Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


Surgical Innovations


 
A TriStar Centennial team led by interventional cardiologists Dr. Paul Myers (front row, far right) and Dr. Jeffrey Webber (center) recently utilized the new Tryton Side Branch Stent.

Two new innovative procedures for heart and spine debuted in Middle Tennessee last month, bringing patients and referring physicians new options for care.


Tryton Side Branch Stent

In late October, TriStar Centennial Medical Center announced completion of Middle Tennessee's first procedure utilizing the Tryton Side Branch Stent to treat a coronary bifurcation lesion involving a large side branch 2.5 mm or greater. The procedure was performed at TriStar Centennial Heart and Vascular Center led by Paul Myers, MD, in collaboration with Jeffrey Webber, MD, who are both interventional cardiologists with Centennial Heart.

"This innovative and comprehensive approach allows us to treat patients with complex and high-risk blockages that involve arteries with important larger branches off the main heart artery," said Myers.

Approximately 20-30 percent of patients undergoing percutaneous coronary intervention (PCI) to open blocked arteries have a bifurcation lesion. While provisional stenting of the main branch is the current standard of care, the side branch is not stented in many cases and can be compromised by shift of plaque from the main vessel into the side branch. Myers said the side branch stent allows for total accommodation of the anatomy of the bifurcation without blocking the blood flow to the smaller vessels with an end result of more predictable patient outcomes and less likelihood of artery plaque shifting into larger side branches after a stent implantation.

The Tryton Side Branch Stent is a cobalt chromium stent based on Tri-ZONE® technology engineered to provide complete lesion coverage. It is deployed in the side branch artery using a standard single wire balloon-expandable stent delivery system. A conventional drug eluting stent is then placed in the main vessel.

In February 2017, the Tryton Side Branch Stent became the first dedicated bifurcation stent to receive regulatory approval in the United States.


Outpatient Lumbar Fusion


Juris Shibayama, MD

Juris Shibayama, MD, an orthopaedic surgeon with Tennessee Orthopaedic Alliance in Smyrna, recently performed minimally invasive, same-day, outpatient lumbar surgery.

"The minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) is all about reducing the collateral damage done to the tissues during surgery," said Shibayama. "Rather than stripping and burning the muscles off the spine in a traditional open approach, doing it this way preserves the muscles and ligaments. The procedure is done by dilating the muscles; therefore, there is no trauma to the muscles and ligaments to the spine during the surgery."

Shibayama has been perfecting the spinal fusion procedure for the last eight years. Traditional open surgery typically requires a hospital stay of two to three days. Shibayama had already reduced hospitalization to an overnight stay for observation before moving to an ambulatory setting this fall.

"Spine surgery today is where sports medicine was 50 years ago," said Shibayama. "That was when arthroscopy was just becoming popular." He noted at the time, many surgeons thought the newer technique wouldn't take off, as it would prove to be inferior to open surgery. Instead, he said, "Doing the surgery arthroscopically allowed surgeons to have great visualization and perform an excellent surgery without causing collateral damage."

Recognizing most spine surgeons have similar hesitation over minimally invasive procedures, Shibayama noted, "I have never had a deep infection with this surgery, nor have I ever had to return the patient to the operating room for repair of a dural tear. That reduction in complication rate alone is a massive advantage ... but in addition to that, the post-operative pain is much less to the point where the surgery can be done as an outpatient." Other advantages, he continued, are a much abbreviated recovery time and faster return to work and normal activities.

"There is no doubt in my mind that this is where spine surgery is headed, and I'm excited to be able to bring these advances to Middle Tennessee," Shibayama concluded.

WEB:

Centennial Heart

TriStar Centennial Medical Center Heart & Vascular Care

Tryton Side Branch Stent

TOA

Dr. Juris Shibayama

 
Share:

Related Articles:


Recent Articles

ACEP Board To Consider Further Legal Recourse During May Meeting

The federal government last week published a notice of clarification in response to a court order requiring it to adequately address comments and proposals made by the American College of Emergency Physicians (ACEP) and other organizations regarding the Greatest of Three Rule.

Read More

National Nurses Week: Lipscomb Prepares Next Generation of Servant Nurses

Every day nurses play a significant role in the nation's healthcare, and this week the nation is celebrating the profession as part of the American Nurses Association annual National Nurses Week celebration.

Read More

Healing Mind & Body

Experts say screenings, education, early intervention key to improving, maintaining mental health.

Read More

Searching for Sustainable Solutions to the Physician Shortage

AAMC calls for a multi-pronged approach to address the looming physician shortage.

Read More

Statement On Opioid Related Legislation

America's hospitals and health systems have been engaged in treating people with substance use disorders for decades. In recent years, we have seen first-hand the devastating effects of the opioid epidemic on patients, families, and communities across the country.

Read More

New Legislation Addressing the Opioid Crisis

As the latest session of the Tennessee Legislature drew to a close, new laws were passed impacting the prescribing of opioids, particularly in regards to 'opioid naïve' patients.

Read More

ACHEMT Hosts Opioid Educational Event

Middle Tennessee healthcare execs recently gathered to discuss the state's opioid crisis.

Read More

Cumberland Heights Breaks Ground on ARCH Academy

Cumberland Heights has broken ground on a new residential facility specifically for adolescent boys struggling with addiction.

Read More

The New Normal in Nursing Education

More nursing programs, opportunities are available for working adults, and healthcare organizations are taking note.

Read More

Neurology Notes

Progress is being made to address the wide array of neurological disorders that impact nearly one-third of Americans.

Read More

Email Print
 
 

 

 


Tags:
Centennial Heart, Coronary Bifurcation Lesion, Interventional Cardiology, Juris Shibayama, Lumbar Fusion, Minimally Invasive Transforaminal Lumbar Interbody Fusion, MIS TLIF, Paul Myers, Tennessee Orthopaedic Alliance, TOA, TriStar Centennial Medical Center. Jeffrey Webber, Tryton Side Brand Stent
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: