Greenville, N.C. – ECU Health Medical Center is expanding advanced heart care with two new, state-of-the-art technologies for transcatheter tricuspid valve replacement. The new technologies – EVOQUE™, a first-of-its-kind transcatheter tricuspid valve replacement, and TriClip G4™, a minimally invasive clip procedure designed to reduce tricuspid valve leakage – offer new hope for patients previously ineligible for surgery, providing significant symptom relief and improved quality of life.
“These new procedures represent a major advancement in the treatment of tricuspid valve regurgitation, offering hope to patients who previously had limited options,” said Dr. Paul Mahoney, section chief, interventional cardiology, director, Cardiac Catheterization Lab, East Carolina Heart Institute. “With the EVOQUE valve replacement and the TriClip G4, we can now provide effective, minimally invasive solutions that reduce symptoms and improve heart function without the need for open-heart surgery. This is a significant step forward in improving outcomes and quality of life for patients with TR.”
Tricuspid valve regurgitation affects more than 1.5 million people in the U.S. and occurs when the tricuspid valve fails to close properly, allowing blood to flow backward. This condition forces the heart to work harder, potentially leading to heart failure. Risk factors include heart disease, atrial fibrillation (AFib), pulmonary hypertension, prior chest radiation therapy and structural valve damage. Symptoms can range from fatigue and shortness of breath to swelling in the abdomen, legs or neck veins.
Traditionally, treatment options were limited to diuretics for symptom management, with surgical intervention reserved for only the healthiest patients or those already undergoing left-sided valve surgery. However, with recent advancements, including the FDA-approved TriClip G4 and EVOQUE valve replacement, patients now have access to innovative, minimally invasive options that can significantly improve heart function and overall well-being.
“It is critical that patients in eastern North Carolina have access to the latest innovations in heart care close to home, so they do not have to travel far for cutting-edge treatment options,” said Dr. John Catanzaro, John “Jack” Rose Distinguished Professor and chief of the Division of Cardiology at the Brody School of Medicine at East Carolina University, and director of the East Carolina Heart Institute at ECU Health Medical Center. “Our commitment to bringing the most advanced cardiac treatments to this region ensures that patients receive high-quality, life-changing care without unnecessary delays or burdens. I am proud of our heart and vascular care teams who continue to advocate for patients in our region and ensure they receive world-class treatment right here at ECU Health.”
ECU Health team members who participated in these groundbreaking procedures include Dr. Mahoney, Dr. Catanzaro, Dr. Melissa Moey, Dr. Wiley Nifong, Dr. Michael Bates and Dr. Brian Cabarrus. To learn more about ECU Health Heart & Vascular Care, please visit ECUHealth.org/Heart.
On Jan. 6, the ECU Health Cardiac Rehabilitation – Roanoke Rapids clinic, partnered with Pritikin Intensive Cardiac Rehabilitation (ICR), opened its doors to the community. It’s the first program of its kind in eastern North Carolina, and its first cohort of patients is preparing to graduate from the program.
Pritikin ICR is based on the Pritikin Program, which has been taught for nearly 50 years at the Pritikin Longevity Center in Miami, Florida. More than 150,000 people have attended the program, and more than 100 peer-reviewed, published studies performed by the University of California in Los Angeles (UCLA) medical researchers have established the program’s proven health benefits. Recently, ECU Health’s cardiac rehabilitation clinic in Roanoke Rapids partnered with the program to bring its cutting-edge methods to eastern North Carolina.
To participate in the program, patients must have experienced a qualifying heart condition, including stable angina, heart attack within the last 12 months, coronary artery bypass surgery, heart valve repair or replacement, coronary angioplasty or stent placement, heart transplant or heart/lung transplant and chronic heart failure.
The program’s comprehensive, lifestyle-change curriculum is based on three pillars: safe, effective regular exercise, heart-healthy nutrition and a healthy mindset that fosters healthy behaviors. This programming is one aspect that differentiates ICR from conventional cardiac rehabilitation. Additionally, the program includes 72 sessions – 36 exercise and 36 educational – as opposed to the 36 maximum sessions of traditional cardiac rehabilitation. The goal is to provide patients with the tools and knowledge they need to succeed both during rehabilitation and long after.
Markus Melvin, the program manager for cardiovascular and pulmonary rehab, detailed a typical day for participants. “Patients come three days a week and do about an hour of exercise followed by an hour of education. Every patient has a guidebook with exercise tips, recipes and other information that they bring with them to each session” he explained. “It’s like they’re in school. They take notes and ask questions.” Overall, he said, patients enjoy the experience and are engaged in the curriculum. “We teach them about medications, exercise, balance training, healthy mindset like communication skills and setting goals, tobacco cessation – it’s great to see that lightbulb switch on when they get it.”
The resounding patient feedback to this approach has been positive. Robin Joyner joined the program after having a series of heart attacks, a defibrillator placement and recovery after an infection. “They suggested I do ICR, and I said any type of therapy to get my heart strong again was okay with me,” she said. “It gets me out of the house, I can socialize and I work out.” James Moseley, who found ICR after having open heart surgery four months ago, agreed. “They are making my heart work,” he said. “They’re giving me a second chance. I enjoy going.”
One of the favorite parts of the program happens on Wednesdays when the staff dietitian prepares heart-healthy meals the patients can then eat. “I love it,” Robin shared. “One day she made an apple turnover with fajita bread, and another day she made white bean chili. Her food has taste to it.” While he didn’t always like the recipes the dietitian made, James said the experience helped him to be a more mindful eater. “The cooking makes you think about what you can and can’t do, and I think about everything I eat now,” he said. “That’s a blessing.”
Another benefit for patients is the ability to socialize and connect with others going through a similar experience. Markus said it was common for patients to talk with each other and share their knowledge and background. “You see that camaraderie in class, and they make friends,” he said. “They discuss their personal events and someone says, ‘Oh, I went through something similar.’ They teach each other things and it makes the classes fun.” Robin agreed: “We all get together and talk,” she said. “We all share what happened to us. Everyone is nice to each other and it’s a happy place.”
Of course, a centerpiece of the program is the exercise, which Robin admitted was intense. “Markus doesn’t play,” she laughed. “He’s so nice and kind, and he makes it fun, but he never lets us take the easy way out.” Markus called attention to the tailored exercise plans for each patient, as well as the careful monitoring they undergo during each visit. “We’re the touch points between doctor visits for these patients, so we can spot things that are happening with regards to medications or new signs or symptoms,” he said. “And we help the patients learn exercises and how to progress them, whether they have never exercised in their life or used to exercise in the past.”
Robin and James agreed that it was beneficial to have this program close by, so they don’t have to travel long distances to attend. “I was previously in regular cardiac rehabilitation in Rocky Mount,” Robin said, noting the challenges of an increased travel time. James said he wouldn’t have been able to participate had the program been in Greenville. “The main thing I hear about this program is that it’s local,” Markus said. “It’s the first rehab program in the area for quite some time, so the fact that it’s within a short drive is a big selling point,” he said. And clearly, the program is in demand. “We started with three patients and now have 20, and we do have a waitlist because we have more and more patients being referred to us,” Markus said. “There’s definitely a need for it here, and it shows an increased awareness of the importance of cardiac health.”
Robin and James are approaching their graduation date, at which time a new cohort will be ushered in. They both emphatically agreed that ICR is beneficial and worth the time. “I am feeling pretty good now,” James said. “I was walking slowly at first, but I’ve gone up on speed and incline on the treadmill and the bike. I think about my kids, my grandkids and my girlfriend and I want to be here for them. The doctors did their part, and now we have to do ours.” Robin said that while she exercised daily prior to this program – and still walks regularly now – she feels a lot better for having participated in ICR. “I have more energy when I go to class, and I can’t wait to go again. Everyone with a heart problem should have therapy because it really does work, and with this group, you’re dealing with the best.”
To learn more about the ECU Health – Roanoke Rapids ICR program, visit ECUHealth.org.
Stacey Greenway, the executive director of primary care service line at ECU Health Medical Center, recently attended her 11th Day on the Hill as a representative for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Her role, in collaboration with other AACVPR members from across the country, is to visit Washington, D. C. and advocate for cardiac and pulmonary rehabilitation with members of the United States House of Representatives and Senate. This year’s visit, which occurred March 3 – 4, marked her first as incoming president of the AACVPR, a three-year term that signifies her ongoing commitment to her profession and to her advocacy for patients in eastern North Carolina.
Greenway first attended a board meeting, followed by a kickoff meeting for anyone coming to represent the AACVPR. “We’re given background information about the bills, explaining what we’re going to talk about and the issues we’re presenting,” Greenway said. “It’s also a time to remind participants to wear comfortable shoes, bring water, be ready to go through security and other logistical topics.”
On Tuesday, Greenway said she had nine appointments scheduled every 15 to 30 minutes. “We talk to legislators from both the House and the Senate,” she said. “The meetings are about 10-15 minutes long and address issues that impact patients in eastern North Carolina and beyond. By the end of the day, we had our spiel down pat. It’s really fast-paced.”
In addition to her own advocacy efforts, Greenway attended the meetings with two additional colleagues from North Carolina. “There was me, someone from Wilmington and another individual from the Triangle area representing North Carolina. The person from Wilmington is new, so this was a chance to show her the process.” Greenway said this is key because it can be intimidating to step into an advocacy role, but the torch needs to be passed on to the next generation. “I reminded them they are the experts in their field, and they have the stories and passion to be there. It’s important to bring new people along so when you’re ready to retire or move on to the next thing, you can know things are taken care of.”
Greenway’s role as incoming president has also given her the opportunity to sit in on and participate in weekly calls with the outgoing president and the AACVPR director, where they go through what’s happening in the organization, including invitations to studies and changes in the organization.
“Advocacy is a big part of what we do,” Greenway explained. “But research and education, as well as support for the people who do that work, are also parts.”
This includes a new training program for future leaders in cardiopulmonary rehabilitation, something the organization started last year in an effort to ensure everyone in their field stays current so they can best support their patients.
Having a seat at the table is a big part of this work, and Greenway said she’s just a small part of the great work the organization does. “As treasurer, I was introduced to the financial aspect and the fiscal responsibility of being on the board. Now as incoming president, I am part of the conversations and learning what’s being discussed. It allows me to understand the bigger picture and come alongside fellow board members in following through on initiatives we decide upon as an organization. I want to represent the organization and honor our mission.”
Greenway emphasized that the work she and others do within the AACVPR is something she loves but is also important to her profession. She also wants others to know that anyone can make a change. “You don’t have to be an expert, but if you’re passionate about what you do, you can help your profession so you can do your work and serve your patients,” she said. “If there’s something you want to change, you can take action.”
Edenton, N.C. – ECU Health is expanding access to specialized cardiology care in the Chowan area with the launch of a new telecardiology program, designed to bring expert heart care closer to home for patients who may otherwise have to travel long distances for appointments or experience long wait times between appointments.
“Our goal is to provide high-quality cardiology care that is both accessible and convenient for our patients,” said Dr. Sivakumar Ardhanari, cardiologist, ECU Health. “This program allows us to assess patients in real time, conduct detailed evaluations, and coordinate necessary next steps—all without requiring them to leave their community. By integrating cutting-edge telemedicine technology with hands-on support from our local clinical teams, we’re ensuring that patients receive timely and expert care while reducing travel burdens and wait times.”
The telecardiology program, which launched its first clinic in January, leverages advanced telemedicine technology to connect in-person patients at ECU Health Chowan Hospital’s outpatient specialty clinic with Dr. Ardhanari, a Greenville-based cardiologist.
During each visit, patients first undergo standard vital checks, and the care team can perform an electrocardiogram (EKG) if needed. Dr. Ardhanari evaluates patients remotely using a specialized telemedicine system equipped with audio and video capabilities, a digital stethoscope, and other assessment tools. He communicates directly with both the patient and the attending nurse, guiding the examination process, including listening to the heart and lungs. If additional testing—such as a heart monitor or stress test—is needed, the nurse facilitates the next steps, ensuring a seamless patient-provider connection and comprehensive cardiovascular care.
Through MyChart, patients can communicate with their care teams, access test results, and ask follow-up questions, enhancing both convenience and continuity of care. Additionally, two Greenville-based cardiologists, Dr. Christopher Gregory and Dr. Christopher Karkut, continue to provide in-person visits at ECU Health Chowan Hospital on Mondays and Thursdays, ensuring a hybrid approach to care.
“The demand for cardiology services in the Chowan area continues to grow, making this program an essential step in expanding patient access,” said Dr. John Catanzaro, John “Jack” Rose Distinguished Professor and chief of the Division of Cardiology at the Brody School of Medicine at East Carolina University, and director of the East Carolina Heart Institute at ECU Health Medical Center. “By leveraging technology and clinical expertise, ECU Health remains committed to bridging gaps in specialty care, ensuring patients in rural communities have access to the high-quality cardiology services they need in their own community.”
To learn more about ECU Health Heart & Vascular Care, please visit: ECUHealth.org/Heart
An ordinary day in Greenville, North Carolina, became unforgettable when a health care worker and a cardiac arrest survivor were brought together by a twist of fate. Years after Vicky Greco performed CPR on Tony Parker when he collapsed from cardiac arrest during a race, the two were finally reunited and reflected on that fateful day.
In 2021, Greco and her daughter found themselves at Town Common in Greenville, a location they did not typically visit. As her daughter played on the playground, a commotion near the finish line of a local 5K race caught her attention.
“We usually go to Peppermint Park,” Greco recalled. “But for some reason, we decided to go to Town Common that day.”
As Greco’s daughter played on the playground, she noticed a commotion.
“She said, ‘I think someone needs help, Mom,’” Greco said.
That someone was Tony, who had collapsed suddenly in cardiac arrest. His wife, Delia Parker, a trained dental assistant with CPR certification, had already started chest compressions when Greco arrived.
Without hesitation, she stepped in to assist. As manager of the Pediatric Day Medical Unit at the James and Connie Maynard Children’s Hospital at ECU Health Medical Center, Greco had experience performing CPR. Together, they worked tirelessly until emergency responders arrived.
“It was a miracle to be there, to have the training and to have the outcome we did,” Greco said. “It’s something I’ll never forget.”
A previous ECU Health News story shared Tony’s inspiring story and his recovery experience with ECU Health Heart and Vascular Care. At the time, Tony and Delia did not know who the person was that stepped in to perform chest compressions. They called the unidentified person their “angel.” After seeing the story, Greco reached out to identify herself.
Over three years later, Tony and Greco were finally able to meet under much happier circumstances. The reunion was deeply emotional, with Tony expressing heartfelt gratitude for Greco.
“Today, God revealed our angel,” said Tony. “If it weren’t for Vicky and Delia, I wouldn’t be here today. It’s amazing how everything aligned.”
For Greco, the encounter affirmed her faith in being at the right place at the right time.
“I’m thankful that God put me there that day,” she said. “The outcome was nothing short of amazing.”
Motivated by their experience, Tony and Delia Parker have since joined forces with organizations like Greenville Fire and Rescue and the Compress and Shock Foundation to promote bystander CPR training. Together, they visit local churches, community centers and underserved areas across eastern North Carolina to emphasize how simple actions can save lives.
“We teach people that you don’t need to be certified to make a difference,” Delia explained. “It’s about empowering others to act.”
The Parkers continue to share their story, inspiring communities to act in moments of crisis.
“Nearly 90 percent of out-of-hospital cardiac arrest victims do not survive,” Tony said. “Even with help, survival is only about 30 percent, but without it, it’s almost zero. Every second counts, and timely intervention can significantly increase survival rates.”
According to the American Heart Association, if performed immediately, CPR can double or triple the chance of survival from an out-of-hospital cardiac arrest.
Tony has also become an advocate for greater access to automated external defibrillators (AEDs) and the use of road identifications for athletes.
“I encourage everyone in my running and biking groups to wear one,” he said. “It can be a lifesaver.”
Following his recovery, Tony has embraced life with renewed purpose.
“Life is good,” he shared. “Even with a cardiac issue, you can still enjoy life. This experience taught me that every moment matters.”
Their story stands as a testament that heroes often emerge in unexpected moments, and that simple acts of courage and compassion can change lives forever. Their journey continues to inspire others to learn, act and save lives.
Patients with atrial fibrillation (AFib) now have access to two innovative procedures at ECU Health that enhance stroke prevention, streamline care and improve patient outcomes. These advancements include the introduction of a procedure that combines AFib ablation with left atrial appendage (LAA) closure in a single procedure, and the adoption of the Amulet device, a state-of-the-art option for LAA closure.
LAA closure is a procedure that prevents blood clots from leaving the LAA—an area in one of the heart’s upper chambers—and entering the bloodstream, where they could cause a stroke. This approach is particularly valuable for patients with nonvalvular AFib, the most common type of irregular heartbeat, as it provides stroke protection without the need for long-term blood thinners.
For patients with nonvalvular AFib, stroke prevention has traditionally involved two separate procedures: an atrial fibrillation ablation to restore normal heart rhythm and the implantation of a WATCHMAN or Amulet device to close the LAA. These treatments, typically performed weeks apart, require multiple hospital visits and recovery periods.
With the introduction of a new combined procedure at ECU Health, patients can now receive both treatments during a single procedure, eliminating the need for multiple interventions.
“From a patient’s perspective, this saves them from having two different procedures,” said Dr. Ghanshyam Shantha, an electrophysiologist at ECU Health. “I’m proud to offer this new procedure at ECU Health, furthering our commitment to improving care and outcomes.”
While the WATCHMAN device has been a successful solution for closing approximately 95 percent of LAAs, some patients with unique LAA shapes or sizes were left without viable options. To address this, ECU Health now offers the Amulet device, a versatile, two-lobed implant designed to seal virtually any LAA.
“The Amulet is a game-changer,” said Dr. Shantha. “Its design allows for complete appendage closure, significantly reducing the risk of leaks and providing improved stroke protection. This advancement ensures that even patients who weren’t candidates for the WATCHMAN can now benefit from a safe and effective solution.”
According to Dr. Paul Mahoney, section chief of Interventional Cardiology at ECU Health and the Brody School of Medicine at East Carolina University, the addition of the Amulet device allows the team to more closely tailor the device to an individual patient’s unique anatomy and to ensure optimal clinical results.
“I am proud to support Drs. Shantha and Mahoney,” said Dr. John Catanzaro, professor and chief of the Division of Cardiology at the Brody School of Medicine at East Carolina University and director of the East Carolina Heart Institute at ECU Health Medical Center. “Their exceptional work embodies our mission to achieve excellence in academics and clinical practice, using cutting-edge technology to transform the possibilities for patients in eastern North Carolina.”
By offering combined procedures and the Amulet device, ECU Health is improving access to cutting-edge treatments and enhancing stroke prevention treatments for the eastern North Carolina community.
“Working together in a multi-disciplinary, heart team approach with our electrophysiology colleagues helps us manage complex patients,” said Dr. Mahoney. “We are delighted to expand the options for our cardiac patients in eastern North Carolina.”
For more information about ECU Health Cardiovascular Services, please visit ECUHealth.org/heart.
Stacey Greenway, director of cardiovascular disease management services at ECU Health Medical Center, was recently appointed as incoming president of the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Greenway, who recently advocated for rural health care during AACVPR’s Day on the Hill, previously served as a board member for the organization.
“It is an honor to be chosen to lead AACVPR and work alongside my colleagues in cardiovascular care to advance quality and enhance patient outcomes,” said Greenway. “I am eager to provide health care professionals with the best tools and resources to improve patient outcomes and to advocating for policies that recognize the importance of our life-saving work. I also look forward to continued collaboration with health care providers outside of our field of cardiovascular and pulmonary rehab, as we work together to elevate cardiovascular care and provide the highest level of support to our patients.”
Greenway is passionate about advocating for patients and rural health systems in state and national policy and is a leader in cardiovascular disease management. With a background in multidisciplinary rehabilitation practices and public health, Greenway brings experience in clinical leadership and patient advocacy to AACVPR’s mission, which emphasizes advancing the quality of cardiovascular and pulmonary rehabilitation nationwide. AACVPR helps establish standards and advocates for cardiovascular and pulmonary care, addressing the physical, emotional and social needs of patients with chronic diseases. As incoming president, Greenway plans to drive initiatives that support clinical staff and enhance patient access to high-quality, evidence-based rehabilitation programs.
Greenville, N.C. – Dr. Ghanshyam Shantha, cardiac electrophysiologist at ECU Health, recently performed the first procedure at ECU Health Medical Center with a new and innovative device that treats atrial fibrillation (AFib), or an irregular heartbeat – the FARAPULSE™ Pulsed Field Ablation (PFA) System. The FARAPULSE™ PFA is a catheter device that uses electrical fields to target specific tissue areas within the heart that causes an irregular heart rhythm that significantly decrease quality of life and carries the risk of embolic stroke.
“I’m incredibly proud of our electrophysiology team at ECU Health for delivering innovative solutions like FARAPULSE that are making a real difference in the lives of patients here in eastern North Carolina, where many struggle with chronic conditions like heart disease, diabetes and hypertension,” said Dr. John Catanzaro, John “Jack” Rose Distinguished Professor and chief of the Division of Cardiology at the Brody School of Medicine at East Carolina University, and director of the East Carolina Heart Institute at ECU Health Medical Center.
“AFib patients face a significantly higher risk of stroke, heart failure and other serious complications. Our team’s dedication to improving the well-being of our community is reflected in the cutting-edge treatments we’re providing to help reduce these risks and offer a better quality of life for our patients.”
More than 454,000 people are hospitalized with AFib each year in the United States, according to the Centers for Disease Control and Prevention. AFib is a common heart condition where the top chambers of the heart beat irregularly due to disorganized electrical signals in the heart. Paroxysmal AFib occurs when the irregular heartbeat does not happen all the time. Traditional treatments often use heat or cold to burn or freeze the malfunctioning heart cells to get the heartbeat back to normal. Thermal ablations pose a small risk of causing damage to other surrounding areas and complications. The newer ablation option, PFA, uses electrical pulses to target these cells more precisely, significantly reducing some of the complications that can come with thermal ablations.
“We’re thrilled to introduce FARAPULSE as a cutting-edge solution for patients with AFib in eastern North Carolina, where AFib rates are particularly high, and access to advanced care is essential,” said Jay Briley, president of ECU Health Medical Center. “Our teams are dedicated to delivering top-tier cardiac care, and their commitment to providing patients with the latest technology is inspiring. This innovative treatment is yet another step toward ensuring the best possible outcomes for our communities, right here at home.”
According to Boston Scientific, FARAPULSE benefits patients by reducing the risk of damage to surrounding anatomy, shorter procedure duration and better patient outcomes. In fact, more than 80 percent of patients with paroxysmal AFib had no returning symptoms within one year, and almost three-quarters of patients discontinued heart rhythm medications within one year.
ECU Health team members that were part of the new procedure include: Ghanshyam Shantha, MD, MPH; John Catanzaro, MD, MBA, Mark Dixon, RN, Dennis Wood, CVT, and Stephanie Clarke, CVT. As the leading academic health system in eastern North Carolina, ECU Health and the Brody School of Medicine perform nearly 450 ablations each year, ensuring patients can access the latest medical treatments close to home. By combining academic expertise with clinical care, ECU Health not only improve patient outcomes but also provides essential training for the next generation of health care professionals. ECU Health’s leadership in advancing cardiovascular treatments reinforces its mission to improve the health and well-being of eastern North Carolina. To learn more about ECU Health’s heart and vascular services, please visit ECUHealth.org/heart.
Dr. James Speicher, a thoracic surgeon at ECU Health Medical Center and director of the Thoracic Surgery residency program, and his team are working to improve pain management in patients after their surgery.
After meeting with other thoracic surgeons outside of the ECU Health system and hearing a presentation on non-opioid pain management, Dr. Speicher knew it was something he wanted to bring to his thoracic surgery patients in eastern North Carolina.
“I said, ‘That’s a great idea.’ I came back from the meeting and said to the team, ‘Hey, let’s try to do this.’ It took us some time to get access to one of the medications we would use in the pain management protocol, but we started with our protocol multimodal pain management while avoiding narcotics in 2019.”
Dr. Speicher said the new pain management protocol includes a long-acting local anesthetic for nerve blocks, along with a muscle relaxer, nerve pain medication, acetaminophen and anti-inflammatories.
The goal of the program was to send fewer patients home with prescription narcotics while limiting the use of patient-controlled analgesia pumps for patients in the hospital after surgery.
As the team looked at surgical data from 2016-19 and compared it to the study, running from 2019 to today, he said the team found even better results than they were expecting.
“What we found with our study was we had really significant reductions in the uses of opioids. It was around an 85 to 90 percent reduction in our opioid use inpatient and around 60 percent of patients weren’t going home with any sort of narcotic prescriptions,” Dr. Speicher said. “The other thing that was really impressive to me in the study was that our average pain score was actually better for our patients on the non-narcotic protocol. We were reducing the use of narcotics on the floor, sending people home with less prescriptions and introducing fewer opioids into the community, all while actually doing a better job controlling their pain.”
The opioid-free pain management program is part of a larger enhanced recovery after surgery protocol, which Dr. Speicher and his team has been working on over the last few years. He said the team has put in place walking protocols and pre-operative carbohydrate loading along with other changes that have been shown to improve outcomes for patients.
This program is active for thoracic surgeries at ECU Health Medical Center.
“This is exciting work for us because we’re really focusing on helping make patients comfortable, controlling their pain post-surgery and getting them home more quickly,” Dr. Speicher said. “If we can do all of that without a narcotic prescription, that’s a really big win for the patients we serve and the community as a whole.”
Greenville, N.C. – ECU Health performed the first ever pacemaker implantation with Elutia’s EluPro® BioEnvelope on Sept. 5. EluPro, a Food and Drug Administration (FDA)-approved device, is the first antibiotic-eluting device designed to prevent post-operative complications for Cardiac Implantable Electronic Devices (CIEDs) such as pacemakers and defibrillators.
“We are proud to be the first to perform a pacemaker implantation with the EluPro BioEnvelope, which is a testament to the work our cardiovascular teams do every day to improve the health and well-being of eastern North Carolina,” said Jay Briley, president, ECU Health Medical Center. “Being the first to perform this groundbreaking procedure with the EluPro BioEnvelope underscores our commitment to bringing cutting-edge solutions directly to the communities we serve. Our patients can access the highest level of care without the need to travel long distances, ensuring that advanced cardiovascular treatments are available right here in eastern North Carolina.”
For high-risk patients, including those with underlying health conditions or advanced age, traditional pacemakers carry a risk of complications such as infection, migration and skin erosion, affecting five to seven percent of patients nationwide, according to the FDA. These issues arise when the body’s immune system treats the device as a foreign object, leading to inflammation, device movement, and, in some cases, serious infections. The EluPro BioEnvelope offers an innovative solution for high-risk patients by combining antibiotic therapy with advanced tissue engineering.
“Eastern North Carolina faces high rates of chronic illnesses like heart disease, diabetes and hypertension, making access to advanced cardiovascular care crucial for our community,” said Dr. John Catanzaro, John “Jack” Rose distinguished professor and chief of the Division of Cardiology at the Brody School of Medicine at East Carolina University and director of the East Carolina Heart Institute at ECU Health Medical Center. “Patients with co-morbidities are at higher risk for infection after procedures like pacemaker implantations, and this new technology is a significant step forward in addressing these challenges, as it not only improves patient outcomes but also helps prevent complications that can arise from traditional procedures. I am grateful to the team that helps bring innovations like the EluPro BioEnvelope to our region, demonstrating our commitment to reducing health disparities and ensuring our patients receive the best care possible.”
ECU Health team members that were part of the new procedure include: John Catanzaro, MD, MBA, Jan Lopes, MD, Mark Dixon, RN, David Rouse, cardiovascular technologist, and Tracy Fulcher, cardiovascular technologist. As the academic health system for eastern North Carolina, ECU Health and the Brody School of Medicine perform nearly 1,000 pacemaker implantations per year and ensure patients benefit from the latest medical innovations without having to travel far from home. This integration of academic expertise and clinical care not only enhances patient outcomes but also serves as a vital resource for training the next generation of health care professionals. ECU Health’s commitment to leading the way in advanced cardiovascular treatments demonstrates our ongoing mission to address rural health disparities and improve the well-being of the communities we serve.