Somerset’s newest Cardiothoracic Surgeon performs cutting-edge procedure in Lake Cumberland Regional Hospital’s Cardiac Cath Lab

February 11, 2019

Late last year, Dr. Jamal Rabbi, Lake Cumberland Regional Hospital’s newest Cardiothoracic Surgeon, performed a ground breaking Endovascular Aneurism Repair, an EVAR procedure, for short. Procedures of this kind involve inserting a graft within the aneurysm through small incisions in the groin area using X-rays to guide the graft into place.
“I’m excited to bring this cutting-edge technology to Somerset and look forward to serving our community’s cardiovascular needs,” remarked Dr. Rabbi, who has been a surgeon with LCRH since November 2018.   
A procedure of this kind has never been done in the LCRH Cath Lab. 
Amy McKinney, RN, BSN, RN-BC, Director of the LCRH Cath Lab explains, “Procedures of this kind are normally done in a regular operating room, but for everyone involved there are better outcomes if they are done inside the cath lab. Patients have a shortened hospital stay of twenty-four to forty-eight hours versus sometimes six weeks with the OR. The procedure is minimally-invasive and the patient is able to be on their feet, moving around much faster.” 
There are many benefits to Cath Lab technology including, better image resolution, allowing the physician to see more detail of the patient during the procedures; a decrease in the length of time it takes to do a procedure (by as much as 50% in some cases); a decrease in the amount of contrast media, or dye, injected into the patient; a reduction in the number of injections needed during the procedure because the technology provides real-time, 3-D images of the patient; and an increase in information sharing, because results are available immediately and can be easily transferred in the event the patient is referred to other physicians for treatment.
Charlotte Hayes RN, BSN, CPAN, CNOR, Cardiac Care Specialist at LCRH, also explained with an example:  “When a patient comes in through the Emergency Room with a leaking abdominal aorta, rather than having to do an emergency open abdominal aortic aneurysm, we can repair it with an EVAR instead, nearly eliminating unforeseen complications. With screens and imaging equipment it makes it easier for the doctors to visualize and maintain accuracy throughout the procedure.”