Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Carotid artery disease patient management involves screening, monitoring, prevention of progression, and interventional or surgical treatment when needed. Vascular specialists Dr. Sean Lyden, Dr. Scott Cameron and Dr. Chris Bajzer discuss the Cleveland Clinic multidisciplinary approach to care and decision making, collaboration with referring physicians, and new innovations and research involving carotid artery disease.

Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure used to insert a new aortic valve in patients with aortic stenosis. While risk is low, stroke remains an important risk for this procedure. Dr. Samir Kapadia, Chairman of Cardiovascular Medicine, explains the goal of the sentinel device during the TAVR procedure to lessen risk of stroke. A large multicenter randomized clinical trial is underway to determine the overall benefit of using this device during TAVR.

Christopher Smolock, MD discusses new devices, old problems for managing complicated arterial access.

Hypertrophic Cardiomyopathy Center specialists have recently published three papers related to a wide range of patients with HCM, including the elderly, pediatric and general population. Dr. Milind Desai, Director of the HCM Center reviews the implications for diagnosis, management and risk stratification based on the results of these papers.

Dr. John Rickard joins Dr. Eric Roselli to discuss the cardiac resynchronization therapy – heart failure optimization clinic and key takeaways from a recent Tall Rounds® session.

The ACC/AHA released new valve guidelines. Dr. Lars Svensson and Dr. Marc Gillinov talk about highlights addressing management of patients with valvular heart disease including TAVR (TAVI); valve surgery; timing of treatment, valve choice, valve repair, surgical approach, and how the guidelines address the aorta and the tricuspid valve.

Dr. Eric Roselli and Dr. Jerry Estep highlight the Heart, Vascular & Thoracic Institute's perspective on the multidisciplinary approach to COVID-19, the implications, what we've learned, and emerging treatement strategies.

In honor of Valve Disease Awareness Day, valve specialists Dr. Paul Cremer and Dr. Christine Jellis answer questions they often get from clinicians referring patients for valve disease treatment. Topics include patient considerations for MitraClip, use of TMVR, TAVR for aortic regurgitation, and tricuspid valve regurgitation options. In addition the doctors discuss how anatomy, imaging and a team approach impact decision making.

Dr. Edward Soltesz leads a discussion on Extracorporeal membrane oxygenation (ECMO) in the adult cardiac patient.

Dr. Walid Saliba provides an update on the treatment of left atrial appendage.