2023-04-16 18:00:52
- This procedure is now part of the comprehensive services provided at the hospital.
- The last time this surgery was performed at the hospital was in 2013 and in the training phase.
- In this way, this ISSSTE hospital now avoids sending patients to units in Mexico City.
Thanks to the medical staff at Regional Hospital “Elvia Carrillo Puerto” of the ISSSTE in Mérida the first time a transcatheter aortic valve implantation (TAVI) was achieved. In this way, when these types of procedures are started, the transfer of patients by ambulance to Mexico City for up to 20 hours is avoided, informed the director of the hospital, Oliver García Trujillo.
The operation was carried out with its own resources and personnel assigned to the institute, without the assistance of a doctor from Mexico City. This procedure is now part of the comprehensive services provided at the hospital. The last time this surgery was done was in 2013 and in the training phase.
“Since we are in Mérida, the patients who need this implant have heart failure or low cardiac reserve, and sending them to the capital of the country for so long in a vehicle was high exposure and risk, added to the waiting time to get space in the National Medical Center ’20 de Noviembre’ —which sometimes took up to two months— was complicated, but today we already avoided this process and benefited beneficiaries from Campeche, Chiapas, Quintana Roo, Tabasco and Yucatán”.
Description of what happened
To specify the provision of this service, the ISSSTE Medical Department provided the corresponding follow-up to verify that the hospital had interventional cardiologists, internists, anesthesiologists, specialized intensive therapies with training in cardiac rehabilitation, among other specialists required for surgery.
“We have a specific committee that validates each case. It is sent to the offices of the Medical Directorate for authorization; once they do, we start the procedure.”
The interventional cardiologist attached to the Cardiology and Hemodynamics Service of the Regional Hospital in Mérida, and in charge of performing the surgery, Carlos Ramón Rodas Cáceres, explained that the operation is performed mainly on patients with a certain degree of risk for open heart surgery. The beneficiary was a 72-year-old patient.
Benefits for patients
The advantage is that this procedure takes three days maximum. One is hospitalization, the next day she goes to intensive care for surveillance and, if no eventuality occurs during the first 24 hours, she is sent to her room to be later discharged and walks out, as was the case in this case.
It indicated that adults over 60 years of age are more likely to present some degenerative aortic valve problemover time it closes and causes symptoms such as fainting, pain or angina pectoris, or greater fatigue due to agitation.
“When the patient begins with symptoms is when we must carry out the intervention and not wait for a major eventuality to arrive, such as death.”
In addition to age, the specialist said that there are risk factors such as hypertension, diabetes and obesity.
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