Electrophysiology Specialist Adds New Element to Cardiac Care
It’s a prevailing moment in nearly any television hospital drama: the paddles are placed on the chest, someone yells out “Clear!” and the doctor tries to shock the patient back to life.
But for some people with hypertrophic cardiomyopathy, such as 10-year-old Riaghlee Lagoner, that shock can come from a device that’s already inside the body.
For the past eight months, Riaghlee has had an implantable cardioverter defibrillator (ICD) in her chest, ready to automatically deliver a life-saving electric shock to her heart should any dangerous arrhythmias arise. Jeffrey M. Vinocur, M.D., installed the device at UR Medicine’s Golisano Children’s Hospital last October.
“It’s really hard — and I talk with Dr. Vinocur about this — that it’s a waiting game to see what, if anything, might happen to her,” said Micollette Lagoner, Riaghlee’s mother, who also has hypertrophic cardiomyopathy, a condition that causes the heart muscles to become abnormally thick. “But my ICD has saved me many, many times.”
ICDs have been used at Golisano Children’s Hospital before, but Vinocur, who joined the hospital last year, specializes in pediatric electrophysiology and is adept with the devices. So rather than a more invasive cardiac surgery to place the defibrillator, Vinocur was able to install Riaghlee’s ICD through a vein near her collarbone.
“It’s about a 2-inch incision compared with a sternotomy,” said Vinocur. “Plus, the recovery time is much shorter, and the long-term durability of the device is much better.”
Vinocur is the Division of Pediatric Cardiology’s first electrophysiology specialist. He joined the children’s hospital after fellowships at the University of Toronto’s Hospital for Sick Children and the University of Minnesota’s Amplatz Children’s Hospital.
“Dr. Vinocur’s specialization adds to our already-robust team of cardiologists and care providers,” said Roger Vermilion, M.D., chief of the Division of Pediatric Cardiology. “We were thrilled that we had the opportunity to bring him aboard.”
For Vinocur, pediatric