Johns Hopkins All Children's Hospital

Summer 2016

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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

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