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About Us A Unique System of Care
Surgical Expertise and Advances Coronary Disease Minimally Invasive Techniques and Off-pump CABG CTA physicians are leaders in minimally invasive, off-pump bypass surgery, one of the most recent advances during which surgeons perform CABG procedures without the use of the traditional heart-lung machine. One of the first in the state to perform "beating-heart surgery," or off-pump bypass, the CTA group now performs >60% of its CABG surgery "off-pump," ranking among the highest rates nationally. Using the MIDCAB technique, off-pump surgery was combined with minimally invasive incisions in 1996 for patients with one blocked vessel. Today, with the use of advanced technology and surgical approach, CTA physicians are performing beating-heart, multivessel bypass procedures for complete revascularization with significant success. Patients avoid the side effects and risks associated with the heart-lung machine, and they generally experience a faster, smoother recovery period. This approach has been found to especially benefit high-risk patients. Bypass Conduits The internal mammary artery (IMA) remains the conduit(s) of choice, but in addition CTA surgeons use a new approach to bypass conduits on each and every case. When leg grafts are used, endoscopic vein harvesting is used almost exclusively. This less traumatic approach for the patient results in a faster, more comfortable recovery. The cosmetic results are superb. Transmyocardial Revascularization CTA surgeons are very experienced in the use of transmyocardial revascularization (TMR). With lasers, surgeons create channels through the myocardium to enhance blood flow to viable heart muscle in patients suffering from medically refractory angina and nonreconstructable coronary artery disease. This procedure is often used in combination with a CABG or angioplasty to treat an area of the heart muscle that cannot be reached using the traditional bypass or catheter procedures. Valve Repair and Replacement CTA surgeons offer extensive expertise in both mitral and tricuspid valve repair. Whenever feasible, valve repair is the approach of choice for disorders that require surgery. In patients with mitral valve regurgitation, the CTA success rate for valve repair procedures exceeds 90%. Intraoperative trans-esophageal echocardiography is used extensively to assess the success of repair procedures and for direct evaluation of cardiac function before and after the repair. Thoracic Oncology CTA surgeons offer extensive expertise in Thoracic Oncology (cancers of the Chest). CTA surgeons have trained in major cancer centers such as the Memorial Sloan Kettering Cancer Center. Patients with lung cancer, esophageal cancer, pulmonary metastasis, chest wall neoplasms, and other diseases of the chest receive world class, state of the art care by CTA. The newest advances in cancer medicine as well as minimally invasive (such as video assisted thoracoscopy) approaches to their cures are a passion of CTA. Research CTA surgeons have taken the lead in developing and perfecting new techniques and processes to improve patient outcomes. Current research projects include:
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©2004 Cardiothoracic Associates | All Rights Reserved | hawaii@sachsconsulting.com | http://www.heartsurgery-usa.com |
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