HMC offers new laser heart surgery

2008 marked another first for Hays Medicalhospital saw a need to provide this technology
Center's DeBakey Heart Institute.in-house, rather than sending patients away,
Laser surgery was used to increase blood flow toHedlund said.
a patient's heart, thus reducing the amount of"The hospital felt that it was a worthy
chronic chest pain he had experienced.investment," Hedlund said. "With our program
"This is one more means by which we cangrowing and more patients coming to us from the
alleviate that chest pain and let them resume theirnorthwest part of the state, we just feel like
normal activities," said Perfusionist Kelly Hedlund.we're going to have plenty of opportunities to use
HMC purchased the high-tech equipment in June,this."
with the realization that the option of laserBenton, who had previous experience with the
surgery could benefit some current patients, hetechnology at another hospital, said the July 11
said.procedure went very well.
This transmyocardial revascularization, or TMR,The patient was home in a week and is
technology isn't for everyone, however.recovering nicely, he said.
The treatment, for now, will be used solely onAnother benefit of the procedure is that burning
patients whose arteries are not strong enough tothe tiny holes in the muscle creates inflammation,
withstand the more traditional options of bypasswhich draws additional blood to the organ, Benton
or balloon surgery.said.
"Generally, patients have exhausted all otherThis also could help make the technology a viable
means of treatment for their chest pains,"procedure well into the future -- research is
Hedlund said. "This would be perhaps the last typeunderway to determine the feasibility of using
of treatment we could try to make their cheststem cells to strengthen the heart muscle.
pain go away."Studies suggest that stem cells are most likely to
Hedlund estimated that about 10 percent ofattach to the heart muscle in areas of
patients could benefit from this machine.inflammation, Benton said.
It also is often used to supplement a bypassIf approved, this procedure could increase heart
surgery, as was the case earlier this month.muscle in patients battling congestive heart failure
Surgeon Gary Benton fixed the arteries he could,and other diseases, he said.
and the technology was used to increase bloodBecause HMC already is using the machine, it also
flow to other damaged areas of the heart.would put HMC near the top of the list to begin
The laser is used to burn tiny holes from outsideimplementing such a procedure, he said.
the muscle into the chamber. These holes --"We're pretty excited about it," Benton said. "It's
comparable in size to a human hair -- serve asnot approved yet, but it's on the way."
channels through which blood can flow to theBut even as a stand-alone procedure, the
heart, Hedlund said.equipment will undoubtedly offer benefits to local
Approved in 1999, the surgery has long beenpatients, he said.
offered in larger cities, such as Wichita and"The administration here has been excellent about
Kansas City.being approached about these new technologies
HMC currently is one of only two hospitals inand getting them in," Benton said. "They spur us
Kansas using this technologyon to stay on the cutting edge, and that's what
As HMC's cardiac care continues to expand, thewe intend to do.