Dr. Carlos Macias, MD

Cardiothoracic Surgery  ·  
Male  ·  
Age 55
(10)
Insurances Accepted  ·  Save
Dr. Carlos Macias, MD
Dr. Carlos Macias, MD is a cardiothoracic surgery specialist in Fort Worth, TX and has been practicing for 27 years. He graduated from Univeristy Of Texas Medical School in 1991 and specializes in cardiothoracic surgery and vascular surgery.

Risks associated with the TAVR procedure include death, stroke and major bleeding

Important Risk Information for Patients

Indications:

The Edwards SAPIEN 3 transcatheter heart valve, model 9600TFX, and accessories are indicated for relief of aortic stenosis in patients with symptomatic heart disease due to severe native calcific aortic stenosis who are judged by a Heart Team, including a cardiac surgeon, to be at intermediate or greater risk for open surgical therapy (i.e., predicted risk of surgical mortality ≥ 3% at 30 days, based on the Society of Thoracic Surgeons (STS) risk score and other clinical co-morbidities unmeasured by the STS risk calculator).

The Edwards SAPIEN 3 transcatheter heart valve, model 9600TFX, and accessories are indicated for patients with symptomatic heart disease due to failure (stenosed, insufficient, or combined) of a surgical bioprosthetic aortic or mitral valve who are judged by a heart team, including a cardiac surgeon, to be at high or greater risk for open surgical therapy (i.e., predicted risk of surgical mortality ≥ 8% at 30 days, based on the STS risk score and other clinical co-morbidities unmeasured by the STS risk calculator).

Contraindications (Who should not use):

The Edwards SAPIEN 3 transcatheter heart valve and delivery system should not be used in patients who:

  • Cannot tolerate medications that thin the blood or prevent blood clots from forming.
  • Have an active infection in the heart or elsewhere.

Warnings:

  • There may be an increased risk of stroke in transcatheter aortic valve replacement procedures, compared to other standard treatments for aortic stenosis in the high or greater risk population.
  • If an incorrect valve size for your anatomy is used, it may lead to heart injury, valve leakage, movement, or dislodgement.
  • Patients should talk to their doctor if they have significant heart disease, a mitral valve device or are allergic to chromium, nickel, molybdenum, manganese, copper, silicon, and/or polymeric materials.
  • The SAPIEN 3 valve may not last as long in patients whose bodies do not process calcium normally.
  • During the procedure, your doctors should monitor the dye used in the body; if used in excess it could lead to kidney damage. X-ray guidance used during the procedure may cause injury to the skin, which may be painful, damaging, and long-lasting.
  • Transcatheter aortic heart valve patients should take medications that thin the blood or prevent blood clots from forming, except when likely to have an adverse reaction, as determined by their physician. The Edwards SAPIEN 3 transcatheter heart valve has not been tested for use without medications that thin the blood or prevent blood clots from forming.

Precautions:

The long-term durability of the Edwards SAPIEN 3 transcatheter heart valve is not known at this time. Regular medical follow-up is recommended to evaluate how well a patient’s heart valve is performing. Safety, performance, and durability of the SAPIEN 3 valve has not been established for placement inside a previously implanted transcatheter valve.

The safety and effectiveness of the transcatheter heart valve is also not known for patients who have:

  • An aortic heart valve that is not calcified, contains only one or two leaflets, has leaflets with large pieces of calcium that may block the vessels that supply blood to the heart or in which the main problem is that the valve leaks.
  • Previous prosthetic ring in any position.
  • Previous atrial septal occlude.
  • A heart that does not pump well, has thickening of the heart muscle, with or without blockage, unusual ultrasound images of the heart that could represent irregularities such as a blood clot, a diseased mitral valve that is calcified or leaking, or Gorlin syndrome, a condition that affects many areas of the body and increases the risk of developing various cancers and tumors.
  • Low white, red or platelet blood cell counts, or history of bleeding because the blood does not clot properly.
  • Diseased, abnormal or irregularly shaped vessels leading to the heart. Vessels which are heavily diseased or too small for associated delivery devices, or a large amount of calcification at the point of entry.
  • Allergies to blood-thinning medications or dye injected during the procedure.
  • For a valve in valve procedure, there is a risk of leakage if the previously implanted tissue valve is not securely in place or if it is damaged. There is also the possibility that a partially detached valve leaflet from the previously implanted valve could block a blood vessel.
  • Additional pre-procedure imaging will be completed to evaluate proper sizing.

Potential risks associated with the procedure include:

  • Death, stroke, paralysis (loss of muscle function), permanent disability, or severe bleeding.
  • Risks to the heart, including heart attack or heart failure, a heart that does not pump well, irregular heartbeat that may result in a need for a permanent pacemaker, chest pain, heart murmur, false aneurysm, recurring aortic stenosis(narrowing), too much fluid around the heart, injury to the structure of the heart.
  • Risks to your lungs or breathing, including difficulty breathing, fainting, buildup of fluid in or around the lungs, weakness or inability to exercise.
  • Risks involving bleeding or your blood supply, including formation of a blood clot, high or low blood pressure, limited blood supply, a decrease in red blood cells, or abnormal lab values, bleeding in the abdominal cavity, collection of blood under the skin.
  • Additional risks, including life-threatening infection, dislodgement of calcified material, air embolism (air bubbles in the blood vessels), poor kidney function or failure, nerve injury, fever, allergic reaction to anesthesia or dye, reoperation, pain, infection or bleeding at incision sites, or swelling.

Additional potential risks specifically associated with the use of the heart valve include:

  • Valve movement after deployment, blockage or disruption of blood flow through the heart, need for additional heart surgery and possible removal of the SAPIEN 3 valve, a blood clot that requires treatment, damage to the valve (e.g., wear, breakage, recurring aortic stenosis), nonstructural valve dysfunction (e.g., leakage, inappropriate sizing or positioning, blockage, excess tissue in growth, blood cell damage, etc.) or mechanical failure of the delivery system and/or accessories.

CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician.

Edwards, Edwards Lifesciences, the stylized E logo, Edwards SAPIEN, Edwards SAPIEN 3, SAPIEN, and SAPIEN 3 are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.

© 2017 Edwards Lifesciences Corporation. All rights reserved. PP--US-2507 v1.0

Edwards Lifesciences One Edwards Way, Irvine CA 92614 USA edwards.com

909 9th Ave Ste 210

Fort Worth, TX 76104

Contact Information

(817) 335-1131

Dr. Carlos Macias, MD

Dr. Carlos Macias, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of Texas
  • Cigna
  • Humana
  • MultiPlan

*Please verify this information when scheduling an appointment.

Background Check

No malpractice claims found for Texas
No disciplinary actions found for the years we collect data
No board actions found for the years we collect data
Learn more about background checks

Experience Check

Check Dr. Macias' experience treating your condition or procedure

Dr. Macias' Top Procedures and Conditions

Treatment Frequency
Peripheral Vascular Disease (PAD, PVD)
very high
very high

Treatment Frequency

Dr. Macias treats Peripheral Vascular Disease (PAD, PVD) more than 94% of his peers

Dr. Macias treats this condition more than 94% of his peers

Rating Includes other areas of care:

  • Atherosclerosis
  • Autoimmune Atherosclerosis
  • Buerger's Disease
  • Carotid Atherosclerosis
  • Coronary Artery Calcification
  • Coronary Artery Disease (CAD)
  • Coronary Artery Disease, Autosomal Dominant 1
  • Coronary Artery Disease, Autosomal Dominant 2
  • Coronary Atherosclerosis
  • Raynaud's Disease
  • Renal Artery Arteriosclerotic Disease
Aneurysm
very high
very high

Treatment Frequency

Dr. Macias treats Aneurysm more than 92% of his peers

Dr. Macias treats this condition more than 92% of his peers

Rating Includes other areas of care:

  • Abdominal Aortic Aneurysm
  • Aneurysm and Dissection of Heart
  • Aneurysm of Sinus of Valsalva
  • Aneurysm, Intracranial Berry
  • Aneurysm, Intracranial Berry, 1
  • Aneurysm, Intracranial Berry, 2
  • Aneurysm, Intracranial Berry, 3
  • Aneurysm, Intracranial Berry, 4
  • Aneurysm, Intracranial Berry, 5
  • Aneurysm, Intracranial Berry, 6
  • Aneurysm, Intracranial Berry, 7
  • Aneurysm, Intracranial Berry, 8
  • Aortic Aneurysm
  • Aortic Aneurysm, Familial Abdominal 1
  • Aortic Aneurysm, Familial Thoracic 1
  • Cerebral Aneurysm
  • Congenital Aneurysms of the Great Vessels
  • Coronary Artery Aneurysm
  • Dissecting Aneurysm
  • Endovascular Aortic Aneurysm
  • False Aneurysm
  • Femoral Aneurysm
  • Fetal Left Ventricular Aneurysm
  • Iliac Aneurysm
  • Leber Miliary Aneurysm
  • Popliteal Aneurysm
  • Pulmonary Arteriovenous Aneurysm
  • Retinal Macoaneurysm
  • Ruptured Aneurysm
  • Saccular Aneurysm
  • Suprarenal Aneurysm
  • Vein of Galen Aneurysm
  • Visceral Aneurysm
Aortic Aneurysm
very high
very high

Treatment Frequency

Dr. Macias treats Aortic Aneurysm more than 91% of his peers

Dr. Macias treats this condition more than 91% of his peers

Rating Includes other areas of care:

  • Abdominal Aortic Aneurysm
  • Aortic Aneurysm, Familial Abdominal 1
  • Aortic Aneurysm, Familial Thoracic 1
  • Endovascular Aortic Aneurysm

Dr. Macias' conditions and procedures:

Abdominal Aortic Aneurysm (AAA)
Abscess or Cyst Drainage or Aspiration
Abscess or Fluid Incision and Drainage
Acute Deep Vein Thrombosis (DVT)
Acute Venous Embolism Thrombosis
Aneurysm
Angina and Acute Coronary Syndrome
Aortic Aneurysm
Aortic Dissection
Aortic Ectasia
Aortic Embolism and Thrombosis
Aortic Repair, Open or Repair of Arterial Aneurysm, Open
Aortic Stenosis
Aortic Valve Disease
Aortic Valve Regurgitation
Aortic Valve Surgery
Arrhythmias
Arteriovenous Fistula Repair
Atherosclerosis
Atherosclerosis of Aorta
Atrial Fibrillation
Atrial Flutter
Benign Tumor
Cancer
Cardiac Catheterization (incl. Coronary Angiography)
Cardiac Electrophysiology
Cardiac MRI (Magnetic Resonance Imaging) of Heart or Chest
Cardiomegaly
Cardiomyopathy
Cardioverter-Defibrillator or Pacemaker Insertion, Removal or Repair
Carotid Artery Disease
Carotid Endarterectomy (CEA) or Excision of Infected Graft
Chest CT (incl. Heart and Lungs)
Chronic Deep Vein Thrombosis (DVT)
Chronic Venous Embolism Thrombosis
Congenital Heart Defects
Congenital Heart Disease
Coronary Artery Bypass Graft (CABG) Surgery
Coronary Artery Disease (CAD)
Coronary Artery Dissection
Decortication and Pleurectomy
Deep Vein Thrombosis (DVT)
Dressing and-or Debridement of Wound, Infection, or Burn (incl. Negative Pressure Wound Therapy)
Embolectomy, Thrombectomy, or Vessel Exploration
Empyema
Endocarditis
Endovascular Repair of Abdominal Aortic Aneurysm
Endovascular Repair of Aorta
Endovascular Repair of Visceral Aorta
Esophageal Cancer
Esophageal Diseases
Esophageal Surgery
Head and Neck Cancer
Head and Neck Surgery
Heart Defect Repair
Heart Disease
Heart Surgery
Heart Tumors, Benign
Hernia Repair
Hypertensive Encephalopathy
Impella Device
Incision and Removal of Foreign Object
Lobectomy, Open
Lung Cancer
Lung Removal (Partial or Complete): Open, or Resection of Lung Tumor: Open
Lung Removal, Open
Lung Surgery
Lymph Node Biopsy or Excision
Median Arcuate Ligament Syndrome (MALS)
Mediastinal Tumors, Malignant
Mitral Valve Disease
Mitral Valve Regurgitation
Mitral Valve Stenosis
Mitral Valve Surgery
Non-Coronary Angioplasty, Atherectomy, and Stenting
Pericardial Disease
Peripheral Arterial Aneurysm
Peripheral Arterial Aneurysm and Dissection
Peripheral Arterial Disease of Extremities
Peripheral Arterial Dissection
Peripheral Arterial Embolism and Thrombosis
Peripheral Artery Bypass
Peripheral Artery Catheterization
Peripheral Nerve Disorders
Peripheral Vascular Disease (PAD, PVD)
Pleura Cancer
Pleural Cancer
Port Placements or Replacements
Pulmonary Disease
Pulmonary Embolism
Renal Artery Arteriosclerotic Disease
Resection of Cardiac Tumor
Ruptured Aortic Aneurysm
Segmentectomy, Open
Septal Defect
Thoracentesis
Thoracoscopic Lobectomy
Thoracoscopic Pneumonectomy
Thoracoscopic Wedge Resection
Thromboendarterectomy or Excision of Infected Graft
Thrombosis
Tracheal Surgery
Transcatheter Aortic Valve Replacement (TAVR)
Transient Ischemic Attack (TIA)
Tricuspid Valve Surgery
Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
Varicose Veins
Vascular Disease
Vascular Duplex Ultrasonography and Plethysmography
Vascular Surgical Procedure
Venous Embolism and Thrombosis
Venous Insufficiency
Venous Sclerotherapy
Video-Assisted Thoracoscopic Surgery (VATS) or Thoracotomy

About Me

Biography

Dr. Carlos Macias, MD is a cardiothoracic surgery specialist in Fort Worth, TX and has been practicing for 27 years. He graduated from Univeristy Of Texas Medical School in 1991 and specializes in cardiothoracic surgery and vascular surgery.

Specialties

  • Cardiothoracic Surgery
  • Vascular Surgery

Board Certifications

  • General Surgery
  • Thoracic Cardiovascular Surgery
  • Thoracic Surgery

Education

  • Baylor University Medical Center
    Fellowship Hospital
  • Baylor University Medical Center
    Residency Hospital
  • Baylor University Medical Center
    Internship Hospital
  • 1991
    Univeristy Of Texas Medical School
    Medical School
    1991

Awards

Dr. Macias' Reviews

Likelihood to recommend Dr. Macias

3.4

Based on 10 reviews

5 Stars
60%
(6)
4 Stars
0%
(0)
3 Stars
0%
(0)
2 Stars
0%
(0)
1 Star
40%
(4)

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Average Wait Time
  • 16 – 30 minutes
Dr. Macias' Performance
  • Trustworthiness
  • Explains condition(s) well
  • Answers questions
  • Time well spent
Office & Staff Performance
  • Scheduling
  • Office environment
  • Staff friendliness
What People Say About Dr. Carlos Macias, MD
Reply
After an angiogram, my husband's cardiologist said he might need four or five arteries by-passed by the cardiologist SURGEON. That surgeon was Dr. Macias who told my husband he'd only be able to confirm how many arteries would need to be by-passed after he got inside his chest cavity during...Read More
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I owe him my life ruptured aorotic aynuersym. 5 yrs ago and i am still alive. No problems at all with surgery.
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Locations

Insurance accepted

Accepted insurance can change. Please double-check when making an appointment.

Aetna
Aetna HMO
Choice Plus POS II
Blue Cross Blue Shield
Blue Card PPO
Blue Cross Blue Shield of Texas
Blue Choice
Cigna
Cigna HMO
Cigna PPO
LocalPlus
Open Access Plus
Humana
Choice Care PPO
Preferred PPO
MultiPlan
PHCS Network PPO

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