Asante Rogue Regional Heart and Vascular Services
A New Path to Recovery
Pat Barton-Gassman had a history of heartburn but never dreamed it could be heart trouble when she began having what she thought were heartburn-like episodes for five to eight minutes after walking or spin class. Pat notified her gastroenterologist about these new symptoms, and he told her to see her primary care provider right away. It was after hours, so she headed to an urgent care clinic, where she was told to go to the Emergency Department at Asante Ashland Community Hospital. From there Pat was transported directly to Asante Rogue Regional Medical Center. After an angiogram, it was discovered that one of her main arteries was 90 percent occluded.
The interventional cardiologist, Mark Moran, MD, recommended the new bioresorbable stent, as Pat is an active 63-year-old and only one artery needed a stent. Pat was excited to have a bioresorbable stent and thinks it is great. She calls it “recycling.”
Pat is back to walking her dog, Taka, every day and has no complaints.
New Dissolving Stents
The ideal patient is in their 40s to 60s with potential need for more
stents in the future, has a single-vessel disease and has an area of
artery to expand where only one stent is needed.
Bioresorbable stents are the next step in stent evolution. Stents act as scaffolding to maintain the shape of arteries. Bioresorbable stents keep the artery open as it gradually heals itself, permitting normal pulsatility and vasomotion to return, and beginning six months later, the polymer dissolves by hydrolysis into miniscule amounts of lactic acid, which diffuses into the surrounding tissue. Complete absorption occurs in about two years.
As one of only four hospitals in Oregon qualified to use them, Asante Rogue Regional Medical Center’s Cardiovascular program performed the first bioresorbable stent procedure in Southern Oregon on November 15, 2016. Hospitals must document excellent outcomes and have sufficient volume to acquire expertise in implantation techniques to qualify.
As the face of the Oregon Department of Forestry, Brian Ballou knows what it’s like to be front and center. But he wasn’t expecting to be the center of attention at the Asante Rogue Regional Medical Center heart and vascular program, especially with no history of heart trouble.
However, last February, after returning home from a 10-mile bike ride, Brian’s wife found him unresponsive on the garage floor. His son called 911, then began CPR. Brian was taken directly to Asante Rogue Regional for a STEMI procedure.
He woke up seven days later in the Coronary Care Unit, where he would learn about the quick action of first responders and the heart team. They’d placed a stent and kept Brian in a hypothermic state for several days.
Brian graduated from Cardiac Rehab with flying colors. He rides his exercise bike, goes to the gym, and is once again front and center back at work.
Harry “Woody” Gamble had a history of heart disease and regularly saw his cardiologist. But on March 16, Woody suddenly passed out after finishing a night of bowling and was transported to Sky Lakes Medical Center. After hospitalization and an angioplasty, 79-year-old Woody, who was at high risk for standard surgery, was referred by Klamath Heart Clinic cardiologist George Kubac, MD, to the transcatheter aortic valve replacement (TAVR) program at Asante Rogue Regional Medical Center. After meeting with TAVR valve program coordinator Angel Cross, Medford cardiologist Junyang Lou, MD, and Asante cardiothoracic surgeon, Charles Carmeci, MD, Woody learned that he met the criteria for the minimally invasive TAVR. Woody went in for the procedure Thursday, April 21 and was released from the hospital Saturday, April 23. Two days later, he was walking all over a local store—no longer needing a mobility scooter—breathing normally and without any heaviness in his chest. Woody is amazed that he could have this relatively new procedure in “little old Medford.” Although he can’t be certain, Woody also feels that he can attribute the recent improvement in his bowling scores to his TAVR.
In September 2015 Asante Rogue Regional Medical Center launched a pilot study to help heart failure patients manage the disease at home and avoid readmissions to the hospital. A heart failure nurse navigator, Sandra Gill, RN, is implementing clinical pathways to bridge the gap between a patient’s care at the hospital and at Southern Oregon Cardiology—ensuring that patients receive consistent, high-quality support. Learn more about this program in a future mailer, call (541) 789-3896 or e-mail email@example.com. Asante Rogue Regional is seeing heart failure readmissions trending downward and has a six-month zero mortality rate.
Learn more about Heart Failure Zones at https://www.asante.org/heart-failure-zones/
“Early detection of heart attacks in the field, and rapid stabilization and transport helps minimize the severity of the heart attack and saves as much heart muscle as possible.”
— Mark Wareing
American Medical Response—Josephine County
STEMI Receiving Center
Asante Rogue Regional Medical Center has received the prestigious American Heart Association (AHA) Mission: Lifeline® Heart Attack Receiving Center Accreditation for quickly and appropriately treating the most severe type of heart attack known as STEMI (ST-elevation myocardial infarction).
“We underwent numerous on-site reviews by accreditation specialists and provided a decade’s worth of supporting data that shows we have met or exceeded quality of care measures for people experiencing this type of extreme heart attack,” says cardiologist and medical director of Asante’s heart program, Brian Gross, MD, Southern Oregon Cardiology.
A critical performance measurement is called ‘door to balloon time.’ It defines the moment the patient enters the hospital emergency room door to the moment that blood flow is restored to the heart. Asante Rogue Regional reports an average door to balloon time of 45.5 minutes—well below the national guideline of 90 minutes.
Successful health outcomes for STEMI patients are the result of an extensive collaboration among eight participating hospitals and a dozen emergency medical service organizations.
Asante Rogue Regional
✓Receives approximately 170 STEMI patients each year.
✓Designated as an AHA Mission:
Lifeline STEMI receiving center.
For patients with a heart rhythm problem, Asante’s electrophysiology (EP) care program includes:
- Comprehensive diagnostic and therapeutic management of simple and complex heart rhythm disorders
- Device management for heart failure
- Evaluation and management of fainting
- Assessment of a patient’s risk of sudden cardiac death
Asante patients enjoy excellent outcomes because our highly experienced electrophysiologists and staff perform over 100 procedures each month. With more than 1,400 procedures done last year, the EP Lab achieved success rates comparable with the nation’s highest-rated programs.
Eric Pena, MD, and David Martin, MD, both certified in cardiovascular disease and electrophysiology by the American Board of Internal Medicine, lead the program which includes J. Jason West, MD; Mark Moran, MD; and Brad Personius, MD.
Procedures include the following:
- Diagnostic EP studies
- Tilt table testing
- Intracardiac ablation
- Pulmonary vein antral isolation or atrial fibrillation ablation
- Lariat procedure (ties off atrial appendages that are a major source of blood clots)
- Device implantation (pacemakers and defibrillators)
- Lead extractions
Who's in this photo?
TAVR Team Photo
Front Row Left to Right
Scott Texeira, CVT, Cath Lab
Melva Irene Fitch, RN, 3T
Karen Bales RN, Clinical Intelligence Coordinator
Kent Dauterman, MD
(First patient: Sally R.)
Charles Carmeci, MD
Nancy Hicks, Chief Perfusionist
Julie Brown, RN, OR heart team
Jennifer Millsap, Patient Service Representative
Middle Row Left to Right
Stephen Boles, RN, Cath Lab
Beth Coker, Supervisor Cardiac Rehab
Stephen Weymouth, Director of Imaging
Jane Naversen, RN, Cardiac Educator
Angel Cross, RN, Valve Program Coordinator
Mark Moran, MD
Jodi Gallop, RN, Clinical Practice Manager Southern Oregon Cardiology
Angela Falleur, LPN (for Dr. Dauterman), Southern Oregon Cardiology
Back Row Left to Right
Brian Neyt, RT, Cath Lab
Kevin Marks, RT, CT
Nathan Funk, MD
Sarah Carlyle, RN, Coronary Critical Care Educator
Jane Ohlendorf, Surgery Tech/nursing student
Eric Palmer, MD
Garrett Crowl, RT, Cath Lab
Derrick Stouder, RT, Ultrasound/Echo
John Ciatti, RT, Cath Lab
Jessica Ayala, RN, 3T
Kristi Blackhurst, RN, Director Perioperative Services
Scott Brown, RT, CT
David Folsom, MD
Ben Grable, MD
Anne Hansen, RN, Critical Care Clinical Nurse Specialist
Dwayne Kapule, RN, CCU
Katie Ledford, Clinical Practice Manager APP Cardiovascular Thoracic Surgery
Richard Lummer, RN, Cath Lab
Tonja Northrop, RN, CCU
Mitch Plummer, MD
Steve Rafala, RN, OR heart team
David Sargent, RN, CCU
Sally Seibert, RN, Cardiac Rehab
Kristi Sewell, RN, CCU
June Squires, RN, Cardiac Educator
Renee Wagner, RN, CCU (was part of the OR heart team and now CCU)
Sally Robisch, first TAVR patient
Transcatheter aortic valve replacement (TAVR) is now available for the first time in Southern Oregon at the new heart valve clinic at Asante Rogue Regional Medical Center.
In February 2015, Asante Rogue Regional became one of only 290 hospitals in the country to offer TAVR. Since that time, a number of procedures have been performed—all with positive outcomes. Similar to a stent placed in an artery, the TAVR approach delivers a fully collapsible replacement valve through a balloon catheter and then is expanded into the existing space of the aortic valve. The procedure requires only a small incision in the femoral artery. The minimally invasive procedure benefits patients by improving, not only their quality of life, but their length of life as well.
Watch TAVR animation:
Transcatheter aortic valve replacement (TAVR) using a transfemoral approach to the aortic valve. Animation by Edwards Lifesciences (tm) LLC, Irvine, CA
TAVR is currently approved for use in patients with severe, symptomatic aortic stenosis who are at high risk for standard surgery or are considered inoperable.
To determine if your patient is eligible, contact coordinator Angel Cross, RN, (541) 789-5802. Evaluations at Asante Heart Valve Clinic are usually done in a single visit.
Learn more about TAVR>>
Better Cardiovascular Health
Through Award Winning Care