Wellstar Kennestone Hospital Celebrates 5-Year ECMO Anniversary

Wellstar’s Comprehensive Aortic Program has identified thousands of hidden aneurysms in the past two years. The goal of the program is to help people before their conditions become life-threatening.

Aortic aneurysms are bulges in the body’s largest blood vessel. They can burst and cause severe damage or death if they become too big. Unfortunately, most people never know they have one because they are typically asymptomatic until they rupture.

However, the aortic experts at Wellstar found a way to help people before they have an emergency.

“When patients have CT scans at Wellstar for other reasons, we use artificial intelligence (AI) to sift through them and find images of someone who may have aneurysm,” said Wellstar Cardiothoracic Surgeon Dr. James Ryan Burke. “That allows us to proactively contact them and bring them in if appropriate for evaluation to discuss that diagnosis.”

Since the program launch in July 2022, more than 4,700 people with aneurysms have been placed under surveillance—a protocol to monitor people who have a risk. Surveillance allows people to avoid undergoing unnecessary surgery but to know when the aneurysm grows larger and becomes a greater concern.

For people who had large, potentially life-threatening aneurysms, cardiovascular surgeons and vascular surgeons performed more than 700 advanced procedures at Wellstar Kennestone Regional Medical Center since the program began.

“These are major cardiac operations only performed in centers that offer complex aortic surgery,” Dr. Burke said. “The outcomes are best when done in experienced centers that do a high volume of procedures, like Wellstar Kennestone.”

Patient-centered aortic care

“This program is very patient-oriented. We have an excellent team of dedicated physicians at Wellstar to accomplish our mission and I think it’s very beneficial for both patients and physicians,” said Dr. Michael Corey of Vascular Surgical Associates.

The aortic program at Wellstar provides a higher level of aortic care than a patient would typically find in a local hospital. What makes the program unique is:

• The multispecialty team of aortic experts working together
• The cutting-edge AI technology used to identify patients who are unaware they have an aneurysm
• A high-tech hybrid operating room (OR) for open or minimally invasive procedures
• The latest surgical techniques and technology
• A high volume of procedures performed

“The aorta is the largest blood vessel in the body. It runs from the heart, through the chest and abdomen and down to the legs,” said Dr. Burke. “When you have a disease process involving the aorta, it requires multiple specialties.”

Wellstar’s specialized aortic team includes cardiovascular surgeons, vascular surgeons, cardiologists, anesthesiologists, radiologists, nurse practitioners and physician assistants.

There is also a cardiac hybrid OR that brings a catheterization lab and surgery suite together in one space, making aortic aneurysm treatment more efficient and encouraging collaboration between our expert providers.

“The hybrid OR is a state-of-the-art, innovative, open operating room where patients can receive complex aortic reconstructions—procedures that have open surgery components to them—as well as endovascular (or minimally invasive) aortic reconstructions. This all can take place in one nice operating room,” Dr. Corey said.

The aortic program is part of a larger heart care program at Wellstar, based at Wellstar Kennestone, the first in Georgia and the fourth in the nation to receive Comprehensive Cardiac Care Center Certification by The Joint Commission and American Heart Association. This is the highest certification in cardiovascular care.

Learn more or schedule an appointment with an aortic disease specialist.

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

Wellstar is dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded with an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Lung screening improves a person’s chances of detecting a lung cancer at an early stage and being cured of that cancer,” said Wellstar Thoracic Surgeon Dr. William Mayfield.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in the incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level, and if the patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is found.

“People that come to the hospital for other problems may also be walking around with a lung cancer they didn’t know about,” Dr. Mayfield said.

The program, which started in fall 2020, has identified a total of 148 lung cancers and 14 other types of cancer, as of October 2024.

“Now those people are getting care, and it’s quite likely those cancers would have been missed,” Dr. Mayfield said.

Wellstar is developing another incidental nodule program for the abdominal area, which could lead to the discovery of several cancers including ovarian, kidney, bladder and liver cancers.

The program aligns with the Wellstar mission of enhancing the health and well-being of every person we serve.

“It was the right thing to do for the community. If we miss these cancers, it is a broken promise to the patient,” Dr. Mayfield said.

Then, if cancer is found, Wellstar “closes the loop” by initiating treatment and connecting the patient with resources, Dr. Mayfield said.

Expert care and support at every step

From the very beginning, lung cancer patients at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic, at Wellstar Cobb, Douglas, Kennestone Regional, North Fulton and Paulding medical centers, as well as the Thoracic NOW Clinic at Wellstar MCG Health Medical Center, give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

“No other health system does multidisciplinary care the way Wellstar does,” Dr. Mayfield said.

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 95 days, Dr. Mayfield said. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in lung cancer patients, Dr. Mayfield said—a six-week delay can reduce five-year survival by up to 13%, according to research from the Cleveland Clinic.

“Time really does matter in the treatment and diagnosis of lung cancer,” Dr. Mayfield said.

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

Dr. Mayfield said more than 90% of lung cancer surgeries at Wellstar are performed using either the da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

To prevent lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as avoiding smoking and getting your exercise. Learn more about treatments on our cancer care page.

Innovative technology at Wellstar is offering patients a minimally invasive option for lung biopsies, reducing complications and helping expedite lung cancer treatment.

The Ion system is a robotic-assisted platform for performing lung biopsies. If a lung cancer screening or any other CT scan shows a suspicious nodule, providers will need to perform a biopsy to determine if the patient has lung cancer and how to proceed with care.

“Those nodules may not be cancer, but in certain situations we still need to know what it is,” said Wellstar Pulmonologist Dr. Timothy Udoji. “The Ion technology helps us biopsy those nodules to get an answer so that additional workup can be done immediately. If it is cancer, we want to catch it at an early stage.”

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process significantly improving diagnostic yield compared to other modalities.

“The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

During the biopsy, providers can also use the Ion system to mark an area in the lung, making it easier to find later during surgery.

“If something is very small and hard to find in surgery, Ion can be used to mark that area with dye, or contrast, that allows us to find it in surgery,” Dr. Fortes said. “With this technology added to the surgical robotic system in the operating room, we can better identify those lesions and remove smaller portions of lung, also called segments.”

Technology to help provide peace of mind

The Ion system also has further reach than previous technologies and is able to more easily biopsy nodules in the peripheral areas of the lung. For many cancer patients, this will allow them to initiate care earlier and improve their outcomes, as well as give them peace of mind during the treatment process.

“Mental health impacts physical health. We are able to confidently biopsy and identify these nodules and that means a lot for our patients,” Dr. Udoji said. “Now, with this new technology we are able to get a biopsy done much earlier which has huge outcome implications for malignant nodules.”

At Wellstar, cancer care is tailored for each patient. In the Wellstar STAT Clinic for Lung Cancer, patients meet with multiple specialists at once to discuss their care options and create a personalized treatment plan. Specialists in the STAT Clinics, which are located at Wellstar Cobb, Douglas, Kennestone Regional, North Fulton and Paulding medical centers, work with patients to determine the optimal course of treatment and will talk with patients and families about biopsy options, including the Ion system. The STAT Clinics give patients the opportunity to have their diagnoses managed right away, and literature shows that the clinics’ diagnostic and treatment model improves outcomes for patients.

The Ion system is currently in use at Wellstar Kennestone Regional Medical Center, where the team has completed 500 procedures. Learn more about lung cancer care at wellstar.org/lungcancer.