Dr. Flavian Lupinetti, MD

General Surgery  ·  
Male  ·  
Age 65
Insurances Accepted  ·  Save
Dr. Flavian Lupinetti, MD
Dr. Flavian Lupinetti, MD is a general surgery specialist in Mechanicsville, VA and has been practicing for 31 years. He graduated from Johns Hopkins University School Of Medicine in 1978 and specializes in general 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

8220 Meadowbridge Rd

Mechanicsville, VA 23116

Contact Information

(804) 764-7910

Dr. Flavian Lupinetti, MD

Dr. Flavian Lupinetti, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of New Mexico
  • Cigna
  • Coventry Health Care
  • Humana
  • MultiPlan
  • Presbyterian Health Plan

*Please verify this information when scheduling an appointment.

Background Check

No malpractice claims found for Virginia
No disciplinary actions found for the years we collect data
No board actions found for the years we collect data
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Experience Check

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Dr. Lupinetti's Top Procedures and Conditions

Treatment Frequency
Collapsed Lung (Pneumothorax)
normal
normal

Treatment Frequency

Dr. Lupinetti treats Collapsed Lung (Pneumothorax) more than 65% of his peers

Dr. Lupinetti treats this condition more than 65% of his peers

Vascular Disease
normal
normal

Treatment Frequency

Dr. Lupinetti treats Vascular Disease more than 49% of his peers

Dr. Lupinetti treats this condition more than 49% of his peers

Heart Surgery
normal
normal

Treatment Frequency

Dr. Lupinetti performs Heart Surgery more than 45% of his peers

Dr. Lupinetti performs this procedure more than 45% of his peers

Dr. Lupinetti's conditions and procedures:

Abdominal Disorders
Aneurysm
Benign Tumor
Bone Marrow Biopsy
Cancer
Cholecystitis and Gallstones
Collapsed Lung (Pneumothorax)
Colon and Rectal Surgery
Constipation
Crohn's Disease
Decortication and Pleurectomy
Diaphragmatic and-or Hiatal Hernia
Dressing and-or Debridement of Wound, Infection, or Burn (incl. Negative Pressure Wound Therapy)
Empyema
Esophageal Diseases
Esophageal Diverticulum
Esophageal Surgery
Excision of Skin Lesion
Excision, Shaving, or Destruction of Skin and Subcutaneous Tissue (incl. Mohs Micrographic Surgery), Tissue Transfer
Fracture
Gastroenterology Procedures
Gastrointestinal Diseases
Gastrotomy
Head and Neck Surgery
Heart Surgery
Hernia
Hyperparathyroidism
Incision and Removal of Foreign Object
Incisional Hernia
Inflammatory Bowel Disease
Intestinal Obstruction
Lung Cancer
Lung Removal (Partial or Complete): Open, or Resection of Lung Tumor: Open
Lung Surgery
Open Thymectomy
Partial Lung Collapse
Peripheral Arterial Aneurysm
Peripheral Arterial Aneurysm and Dissection
Peripheral Arterial Embolism and Thrombosis
Peripheral Artery Catheterization
Peripheral Vascular Disease (PAD, PVD)
Pleural Effusion
Port Placements or Replacements
Pulmonary Disease
Removal or Destruction of Rectal or Intestinal Tumor (incl. Colonoscopy, Proctosigmoidoscopy, Sigmoidoscopy and Control of Hemorrhage)
Rib Fracture
Secondary Malignancies
Skin Grafts
Stomach Diseases
Thoracentesis
Thoracoscopic Wedge Resection
Thrombosis
Thymomas
Tracheal Surgery
Ulcer
Varicose Veins
Vascular Disease
Video-Assisted Thoracoscopic Surgery (VATS) or Thoracotomy

About Me

Biography

Dr. Flavian Lupinetti, MD is a general surgery specialist in Mechanicsville, VA and has been practicing for 31 years. He graduated from Johns Hopkins University School Of Medicine in 1978 and specializes in general surgery.

Specialties

  • General Surgery

Board Certifications

  • Thoracic Cardiovascular Surgery

Education

  • 1987
    Vanderbilt University
    Fellowship Hospital
    1987
  • 1985
    Vanderbilt University
    Residency Hospital
    1985
  • 1979
    Vanderbilt University
    Internship Hospital
    1979
  • 1978
    Johns Hopkins University School Of Medicine
    Medical School
    1978

Awards

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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 New Mexico
Blue Cross Blue Shield of New Mexico PPO
Cigna
Cigna HMO
Cigna PPO
Open Access Plus
Coventry Health Care
Southern Health PPO
Humana
Choice Care PPO
MultiPlan
MultiPlan PPO
PHCS Network PPO
Presbyterian Health Plan
Commercial

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