Alta Bates Summit Medical Center

Alta Bates Summit Medical Center Cardiac Program Earns Highest Possible Rating for Mitral Valve Surgery from Society of Thoracic Surgeons

Posted on Mar 4, 2020 in Affiliates, Alta Bates Summit Medical Center, Quality, Scroll Images

OAKLAND, Calif.Alta Bates Summit Medical Center earned a distinguished three-star rating, the highest possible, from The Society of Thoracic Surgeons (STS) for excellence in mitral valve replacement and repair (MVRR) surgery. Of the approximately 130 participating hospitals in California, Alta Bates Summit, part of the Sutter Health not-for-profit network of care, is one of only four hospitals in the state to earn this three-star rating for MVRR surgery.

Mitral valve replacement and mitral valve repair surgeries are performed to treat diseases of the mitral valve — the valve located between the left heart chambers.

Junaid Khan, MD
Junaid Khan, MD

“The three-star rating is widely regarded as the gold standard by which cardiac surgery programs are evaluated and it’s the highest honor achievable,” says Junaid Khan, MD, director of Cardiovascular Services for Alta Bates Summit. “We take great pride in the high-quality care we provide that has resulted in long-term positive results. This recognition validates our comprehensive heart program’s excellence.”

The STS star rating system is one of the most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs across the United States and Canada. The star rating is calculated using a combination of quality measures for specific procedures performed by an STS Adult Cardiac Surgery Database participant.

Alta Bates Summit also earned a three-star rating from the Society of Thoracic Surgeons (STS) in 2019 for patient care and outcomes in isolated coronary artery bypass grafting (CABG) procedures—the most commonly performed open-heart surgery.

Mitul Kadakia, MD

“Alta Bates Summit provides exceptional care for our valvular heart disease patients under the leadership of Dr. Russell Stanten and Dr. Khan,” says Mitul Kadakia, MD, FACC director, Structural Heart and Valve Disease, Alta Bates Summit. “It is a privilege to be a part of a cardiac program which results in these kind of incredible outcomes for our patients. The 3-Star STS rating for CABG and Mitral surgery is great asset for our patients.”

Russell Stanten, MD

Dr. Khan praised the hospital’s physicians, staff members and departments who were instrumental in making this award possible.

“None of these amazing results would have been possible without our entire team including the expertise of our surgeons, cardiologists, anesthesiologists, nurses, physical and occupational therapists, case management and rehabilitation services,” adds Dr. Khan.

Michael W. Tsang, MD

Michael W. Tsang, M.D. , FACC, director of the Echocardiography Laboratory at Alta Bates Summit says, “While earning a 3 star rating in the recent public report is a great achievement for the medical center and cardiac surgery program, it is the constant and consistent feedback from my patients about their own wonderful and positive surgical experiences that make Alta Bates Summit one of the best mitral valve surgery programs in the state. Under Dr. Khan’s leadership, I have seen steady and significant strides made in our ability to deliver high quality care and to improve patient satisfaction.”

Alta Bates Summit’s three-star rating also drew praise from cardiovascular leaders at other East Bay hospitals.

“The three star rating for CABG and Mitral valve surgery by the nationally recognized Society of Thoracic Surgeons is well earned,” said Marina Tirlesskaya, MD, FACC, Chief of Cardiology, Alameda Health System. “Dr. Khan and his team have been providing outstanding care for our patients with consistently excellent results and unmatched compassion for our community and underserved patient population, supporting our mission at Alameda Health System of caring, healing, teaching and serving all.”

“As a community hospital with no onsite cardiac surgery program, our patients are fortunate to have the ABSMC cardiac surgical team provide superlative, prompt and outstanding care to our patients requiring emergent/urgent bypass surgery and mitral valve repair at Alta Bates Summit,” said Aditya Jain, MD, FACC, Director, Cardiac Catheterization Laboratory, St. Rose Hospital. “Their patient centric team approach has enhanced patient survival and improved overall well-being in the postoperative period.

How Do You Celebrate a Leap Year Birthday? Frogs and Chocolate Cake!

Posted on Feb 28, 2020 in Affiliates, Alta Bates Summit Medical Center, Scroll Images

Tiny Preemie Twins Born on Different Days Celebrate Fourth Birthday with Medical Team that Saved Them

Berkeley, Calif. –Twins Miles and Walter Erickson, born at 26 weeks and weighing barely two pounds each, arrived 11 minutes apart on different days — Feb. 28 and 29 (Leap Day), 2016. At a special leapfrog-themed birthday party and reunion, the twins and their family today celebrated their first Leap Day and fourth birthday with the Neonatal Intensive Care Unit (NICU) medical team who cared for them at Sutter’s Alta Bates Summit Medical Center.

Miles, Summer, Bruce, Ryan and Walter Erickson

Parents Summer and Ryan Erickson say they are forever grateful for the care their boys received from the Alta Bates Summit NICU doctors, nurses and staff for the first 69 days of their lives. When the tiny twins were born, the Oakland residents feared they might not survive.

Four years ago, Summer Erickson checked into Alta Bates Summit 14 weeks before her due date expecting to spend the rest of her pregnancy on precautionary bedrest. Instead, she went into preterm labor. After the birth, the Labor and Delivery staff immediately whisked the tiny preemies to the Level III NICU, where Miles and Walter spent the next 69 days.

“You go through every emotion you can imagine,” remembers Summer Erikson, “Not only were the babies fighting little warriors, but the nurses, doctors and staff worked around the clock to fight for their health and survival.”

When the Ericksons finally got the green light to bring Miles and Walter home, they took advantage of Alta Bates Summit’s NICU Post-Discharge Program, a series of classes designed for parents of preemies. This philanthropically funded program provides education and a compassionate support network during the critical transition period from NICU to home, and often for years afterward. The classes taught the Ericksons how to monitor their sons’ diet and watch for irregular breathing. But most of all, it gave them confidence for the task ahead. Miles and Walter, each 5 pounds at the time of discharge, were ready to go home.

Walter and Miles Erickson, age 4

Happy fourth birthday, Miles and Walter!  

Happy Ending to Librarian’s Story, Thanks to Coordinated Care

Posted on Feb 12, 2020 in Affiliates, Alta Bates Summit Medical Center, Neuroscience, Quality, Scroll Images

BERKELEY, Calif. –When retired UC Berkeley librarian Barbara Kornstein walked into her neighborhood bakery for pastry and coffee on a recent January morning, she never imagined that within moments her fellow patrons would be calling 911 for help after she suffered a stroke and fell from her chair. Fortunately, a dedicated team of first responders, nurses and doctors were close by to coordinate the treatment that would save Kornstein’s life.

Within 30 minutes from the 911 call to the Berkeley Fire Department, Kornstein was evaluated by a doctor with special training in stroke management in the emergency department at Alta Bates Summit Medical Center in Oakland, part of the Sutter Health not-for-profit network of care.

After undergoing a CT scan, Kornstein received clot-dissolving medication and was quickly transferred to the hospital catheterization lab, where a neurologist specially trained in neurointervention removed the blood clot from her brain through a minimally invasive procedure that significantly reduces the risk of stroke-related disability and death.

“Barbara is doing remarkably well thanks to the seamless coordination of care that she received at Alta Bates Summit Medical Center’s Regional Stroke Center,” says Brian Richardson, M.D., medical director of Alta Bates Summit’s stroke program. “Our program is nationally recognized for ensuring stroke patients receive life-saving intervention urgently upon arrival. Barbara’s story is just one example of our commitment to making sure stroke patients receive the very best care possible.”

“I go to the New York International Film Festival every year and I’m so glad that I will be able to attend this year’s festival in September,” says Kornstein. “I’m feeling great and I’m so thankful for all the people that helped saved my life.”

A few days after her stroke, Barbara was resting comfortably in the Alta Bates Summit Acute Inpatient Rehabilitation Unit in Oakland when she received a visit from Chris Barney and Nick Scornaich from the Berkeley Fire Department who were the first to respond to the 911 call. Barney and Scornaich were joined by members of the Alta Bates Summit Emergency Department, Cath Lab, Intensive Care Unit, Regional Acute Inpatient Rehabilitation Center and surgery teams that all played a part in Kornstein’s care.

“It’s wonderful and a bit overwhelming to meet all the people who cared for me,” says Kornstein. “I’m glad that I live so close and have access to such great medical care.”

“It’s quite moving to see everyone that had a touch in Barbara’s care shower her with love and words of encouragement,” says Debra Blanchard, R.N., Stroke Center Coordinator at Alta Bates Summit. “She’s doing great and it’s a testament to our first responders and our stroke team for their ability to provide timely treatment so that people who suffer strokes have the potential to have great outcomes like Barbara.”

Helping Mind the Gap on Cardiovascular Diseases

Posted on Feb 7, 2020 in Alta Bates Summit Medical Center, California Pacific Medical Center, Cardiac, Expanding Access, Innovation, Quality, Research, Scroll Images, Sutter Medical Center of Santa Rosa, Sutter Medical Center, Sacramento, Sutter Medical Foundation, Sutter Roseville Medical Center

Heart valve imaging
Heart valve imaging

Lifesavers appear in big sizes and small. For patient Adam Livingstone, rescue was a dime-sized clip that restored his heart’s normal rhythm and size. For months, Livingstone had been experiencing shortness of breath, chest pain and fatigue. Diagnosed with mitral valve regurgitation, a minimally invasive procedure to repair the valve was performed at Sutter Medical Center, Sacramento—one of Sutter’s sites where researchers evaluate new devices for treating damaged or diseased heart valves.

The Heart’s Finely Orchestrated Blood Flow

Heart valves
Heart valves

Like a musical conductor, the heart oversees rhythm and flow, circulating blood to each of its chambers in a coordinated, unidirectional symphony.

THE MITRAL VALVE

Mitral regurgitation, the most common type of heart valve disorder, occurs when blood leaks backward through the mitral valve when the left ventricle closes.

Some patients undergo non-surgical heart valve repair with transcatheter mitral valve repair (TMVR) with MitraClip®.2 During the procedure, doctors thread a catheter into a large leg vein reaching the heart. Then a dime-sized clip clamps the improperly working valve, allowing it to close more tightly with less backward blood flow.

“Some research participants recover faster and resume normal activities within a week of the procedure, and may not require lifelong anticoagulant medications, repeat surgeries, or re-hospitalization,” says David Roberts, M.D., FACC, FSCAI, medical director of cardiovascular services at Sutter in the Valley Area.

A new clinical trial at Sutter called PASCAL CLASP IID/IIF will test the safety and effectiveness of TMVR with the PASCAL Transcatheter Valve Repair System® compared with MitraClip® in patients with mitral regurgitation.3

For patients with severe mitral regurgitation, Sutter’s CPMC seeks to enroll patients in a clinical trial called SM3, which assesses the safety and efficacy of the SAPIEN M3 System™.4

“In this study, we are evaluating a new type of mitral valve that may provide a minimally invasive alternative to surgery for high-risk patients with severe mitral valve disease,” says David Daniels, M.D., co-director of Sutter’s Structural Heart Program in the Bay Area, and principal investigator of the SM3 clinical trial at Sutter.

Some patients develop mitral valve disease when calcium deposits accumulate on the fibrous ring attached to the mitral valve leaflets. For these patients with mitral annular calcification (MAC), Sutter will begin offering enrollment in the Summit clinical trial, which will test the safety and effectiveness of the Tendyne™ transcatheter mitral valve.5

“Previous approaches to treat patients with MAC have mainly involved the off-label use of transcatheter aortic valves,” says Dr. Roberts. “But this strategy may lead to residual mitral regurgitation and the need for open-heart surgery. Sutter’s participation in Summit may lead to novel ways to care for this hard-to-treat subset of patients.”

THE TRICUSPID AND AORTIC VALVES

Although a skilled conductor, sometimes the heart needs help to maintain proper blood flow for musical perfection. To the rescue: Sutter researchers test interventional devices designed to treat patients with diseased or damaged tricuspid and aortic valves.

In one new clinical trial, Sutter researchers will collect information about treatment for severe aortic regurgitation, a condition typically treated with aortic valve replacement surgery.

This study will examine the use of TAVR (Transcatheter Aortic Valve Replacement), a minimally invasive procedure designed to replace the aortic valve inside the heart. In this study, TAVR will be performed using the JenaValve™ Pericardial TAVR System, designed to help treat patients with severe aortic regurgitation or severe aortic stenosis.6

“Until now, all commercially available TAVR valves have focused on aortic stenosis, or a restricted valve,” says Dr. Daniels, co-principal investigator of the TAVR with JenaValve™ clinical trial at Sutter. “The JenaValve™ may allow researchers to treat patients with a leaky valve in the absence of any calcium. Currently these patients are only candidates for open-heart surgery.”

Additionally, Sutter researchers at CPMC and Sutter Medical Center are seeking to enroll patients who have tricuspid regurgitation in a clinical trial called TRILUMINATE.

The TRILUMINATE study will evaluate the safety and effectiveness of the Tricuspid Valve Repair System™ (TVRS) for treating moderate or severe tricuspid regurgitation in patients currently on medical management and who are deemed appropriate for percutaneous transcatheter intervention.7

  • Learn more about Sutter cardiovascular diseases research and clinical trials.
  • If you are suffering from mitral or tricuspid valve regurgitation, aortic valve stenosis or other heart valve disorder, talk to your cardiologist to see if research participation and/or valve replacement or repair is right for you.

References:

  1. American Heart Association.
  2. MitraClip™ is manufactured by Abbott Medical Devices.
  3. The PASCAL clinical trial is sponsored by Edwards Life Sciences, makers of the Transcatheter Valve Repair System®.
  4. The S3 clinical trial is sponsored by Edwards Life Sciences, makers of the SAPIEN M3 System™.
  5. The Summit clinical trial is sponsored by Abbott Medical Devices, makers of the Tendyne System™.
  6. The JenaValve™ clinical trial is sponsored by JenaValve Technology, Inc., makers of the Pericardial Transcatheter Aortic Valve Replacement (TAVR) System.
  7. The TRILUMINATE clinical trial is sponsored by Abbott Medical Devices, makers of the Tricuspid Valve Repair System™.

Sutter Research: Advancing Care for Patients with Breast Cancer

Posted on Oct 21, 2019 in Affiliates, Alta Bates Summit Medical Center, California Pacific Medical Center, Expanding Access, Innovation, Memorial Medical Center, Mills-Peninsula Health Services, Palo Alto Medical Foundation, Quality, Research, Scroll Images, Sutter Medical Center, Sacramento, Transformation, Women's Services

SAN FRANCISCO, Calif. – Breast cancer research has the potential to improve cancer care for the 3.8 million American women living with the illness. Recognizing Breast Cancer Awareness Month, we’re highlighting the bold science and game-changing breast cancer research at Sutter. This work can help advance knowledge of how to detect and treat the illness.

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Rare Hospital-Based Treatment Program Helps People Beat Addiction

Posted on Oct 17, 2019 in Affiliates, Alta Bates Summit Medical Center, Quality, Scroll Images

(OAKLAND, Calif.)Alta Bates Summit Medical Center’s Merritt Peralta Institute (MPI) for chemical dependency treatment has helped more than 15,000 people since its founding in 1979. At 40 years old, MPI is the oldest hospital-based addiction detoxification and treatment program in the San Francisco Bay Area.

Hospital-based treatment means that the MPI staff is able to treat people for drug and/or alcohol addiction who also have underlying medical conditions such as diabetes or cancer.

“There are only six hospital-based inpatient treatment centers like ours in all of California,” says Terry Arnold, MPI program manager. “Having access to a doctor and 24-hour nursing care makes our program unusual. We take a lot of pride in providing comprehensive care to our participants and we look forward to offering these services for many more decades to come.”

MPI is a voluntary treatment program that provides comprehensive treatment for addiction with the caring, ongoing support and medical attention needed to understand the disease of chemical dependency and make the transition to recovery.

“What has set our program apart over the last 40 years is our highly trained staff who have dedicated themselves to care for our participants and their families,” says Arnold.

To meet the diverse needs of MPI clients over the years, the 24-bed program has expanded access to accommodate more participants dealing with addiction to opioids and other pain killers.

“Over the last 15 years, we have seen a large increase in opioid addiction, with 25 percent of our program participants now receiving care for it,” adds Arnold. “I’m proud of how our program has evolved and accommodated to meet the demand.”

Addiction-Free Pain Management

At MPI, opiate-addicted people with chronic physical pain learn alternative techniques to dealing with it, including the use of non-addictive medications and acupuncture, guided imagery, hypnosis and restorative yoga.

MPI is a full-service addiction treatment program which offers:

  • medically-supervised detoxification
  • inpatient and residential rehabilitation
  • day treatment
  • morning and evening intensive outpatient programs
  • comprehensive family program
  • continuing care services to offer the support needed to stay in recovery
  • complementary therapies like yoga, acupuncture and NeuroAdvantage—a drug-free technology used to train the nervous system to activate a relaxation response

Clinical Excellence and Tailored Treatment Plans

MPI is certified by the Commission on Accreditation of Rehabilitation Facilities (CARF). To achieve this certification, MPI demonstrates that it conforms to rigorous and internationally-recognized standards.

Each MPI participant works directly with the medical staff and chemical dependency counselors to develop a customized treatment plan tailored to their specific needs and preferences.

Recovery can begin the moment you are ready to stop the cycle of addiction and reclaim your life. To schedule an assessment interview at MPI or for more information, call 510-652-7000.