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New Service Lines Added to Our Lineup

Neuroendovascular Surgery

, also known as interventional neuroradiology, utilizes

minimally invasive procedures to treat complex diseases that affect the delicate areas

of the brain, neck and spine. These minimally invasive procedures allow our surgeons to

effectively treat various conditions, suchas brainaneurysms, arteriovenousmalformations,

arteriovenous fistulas and stroke. How you may ask? The procedure is done by threading

small wires and catheters through arteries and veins. Through this minimally invasive

technique, conditions are treated from within the blood vessels, without the need of a

traditional surgical procedure. At the end of the day, utilizing these minimally invasive

procedures provide many benefits to our patients, such as fewer complication rates and

quicker recovery times.

Transcatheter Aortic Valve Replacement (TAVR)

has changed the future of cardiac

care. Until recently, the only way to get a new heart valve was to have open heart surgery.

The TAVR procedure allows patients to undergo aortic valve replacement through a small

incision in the skin. Whether or not the patient is eligible for a TAVR procedure is up to the

TAVR team. If the patient is determined to be high risk or is too sick for open heart surgery,

then TAVR may be the answer that is the most appropriate for some of our patients. How

does it work? The less invasive procedure allows for a new valve to be inserted within the

diseased aortic valve while the patient’s heart is still beating. A cardiopulmonary bypass

isn’t required, however, during parts of the procedure, the patient’s heart rate may need

to be temporarily increased to a very fast rate, which results in a lower than normal blood

flow to vital organs for short periods of time. The TAVR procedure can be performed

through three different approaches – transfemoral, tranasapical or transaortic. Through

TAVR, patients that have been identified to have complications from a traditional open

heart surgery are provided with an alternative that is better suited for them.

CODE OF CONDUCT

Don’t wait until the last minute! Take the 2014 Code of Conduct

with anticipation. All employees must complete the Code of

Conduct by Friday, October 31, 2014. To access the course, visit

our Intranet homepage from an HCA computer and click on the

Education tab. From there, select the healthstream link and log-in.

Once you log-in, you will see the 2014 Code of Conduct available

in your assigned courses.

What is HCA’s Code of Conduct?

The HCA Code of Conduct provides guidance and assists us in

carrying out our daily activities with appropriate ethical and legal

standards. The online version of the Code of Conduct includes links

to other beneficial resources, including policies and procedures.

It also includes questions and answers to help each of us better

understand how the Code applies to situations we encounter.

If you have any questions, please contact your Supervisor,

Human Resources Department, or Ethics & Compliance Officer,

Vickie Warner, at extension *74575. You can also call our Ethics

Line at 800-455-1996.