart Institute Team Completes Another Milestone Procedure with Left Atrial Appendage Occlusion\" \/>\n<meta property=\"og:description\" content=\"The Structural Heart team at Chinese General Hospital and Medical Center (CGHMC) Heart Institute (HI), led by its head, Dr. Timothy Dy announced a successful Left Atrial Appendage Occlusion (LAAO) procedure performed on a patient with Atrial Fibrillation (AF). 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