Dr. Nicholas Engstrom, MD

Thoracic Surgery  ·  
Male  ·  
Age 38
(3)
Insurances Accepted  ·  Save
Dr. Nicholas Engstrom, MD
Dr. Nicholas Engstrom, MD is a thoracic surgery specialist in Portland, OR and has been practicing for 10 years. He graduated from Creighton Univ Sch Of Med in 2008 and specializes in thoracic 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

3181 SW Sam Jackson Park Rd # L340

Portland, OR 97239

Contact Information

(503) 494-8311

Dr. Nicholas Engstrom, MD

Dr. Nicholas Engstrom, MD

Accepted insurance

  • Blue Cross Blue Shield
  • Cigna
  • Regence Blue Cross Blue Shield

*Please verify this information when scheduling an appointment.

Learn about Dr. Engstrom

Be confident in your decisions by checking out your provider's top areas of care, education, patient reviews and more. Learn about finding the right doctor for you.

Top Care Areas

See how frequently Dr. Engstrom performs your care needs compared to other doctors.

Lung Surgery
very high
more than 88% of peers
Coronary Artery Disease (CAD)
high
more than 83% of peers
Coronary Artery Bypass Graft (CABG) Surgery
high
more than 81% of peers

Dr. Engstrom's percentages are based on the rate of treatment compared to peers nationwide from insurance data. Learn more info about our data and this Top Care Areas component.

1  Specialties

  • Thoracic Surgery

0  Board Certifications

Dr. Engstrom does not have any board certifications listed.

43  Conditions Treated

  • Aneurysm
  • Angina and Acute Coronary Syndrome
  • Aortic Aneurysm
  • Aortic Dissection
  • Aortic Ectasia
  • Aortic Stenosis
  • Aortic Valve Disease
  • Aortic Valve Regurgitation
  • Arrhythmias
  • Atrial Fibrillation
  • Atrial Flutter
  • Benign Tumor
  • Cancer
  • Cardiomegaly
  • Cardiomyopathy
  • Carotid Artery Disease
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Coronary Artery Disease (CAD)
  • Coronary Artery Dissection
  • Empyema
  • Endocarditis
  • Esophageal Diseases
  • Head and Neck Cancer
  • Heart Disease
  • Heart Tumors, Benign
  • Lung Cancer
  • Mediastinal Tumors, Malignant
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Pericardial Disease
  • Peripheral Arterial Aneurysm
  • Peripheral Arterial Aneurysm and Dissection
  • Pleura Cancer
  • Pleural Cancer
  • Pulmonary Disease
  • Pulmonary Embolism
  • Ruptured Aortic Aneurysm
  • Secondary Hypertension
  • Septal Defect
  • Thrombosis
  • Vascular Disease
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36  Procedures

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Background Check

0 Malpractice Claims

No malpractice history found for Oregon.

0 Sanctions

No sanctions history found for the years that Healthgrades collects data.

0 Board Actions

No board actions found for the years that Healthgrades collects data.

Education

  • Creighton Univ Sch Of Med
    Medical School | Graduated 2008

Awards & Recognition

Awards & Honors

Dr. Engstrom has no awards or honors listed.

Media & Publications

Dr. Engstrom has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

Dr. Engstrom does not have any memberships or affiliations listed. If you are Dr. Engstrom and would like to add memberships or affiliations, please update your profile.

Dr. Engstrom's Reviews

5.0
Likelihood of recommending Dr. Engstrom to family and friends
3 total reviews (1 has a comment)

Likelihood to Recommend (3)

  • 5
    (3)
  • 4
    (0)
  • 3
    (0)
  • 2
    (0)
  • 1
    (0)

Dr. Engstrom's Performance

  • Trustworthiness

    EXCELLENT
  • Explains condition(s) well

    EXCELLENT
  • Answers questions

    EXCELLENT
  • Time well spent

    EXCELLENT

Office & Staff Performance

  • Scheduling

    EXCELLENT
  • Office environment

    EXCELLENT
  • Staff friendliness

    EXCELLENT
  • Average wait time

    Under 10 minutes

Patient Comments (1)

Dr engstrom was my 15 year old daughters surgeon for a lobectomy. He is outstanding! Personable, patient, kind, and extremely knowledgeable. I would highly recommend Dr engstrom.
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Visit Dr. Engstrom

Dr. Engstrom accepts 3 insurance carriers

  • Blue Cross Blue Shield
    Blue Card PPO
  • Cigna
    Cigna PPO
    Open Access Plus
  • Regence Blue Cross Blue Shield
    Preferred Provider Network PPN

*Please verify this information when scheduling an appointment.

Dr. Engstrom's affiliated hospitals

Asante Rogue Regional Medical Center
2825 E Barnett Rd
Medford, OR 97504
View hospital profile

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