News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


NZ-First Procedure a Success at Waikato

NZ-First Procedure a Success at Waikato


Waikato Hospital’s Cardiology team have successfully performed a New Zealand-first hybrid coronary revascularisation on a 54-year-old Tokoroa man.

Michael Lucas is the first New Zealand patient to undergo this procedure in Waikato Hospital’s new purpose built hybrid cardiology theatre – part of Waikato District Health Board’s $500m building programme.

Hybrid coronary revascularisation is an internationally emerging procedure and an alternative to traditional coronary bypass surgery, which merges bypass surgery (creating new routes for blood flow when one or more arteries in the heart become blocked) and angioplasty (opening blocked arteries by inflating a tiny balloon and insertion of stents) during the same operation.

Waikato DHB Cardiothoracic Surgery clinical director Adam El Gamel performed the bypass surgery, while Waikato DHB interventional cardiologist Madhav Menon performed the angioplasty.

“If for anatomical reasons we aren’t able to perform a full bypass, for example, if the patient doesn’t have enough healthy blood vessels in the body for us to use, we would only be able to do half the job, which can leave the patient very unwell and struggling, because you have left half of the heart struggling,” Mr El Gamel explains.

This was the case for Mr Lucas who is a diabetic and amputee. He suffers from coronary artery disease due to his condition.

“So instead of doing the whole job using one procedure, we were able to bypass what we could with the blood vessels his body had available, and finish the job by putting stents in.

Mr El Gamel said Mr Lucas, his Cardiology team and prospective patients could thank hospital management for having the vision to spend the money and allow construction of the hybrid cardiology theatre – the only one of its kind in New Zealand.

“We are very lucky to have this suite at Waikato Hospital,” he said.

“What it means is that we don’t need to move the patient from one theatre to another to perform the two different interventions, so it is much less risky for the patient and much more straightforward for the 20-plus medical professionals involved.”

Dr Madhav said the commencement of offering this procedure at Waikato Hospital was about 12 months in the making.

“There were a lot of medical staff from many different teams to coordinate. We had to get all the equipment together; the plans, the protocol, the routines and the team in place. Then we had to wait for the right patient to come along.”

And that patient was ex-truckie Michael Lucas from Tokoroa, who six days after undergoing the New Zealand-first surgery, was being discharged back home to the South Waikato.

He had suffered a number of heart attacks over the past couple of years, but said he was feeling 110 per cent better, as he was being discharged in the Transit Lounge at the hospital earlier this week.

“It’s an amazing thing they have done for me,” he said.

Mr El Gamel and Dr Menon said they were really pleased with the outcome of the first hybrid coronary revascularisation and said that the procedure would be done more and more often from here on out.

“It gives us another option, and allows us to measure our success,” said Dr Menon, who acknowledges the New Zealand Heart Foundation and Waikato Heart Trust for the support they have provided him in his fellowship.

“In the future, we should be able to use a minimal invasive approach by creating a smaller incision, which will lead to earlier discharge and faster recovery time.”

As for Mr Lucas, his recovery will progress in the usual way, with him returning for an initial check-up in six weeks’ time and with regularly monitoring in the future.

ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Architecture:
Ian Athfield Dies In Wellington

New Zealand Institute of Architects: It is with great sadness that we inform Members that Sir Ian Athfield, one of New Zealand's finest architects, has passed away in Wellington. More>>

ALSO:

Wellington Production: New-Look Tracy Brothers Are F.A.B.

ITV and New Zealand’s Pukeko Pictures today released an exclusive preview of the new-look Tracy brothers from this year’s hotly anticipated new series, Thunderbirds Are Go. More>>

ALSO:

Cardinal Numbers:
Pope Francis Names Archbishop From NZ Among New Cardinals

Announcing a list of bishops to be made Cardinals in February Pope Francis named Archbishop John Dew, Archbishop of Wellington, overnight from Rome. On hearing the news of the announcement, Archbishop John Dew said "This news is recognition of the Catholic Church in Aotearoa New Zealand, and the contribution it makes to the global Catholic family." More>>

ALSO:

Nomenclature: Charlotte And Oliver Top Baby Names For 2014

Charlotte and Oliver were the most popular names for newborn girls and boys in 2014... The top 100 girls’ and boys’ names make up a small proportion of the more than 12,000 unique first names registered for children born this year, says Jeff Montgomery, Registrar-General of Births, Deaths and Marriage. More>>

Werewolf: Katniss Joins The News Team

From the outset, the Hunger Games series has dwelt obsessively on the ways that media images infiltrate our public and personal lives... From that grim starting point, Mockingjay Part One takes the process a few stages further. There is very little of the film that does not involve the characters (a) being on screens (b) making propaganda footage to be screened and (c) reacting to what other characters have been doing on screens. More>>

ALSO:

Scoop Review Of Books: Ko Witi Te Kaituhituhi

Witi Ihimaera, the distinguished Māori author and the first Māori to publish a book of short stories and a novel, has adopted a new genre with his latest book. But despite its subtitle, this book is a great deal more than a memoir of childhood. More>>

Werewolf: Rescuing Paul Robeson

Would it be any harder these days, for the US government to destroy the career of a famous American entertainer and disappear them from history – purely because of their political beliefs? You would hope so. In 1940, Paul Robeson – a gifted black athlete, singer, film star, Shakespearean actor and orator – was one of the most beloved entertainers on the planet. More>>

ALSO:

"Not A Competition... A Quest": Chapman Tripp Theatre Award Winners

Big winners on the night were Equivocation (Promising Newcomer, Best Costume, Best Director and Production of the Year), Kiss the Fish (Best Music Composition, Outstanding New NZ Play and Best Supporting Actress), and Watch (Best Set, Best Sound Design and Outstanding Performance). More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news