currently prohibits pulmonary valve replacement in very small
patients, Stapleton expects the technology to evolve so it can
be used in different pediatric populations. He also believes that
transcatheter valve techniques widely utilized in adults, such as
MitraClip, will soon expand to the pediatric population. e
evolution of transcatheter valve replacement supports Stapleton's
overall belief that upcoming trends in cardiovascular care will
center on minimally invasive techniques.
"In the future, I believe we will have less-invasive diagnostic
tools and will be able to apply interventional techniques to
smaller, sicker patients," Stapleton says. "is will allow us to
palliate patients and delay open-heart surgery until they are
older and can receive a definitive, surgical repair."
Jacobs anticipates enhancements in several areas, including the
type and number of ventricular and mechanical assist devices on
the market.
"Many of the advancements that I believe will take place
over the next several years in pediatric and congenital care are
areas where we are actively engaged in research," Jacobs says. "I
am confident that our institute will remain at the forefront of
using new devices and techniques to help our patients."
Visit HopkinsAllChildrens.org/heart for more information
about the Johns Hopkins All Children's HeartInstitute and
its outcomes.
Ample data show that
outcomes following pediatric
and congenital cardiovascular
care are tied to programmatic
volumes. e Johns Hopkins
All Children's Heart Institute
is one of the highest volume
programs in Florida, which
ensures that our patients can
receive high-quality care for
all their medical needs in
one location.
—JEFFREY P. JACOBS, M.D., F.A.C.S., F.A.C.C., F.C.C.P.
"
"
Occupational
therapist Michelle
Kremer works with
Brisa in the CVICU.
14 Johns Hopkins All Children's Hospital | HopkinsAllChildrens.org
Heart Institute