New Technology Improves Outcomes For Heart Patients

A team of cardiologists at Marshall Health and St. Mary’s Regional Heart Institute successfully used new technology to achieve better visualization and access to the heart, improving the success rate of cardiac ablation procedures.

Cardiologists at Marshall Health and St. Mary’s Regional Heart Institute are the first in West Virginia to use a new technology and mapping catheter to treat patients with complex cardiac arrhythmias.

Electrophysiologist Khalid Abozguia, a professor of cardiovascular services at the Marshall University Joan C. Edwards School of Medicine, and his team successfully used new technology to achieve better visualization and access to the heart, improving the success rate of cardiac ablation procedures.

The first cases using this technology were performed in April at St. Mary’s Regional Heart Institute and have shown excellent results for patients.

“During the procedure, a small device called a watchman will be implanted in a structure we call the left atrial appendage of the heart,” Abozguia said. “And we found the evidence that suggests that this device effectively seals off the appendage, which leads to a reduction in the risk of a blood clot and potentially causing a stroke without the need to take a blood thinner, long-term.”

Cardiac ablation is a procedure that scars tissue in the heart to block irregular electrical signals to help heart rhythm problems.

“Cardio neuro ablation is a groundbreaking procedure, specifically for a young patient who experienced a fainting episode commonly known in the medical field as syncope, it tends to be related mainly to overactive activation of one of the nerves we call vagal nerve,” Abozguia said. “Traditionally, these patients if they don’t improve despite lifestyle, adjustment or medication, they may end up needing a pacemaker to prevent these fainting episodes. However, cardio neuro ablation offers an alternative approach in my opinion, even though this is still early days for this procedure.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Mon General Doctors Perform New Heart Surgery – First of Kind in State

Last week, doctors at Mon General Hospital performed a new hybrid procedure to correct irregular heartbeats – called atrial fibrillation – in a 71-year old patient. The surgery was the first of its kind performed in West Virginia.

Atrial Fibrillation is a fast, irregular heart rhythm. People with the condition are at high risk for blood clots, heart failure, stroke and other heart-related complications. The condition affects more than 6 million people in the U.S.

Two doctors work together during a new type of surgery to fix the condition. A cardiothoracic surgeon first uses a camera and small surgical tool to interrupt the abnormal heart pattern. Then, using the incision the surgeon made, an electrophysiologists works inside the heart to fix known triggers of the irregular rhythm.

The hybrid procedure shortens the surgery from two days to one. It also greatly reduces the patient’s recovery time in the hospital. 

Appalachia Health News is a project of West Virginia Public Broadcasting, with support from the Benedum Foundation, Charleston Area Medical Center and WVU Medicine.

Geoffrey Cousins – Heart Pioneer

Dr. Geoffrey Cousins, 42, is one of West Virginia’s most innovative heart surgeons and a pioneer of robotic-assisted heart surgery in the United States.  He lives with his wife and four children in Charleston and practices cardio-thoracic surgery at the Charleston Area Medical Center. 

The youngest of 11 children of a McDowell County coal miner, Cousins grew up in a close-knit African-American community.  Due to his father’s on-going health problems, he traveled with his parents to hospitals and doctors’ offices across southern West Virginia, seeking help that didn’t materialize.  At a young age Cousins decided that one day he would help others in a way that his father was not helped.

After his father’s retirement, the family moved to Detroit, but Geoffrey Cousins never forgot his dream.  After finishing his education and medical training, he returned to his beloved West Virginia to provide cutting-edge heart surgery to the state’s residents, especially those who are underserved.

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