Paul Sorajja, MD

1. Transcatheter Valves
Paul Sorajja, MD
Director, Center for Valve and Structural Heart Disease
Minneapolis Heart Institute®
Abbott Northwestern Hospital
ANW Innovation Summit 2015

2. 86 year-old man
What would you do next?
Recurrent HF
Poor EF
Renal failure
Frail

3. Transcatheter Valves
2015
The Bing and the Bang
The Boom

4. The Bing and the Bang
The high impact of what we
regularly do

5. Transcatheter AVR
Saves lives
>400 cases at ANW

6. Minimizing ICU Stays
TAVR to telemetry
0
4
8
12
16
20
MACE (%)
ICU
No ICU
P=0.001
0
2
4
6
8
10
12
LOS (d)
P=0.01
0
5,000
10,000
15,000
20,000
25,000
30,000
Variable ($)
P=0.005
Made possible with innovation

7. 25,000 patients like her in MN now

8. Transcatheter MV Repair
MitraClip

9. 86 year-old man
Frail
High surgical risk

10. Outcomes of the Initial Experience
with Commercial Transcatheter Mitral
Valve Repair in the U.S.
ACC 2015 LBCT
Paul Sorajja, MD, Saibal Kar, MD, Amanda Stebbins, Sreekanth
Vemulapalli, MD, D. Scott Lim, MD, Vinod Thourani, MD,
Michael Mack, MD, David R. Holmes, Jr., MD,
Wesley A. Pedersen, MD, and Gorav Ailawadi, MD

11. Median LOS = 3 days
MitraClip in the U.S.
92% success rate

12. The Boom
Abbott Northwestern Hospital
A World Class Center for
Valve Disease

13. Two live case courses in 2015
Four more in 2016
Center of Excellence

14. A Partnership with Minneapolis Heart
Institute Foundation
Highest worldwide experience
First TMVR in the U.S.

15. April 8, 2015

17. 16
Mitral Regurgitation Facts
Survival worse than
advanced cancer
Rossi A, et al. Heart 2011;97:1675-80
2 million in U.S.
Only 30,000 MVR
annually

18. Growth Together
Intensivists, hospitalists, RNs, NP’s, PA’s,
many others not pictured!
61%
63%

19. 0
100
200
300
400
500
600
2011 2012 2013 2014
The Halo
Abbott Northwestern Hospital
0
100
200
300
400
500
600
2011 2012 2013 2014
transcatheter
surgical valve cases
57
50
72
97
mitral repair surgery
405%
71%
47%

20. Key points
The Bing and the Bang
Our innovations matter greatly
The Boom
Together we do exceptional
things