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At the Hospitals

n First in the World                             n Got Germs?                                      a need for additional programs and services to
                                                                                                   ensure children can reach their fullest potential.
  Sanger Heart & Vascular Institute’s              Everyone has germs in their body called
clinical research team has achieved a first-     bacteria and viruses. There are “good               Beyond the physical challenges, up to 50
in-the-world milestone. Through national         bacteria” that help keep us healthy, but          percent of pediatric heart surgery patients
and international trials, the team is dedicated  viruses usually make us sick.                     may demonstrate neurodevelopmental deficits
to using innovative techniques and the latest                                                      which can impact language, fine motor skills, or
technology to help patients.                       Antibiotics are powerful medications that       vision. They may be diagnosed with behavioral
                                                 can fight infections and save lives by killing    issues (from depression to attention deficit
  Congratulations to cardiologist Michael        bacteria in your body. While antibiotics can      hyperactivity disorder) or they may develop
Rinaldi, MD, FACC, and Eric Skipper,             help cure your bacterial infections, they won’t   learning disabilities that can limit educational
MD, along with the entire Sanger team for        help you fight a virus like a cold or the flu —   opportunities or even job choices.
treating the first patient in the world in the   and taking an antibiotic when you don’t need
EARLY TAVR trial.                                it can have serious consequences.                   Many of these issues can be hard to detect
                                                                                                   until later in life. Without access to the right tests
  The EARLY TAVR trial is researching              The good news: If you know the difference       and programs, even teachers and pediatricians
if early intervention through transaortic        between bacteria and viruses, and when            may fail to notice the subtle differences. This
valve replacement, a minimally invasive          it’s appropriate to take antibiotics, you can     program will provide key services to bridge that
procedure, will make a difference for people     fight infections properly and feel better the     gap and ensure patients and their families have
with severe aortic stenosis. A common            healthy way.                                      access to the right care. Services will include:
heart valve problem, aortic stenosis, occurs                                                       • Early diagnosis. By conducting the right tests
when the main valve in the heart narrows,          Antibiotics are drugs that kill bacteria
causing blood to build up in the heart’s main    and can only treat sickness that is caused by       at the right time, experts will learn the extent
pumping chamber.                                 bacteria, also known as a bacterial infection.      of a child’s problems early on so they can
                                                 This includes strep throat, urinary tract           intervene at the point of greatest impact and
  The team has successfully advanced             infections (UTI) and many skin infections.          set appropriate expectations for parents.
a “minimalist” approach to TAVR,                                                                   • Comprehensive evaluation. While every
performing more than 90 percent of                 Antibiotics don’t work on sickness caused         child is different, all will benefit from the
procedures with conscious sedation and           by virus germs, also known as a viral               collective expertise of a team of pediatric
without surgical incisions. With the region’s    infection. This includes most flu and common        cardiologists, neuropsychologists, physical
shortest post-TAVR hospital stays and            cold symptoms, such as sore throats, sinus          and occupational therapists, speech
lowest readmission rates for complications,      infections, chest colds and bronchitis.             therapists, dieticians, social workers and
Sanger is one of only a handful of centers                                                           education specialists.
in the country chosen to participate in these      If you take an antibiotic when you don’t        • Coordinated care. By arranging tests and
important trials.                                need it — for example, when you have a cold         interventions through a single clinic, the care
                                                 or the flu — it can make you feel worse and         team will receive a complete picture of a
n New Option for Heart Failure Care              make your illness last longer. To learn more,       child’s well-being, while also making access
                                                 visit carolinashealthcare.org/germs.                easier for parents.
  Carolinas HealthCare System patients                                                             • Leading research. One of the clinic’s
soon will have a new option for heart            n Levine Children’s Hospital and                    goals is to learn more about this growing
failure care. The U.S. Food and Drug                                                                 patient population and conduct research to
Administration approved the HeartMate 3            the HEARTest Yard Commit to                       develop the most effective, evidence-based
Left Ventricular Device in late August.                                                              treatments.
                                                   Region’s First Cardiac Create                     Levine Children’s Hospital has been
  Sanger Heart & Vascular Institute                                                                named a Best Children’s Hospital by U.S.
was one of 69 centers chosen for the               Neurodevelopmental Program                      News & World Report in multiple specialties,
MOMENTUM 3 trial, which compared                                                                   including cardiology and heart surgery. With
the HeartMate 3 LVAD to the HeartMate              The Greg Olsen Foundation, in partnership       the only pediatric heart transplant program
II LVAD in advanced-stage heart failure          with Carolinas HealthCare System’s                in the greater Charlotte region and the most
patients. Initial data shows that advanced       Levine Children’s Hospital, announced The         technologically advanced catheterization labs
heart failure patients who receive the new       HEARTest Yard Fund has pledged to support         in the Carolinas, the hospital is one of the top-
pump had a reduced risk of reoperation due       a cardiac neurodevelopmental program, which       ranked cardiology and heart surgery programs
to pump malfunction.                             will be the most comprehensive program of its     in the nation. Combining the clinical expertise
                                                 kind in the southeast.                            and care with a unique neurodevelopmental
                                                                                                   program will give patients and their families the
                                                   The HEARTest Yard, which was founded            best opportunity to not just grow, but to thrive.
                                                 by Carolinas Panthers All-Pro tight end Greg
                                                 Olsen and his wife Kara, provides families of
                                                 infants treated for severe or complex congenital
                                                 heart disease at Levine Children’s Hospital
                                                 with services including in-home private nursing
                                                 care, physical therapy and speech therapy at no
                                                 charge. As their own son who was born with a
                                                 congenital heart defect has grown, they realized

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