Medical Services related to Stanley Joseph Chetcuti MD

Frequently Asked Questions About PAD

Frequently Asked Questions about peripheral arterial disease or PAD (sometimes called peripheral vascular disease) and how the University of Michigan Cardiovascular Center's Peripheral Arterial Disease Clinic can help.

MitraClip Transcatheter Mitral Valve Repair FAQs

The MitraClip procedure is used to treat patients who have symptoms because of mitral regurgitation. The MitraClip procedure does not require opening the chest or temporarily stopping your heart (cardiopulmonary bypass). Instead, doctors access your heart through a vein in your leg to repair your mitral valve. The MitraClip procedure may be an option for patients with mitral regurgitation who are too sick for surgery or considered too high risk.

Mitral Valve Disease

The mitral valve controls the flow of blood going in one direction from the lungs to the body. If the valve does not close properly, or open completely, the heart may have to work twice as hard to do its job, which can lead to life threatening heart conditions. Frankel Cardiovascular Center heart doctors offer advanced mitral valve treatments that can't be found at other hospitals because of U-M's involvement in clinical trials.

Mitral Valve Repair and Treatment

Treatment options for mitral valve disease include medication therapy, open-heart surgery, and minimally invasive procedures, both surgical and transcatheter. Performing these repairs early in the disease process before a patient's mitral valve disease progresses into advanced heart conditions such as congestive heart failure, atrial fibrillation, and pulmonary hypertension is our top priority.

 

PAD Treatments

Treatments for peripheral artery disease or PAD (sometimes called peripheral vascular disease) include both surgical and non-surgical options. All PAD patients are treated using risk factor management and exercise. Surgery is reserved for patients with the most serious symptoms.

Peripheral Arterial Disease (PAD)

The difference between peripheral artery disease or PAD (sometimes called peripheral vascular disease) and heart disease is that the blockages are outside your heart, usually in the legs. The University of Michigan’s Peripheral Arterial Disease Program brings together a multidisciplinary team of physicians to create a treatment plan tailored to your needs.

TAVR: Transcatheter Aortic Valve Replacement

TAVR stands for Transcatheter Aortic Valve Replacement, a minimally invasive, catheter-based procedure to replace the diseased aortic valve in patients with severe aortic stenosis. Aortic stenosis is a condition in which the aortic valve does not open fully due to a thickening of the valve leaflets, often caused by a buildup of calcium on the leaflets. This thickening makes it difficult for the leaflets to open and close, which decreases blood flow from the heart to the body. The condition may cause the heart to work harder to pump blood. For decades, open heart surgical aortic valve replacement (SAVR) has been the standard treatment for severe aortic stenosis, but in the past few years TAVR has rapidly replaced SAVR in high-risk patients as well as patients at moderate risk for surgery. This is due to excellent clinical trial results showing equal or better patient outcomes compared to SAVR. Most recently, in August of 2019, TAVR was approved for patients at low risk for surgery. These low-risk patients, whose aortic stenosis would typically receive an open-heart surgical aortic valve replacement, can now be considered a candidate for a TAVR procedure.