NewsCorventis MobileCardiac TelemetrySystemNewCardiacMRIScannerCorventis Mobile Cardiac Telemetry System is a newevent monitoring device which recognises symptomaticand asymptomatic cardiac abnormalities.The process involves applying anadhesive wireless monitor called aPiiX on the left upper quadrant ofyour chest and wearing it continuouslyfor seven days. The PiiX is waterresistant,permitting the patientto wear it while showering. Themonitor is noiseless and hiddenconveniently underneath clothingallowing the patient to continue theirnormal activities comfortably. EachCorventis kit contains three PiiXdevices meaning up to three weeks ofelectrocardiographic (ECG) recordingscan be monitored.The PiiX automatically transmitsthe patient’s ECG recordings to atransmitter device called a zLinkwhich is plugged into a standardelectrical outlet beside their bed. Theinformation is then transmitted to ourCardiac Physiologists who analyse andinterpret all of the ECG recordings.This report is then sent to theFor more information please call the<strong>London</strong> <strong>Bridge</strong> Cardiology Department:T: 020 7234 2265Physician where treatment, if required,can be further investigated.The Corventis monitor can be used forpeople who may experience symptomssuch as intermittent palpitations,dizziness, light-headedness or nearsyncope episodes, syncope, falls orshortness of breath that might berelated to cardiac arrhythmias.If a symptom presents itself, the patientmoves the Patient Trigger Magnetalong the surface of the PiiX. Thisactivation stores and transmits the ECGand is then analysed by our CardiacPhysiologists to determine whetherthe symptom relates to any cardiacarrhythmias seen on the ECG.<strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong> is proudto announce its new and innovativeCardiac MRI service.Our Cardiac MRI Scanner uses thelatest cutting-edge technology todiagnose a range of diseases andconditions including:• Coronary heart disease• Damage caused by a heart attack• Heart failure• Heart valve problems• Congenital heart defects• Pericarditis• Cardiac tumoursPatients will benefit from this noninvasiveprocedure in comfortablesurroundings. All scanning is carriedout by experienced staff, fully-trainedin all aspects of diagnostic imaging.The Cardiac MRI Scanner is situatedin <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>. Patientspossess easy access to all otherhospital departments for furtherassessments, shared expertiseand collaboration with associatedConsultants.Please contact MRI on:T: 020 7234 2450for more information.SIXTEENNews
InnovationAids RecoveryInnovation at <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong> avoidsblood transfusions and aids patient recoveryNewsPerfusionists at <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>have succeeded in reducing the numberof blood transfusions during operationsby recovering and recycling the patient’sown blood.Chief Perfusionist, Alan Rayner andhis team have combined a range ofspecialised techniques along with thelatest technology to reduce damage toblood, and more efficient ways of recyclinga patient’s blood during a major operation,thereby reducing the level of blood lossduring and after operations.“There are obviously situations wheretransfusion is essential, or cases whereblood cannot be recycled, but for manyelective operations good preparationand technique during the procedure canreduce the need for donated blood andrecovery can be faster,” said Mr Rayner.“However well matched blood is,transfusions can result in increased timespent in intensive care and recovery canbe delayed. By analysing the patient’sblood clotting characteristics before anoperation, which can now be done at thebedside, we can prepare for anticipatedbleeding,” he said. “We can also use theautologous fibrin sealant produced froma patient blood sample at the time ofsurgery and apply it to tissue to reducebleeding and improve healing.”“<strong>London</strong> <strong>Bridge</strong> is one of the firsthospitals in the country to use thisextensive range of techniques to reducebleeding and avoid unnecessary bloodtransfusions. We are extremely fortunatein having the very latest technologyand a tremendous team of Surgeons,Anaesthetists, Perfusion Scientists andNurses and I can foresee many moremajor procedures in cardiac, vascular,urology, gynaecology and orthopaedicsurgery taking place without the need fortransfusions,” said Mr Rayner.Cardiac Surgeon, Mr Graham Vennand Consultant Anaesthetist, Dr StuartMcCorkell, said that the pioneering workof the <strong>London</strong> <strong>Bridge</strong> perfusionists had ledto better patient outcomes.“The Perfusion Department has adaptedcontemporary perfusion structures toprovide the best operative environmentduring cardiac surgery,” said Mr Venn.“This foundation, coupled with theimplementation of sophisticatedtechniques for blood conservation,together with detailed analysis of thepatient’s post-operative clotting profile,has resulted in a ‘leading edge’ servicebeing delivered to our patients.”Dr McCorkell agreed, “By providing cellsalvage, fibrin glues and growth factorsmanufactured from the patient’s ownblood and highly accurate real time testsof blood clotting, we are also able tominimise the risk of exposure to thehazards of transfusions to the patients.”Endoscopy and Gastroenterologyat <strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>For more information or to book anappointment, please call the Endoscopy& Gastroenterology Unit on:T: 020 7234 2642<strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>’s specialistgastroenterology service treats disordersof the digestive system. Through the useof endoscopy techniques, we are ableto offer patients a minimally invasivealternative to surgery.An endoscopy requires only mildsedation while a small, flexible videocamera is passed through the mouthand into either the stomach or intestineto allow the Physician to identifyproblems in the gastrointestinal tractand, in some circumstances, removeabnormal growths.At the Endoscopy & GastroenterologyUnit, we pride ourselves on patientprivacy and dignity, as part of a rapid,streamlined service. Equipped with thelatest technology, we can provide aminimally invasive alternative to surgerythrough innovative clinical services, suchas the first fully integrated Pelvic FloorAssessment Unit.Endoscopy services include colonoscopy,gastroscopy, neurogastroenterology smallbowel enteroscopy and endoscopicultrasonography (EUS).We are the only private hospital in thesouth of England to use endobronchialultrasound (EBUS) fine needle aspiration.EBUS is a minimally invasive approachto the sampling of difficult to accesslymph nodes or central masses in thechest. Lymph nodes as small as 5mmcan be sampled and the technique hasbroad applications, including the diagnosisand staging of cancers of the lung andother cancers that are suspected ofspreading to the lymph nodes in thechest. It is also useful in the sampling oflymph nodes in lymphoma and noncancerousconditions such as sarcoidosisor tuberculosis.EBUS involves the patient being putunder conscious intravenous sedation; athin flexible telescope (bronchoscope) isinserted via the patient’s mouth into thelungs. Images of the region between thetwo lungs (the mediastinum) are obtainedusing an ultrasound probe attached to thebronchoscope.Other specialist techniques cover:• Video capsule endoscopy• High resolution oesophagealmanometry• Bravo pH monitoring• Anal rectal physiologyNewsSEVENTEEN