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Physician Update - High tech with Heart and Vascular

Physician Update Spring 2012

High tech with Heart and Vascular

Date: April 1, 2012


Hi Tech

What once might have seemed clinical luxury will become commonplace as the Heart and Vascular Institute gains a bounty of new space and, with it, the ability to combine medical and surgical work—almost simultaneously—with patients.

“The new building provides a fundamental change in how we are able to practice medicine and care for our patients,” says Edward Kasper, head of clinical cardiology. “There is real enthusiasm and excitement among the staff.”

All of Hopkins’ heart and vascular services are relocating. They include the cardiac care unit, the progressive cardiac care unit and the cardiovascular surgery intensive care unit, as well as the cardiac catheterization and electrophysiology laboratories.

 New operating rooms are outfitted exclusively for cardiac and vascular surgery patients, with one OR specifically for pediatric cases. A combined prep/recovery unit serves surgery patients, as well as those undergoing interventional procedures.

In addition, the new echocardio-graphy/vascular noninvasive lab provides one-stop service for those who need a variety of ultrasound testing.

“We have state-of-the-art facilities to provide the highest quality and most efficient care of our patients with heart and vascular disease,” says Gordon Tomaselli, director of cardiology and president of the American Heart Association. “And we’ve also planned ample space to accommodate emerging capabilities such as MRI-guided cardiac ablation and transcatheter aortic valve implantation.”

As for the catheterization and electrophysiology (EP) labs, they, too, are equipped with the latest technology that includes the capability for advanced imaging.

Two of the five new cath labs offer peripheral imaging. And for the first time at Hopkins, an EP lab and a catheterization lab are outfitted as hybrid rooms able to accommodate open surgical procedures when needed.

“In our new hybrid rooms, our medical and surgical specialists work side by side to ensure that patients receive appropriate procedures in the safest possible environment,” says Duke Cameron, director of cardiac surgery.

Transcatheter aortic valve implantation and complicated extractions of heart device leads, for example, will take place there.

All EP labs house 3-D mapping systems, doubling the previous ability to perform complex ablations. The labs are equipped for live broadcast of cases.

They also offer a sophisticated archival ability: It’s possible to store event logs from any case as well as a patient’s imaging data from ultrasound, X-ray, 3-D mapping or electrograms.

 Needless to say, years of planning shaped the new facility. Our units were designed with “input from our clinical staff to provide the best care in a healing environment focused on patient comfort and privacy,” says Bruce Perler, director of vascular surgery and endovascular therapy.

And the simple advantage to patients and families of having all the units newly adjacent to one another on one floor, Perler explains, “will ease of our ability to consult and collaborate with our colleagues in a variety of disciplines.”

410-502-0550 to refer a patient.

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