CardioMEMS device  reduces heart failure hospitalizations

CardioMEMS device reduces heart failure hospitalizations

January 6, 2020 0 By Bertrand Dibbert


this device is really developed for patients who have chronic
heart failure and have had problems with needing to be admitted to the hospital the device is a very small device that
sits in the pulmonary artery against the wall of the pulmonary artery
there’s a layer of cells called endothelial cells that grow over it so
that it becomes incorporated into the pulmonary artery it doesn’t move and it doesn’t create
a risk of a blood clot forming there. It is the
size of a paperclip the wires can be bent to keep it in
place but we try to implant the device straight. It gives us pulmonary artery
diastolic pressures on a continuous basis it then transmits pressures to us over
the Internet and we get to watch the pressures inside
at the heart itself and treat those proactively so the
patients are home they can download their pulmonary artery
pressures and we can respond to their pressures it so walking Swan Ganz catheter sensually for the
patient it’s pretty simple a patient’s need to lay on a pillow and press a button they
need internet access from there they really need nothing else
and really no other technological skills good
signal take reading most of our patients
download their information every day and we have the system set up where if they their
pressures go above a certain number we get out automatic email notification on my smartphone and we can call them
and just their medications accordingly and you can see the pressure tracing is transmitted so I can
actually look at the tracing itself A CardioMEM device is operated from an
external power source so there no batteries in the device itself which makes it smaller and also makes it
more convenient so that we don’t have to worry about about battery life. This is often a outpatient procedure and the patient
can be sent home the same day after they’ve had this
implanted the car demands devices a permanent device once it gets into place and and the
layer of cells grow over it would be difficult to take
it out. Fortunately in the pivotal study there’s was no reason to need to take it out. The procedure
takes about a half hour it’s a relatively simple procedure it’s
done in the cath lab its basically right heart
catheterization where we measure the pressures and then
we drop this device in. This technology is going to be limited
to centers that have had experience with it so
the study sites will be the first sites to get it LVHN an is one of them. We were part of the champion study which was the pivotal
trial which had us several thousand patients followed for up to five years. It
demonstrated a significant 20 to 30 percent improvement in
hospitalization rates We will also be teaching other
cardiologists how to implant and how to use this device
effectively. Without CardioMEMS, we traditionally use weights. We ask our patients to weigh themselves
every day and if their weight goes up three pounds to call us. Unfortunately weights can go up or down for reasons other than fluid retention.
It’s important for patients who are sick who have heart
failure to find a program that has a
multidisciplinary approach where there are cardiologists, cardiac surgeons, rhythm experts, nurse practitioners, nurses,
nutritionists physical therapists and new devices and
technologies but remember this is only us a piece of
the puzzle and part of a comprehensive program that offers the patients the best possible care.
We have an advanced heart failure program
that’s been in place for over seven years. Our program is the only program in the
area that has a board certified advanced heart failure and transplant cardiologists we actually
have two of them. Since it’s a fairly new specialty there are only a handful of programs across the country that have cardiologists that specialize
in this. We currently care for approximately
3,000 patients in our advanced heart failure program If a cardiologist has patient has had
frequent hospitalizations meaning more than one in the past six months
their patients might be a good candidate for this device. The best way to reach us is to call
us at 402-CARE and we’ll be happy to answer
all of your questions regarding it are regarding the
device and the patients suitability for this new technology.