James P. Locher Jr., MD 

Dr. Locher First In Illinois To Perform Minimally Invasive AF Procedure
OSF Saint Anthony Medical Center is the only facility in Illinois to provide its patients with a microwave ablation treatment called Thoracoscopic Maze, a closed chest procedure, to treat atrial fibrillation (AF). Cardiothoracic surgeon James P. Locher, MD, member of The Rockford Surgical Service, and the Regional Heart Institute at OSF Saint Anthony Medical Center, became the first surgeon in Illinois to use this innovative, fast, safe, effective and minimally invasive FDA-approved technology in July.

AF is a type of heart arrhythmia affecting 2.2 million Americans. Symptoms include rapid and/or irregular pulse. Normal heart rates range from 60 to 100 beats per minute, but in AF the heart rate may be 100 to 175. Although less common, AF also can cause a pulse that is too slow.

AF is the result of the heart's two small upper chambers (the atria) quivering instead of pumping in rhythm. AF can result in blood pooling in the atria and the formation of clots. A stroke results when a blood clot leaves the heart and lodges in an artery in the brain. About 15 percent of strokes occur in people with atrial fibrillation.

"Until recently, treating atrial fibrillation consisted primarily in treating its symptoms with medications or medical devices such as pacemakers,” said Dr. Locher. “Recent advances in technology now provide many people suffering from atrial fibrillation with the opportunity to have their condition cured. Being able to cure atrial fibrillation means people can not only be free of symptoms, but of the medications they would otherwise have to take for the rest of their lives.”

During Thoracoscopic Maze surgery, Dr. Locher inserts a catheter through a two-centimeter incision. The entire procedure results in only three of these tiny incisions. He watches a video monitor as he guides a catheter around the pulmonary veins. Once the probe is in place, Dr. Locher uses a wand to direct a precise beam of microwave energy to the source of the heart’s abnormal electrical activity. Microwaves create tiny lesions that disrupt the chaotic electrical current causing irregular heartbeats. Most patients are discharged from the hospital two days after the procedure.

About 80 percent of people with permanent AF treated with microwave ablation have no symptoms six months after the procedure. The success rate continues to rise and reaches about 85 percent after one year. More than 5,000 procedures have been performed worldwide with no significant side effects.

Dr. Locher performs this procedure alone or in conjunction with other cardiac surgeries. For more information or to schedule a consultation, call (815) 397-7900.

 

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Frequently Asked Questions

What is an arrhythmia?
An arrhythmia is a change in the regular beat of the heart. The heart may seem to skip a beat or beat irregularly or very fast or very slowly.

How common are arrhythmias?
Arrhythmias occur commonly in middle-age adults. As people get older, they are more likely to experience an arrhythmia.

Does having an arrhythmia mean that a person has heart disease?
No, not necessarily. Many arrhythmias occur in people who do not have underlying heart disease.

What causes arrhythmias?
Many times, there is no recognizable cause of an arrhythmia. Heart disease may cause arrhythmias. Other causes include: stress, caffeine, tobacco, alcohol, diet pills, and cough and cold medicines.

What are the different types of arrhythmias?
There are many types of arrhythmias. Arrhythmias are identified by where they occur in the heart (atria or ventricles) and by what happens to the heart's rhythm when they occur.

How does the doctor know that I have arrhythmia?

Sometimes an arrhythmia can be detected by listening to the heart with a stethoscope. However, the electrocardiogram is the most precise method for diagnosing the arrhythmia.

Source: The National Heart, Lung, and Blood Institute


To learn more, call the Regional Heart Institute at OSF Saint Anthony at (815) 395-5493 or e-mail community.relations@osfhealthcare.org.