Dr. Richard Clay, MD

Cardiac Surgery  |  
Male  |  
Age 61
(10)
Insurances AcceptedSave
Dr. Richard Clay, MD
Dr. Richard Clay, MD is a cardiac surgery specialist in Huntsville, AL and has been practicing for 31 years. He graduated from University Of South Alabama / College Of Medicine in 1981 and specializes in cardiac surgery, critical care surgery, and more.

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

201 Sivley Rd SW Ste 300

Huntsville, AL 35801

Contact Information

(256) 536-5594

Dr. Richard Clay, MD

Dr. Richard Clay, MD

Accepted insurance

  • Aetna
  • Blue Cross Blue Shield
  • Blue Cross Blue Shield of California
  • Cigna
  • Golden Rule
  • Government Employees Health Association (GEHA)
  • Humana
  • Mail Handlers Benefit Plan (MHBP)
  • MultiPlan
  • National Elevator
  • Tricare
  • UnitedHealthCare

*Please verify this information when scheduling an appointment.

Learn about Dr. Clay

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Top Care Areas

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

Coronary Artery Bypass Graft (CABG) Surgery
very high
more than 94% of peers
Coronary Artery Disease (CAD)
very high
more than 93% of peers
Lung Surgery
very high
more than 91% of peers

Dr. Clay'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.

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4

Specialties

  • Cardiac Surgery
  • Cardiothoracic Surgery
  • Critical Care Surgery
  • Thoracic Surgery
1

Board Certifications

  • Thoracic Cardiovascular Surgery
    Accredited by: American Board of Thoracic Surgery*
39

Conditions Treated

  • 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
  • Congenital Aortic Valve Disorders
  • Congenital Heart Defects
  • Congenital Heart Disease
  • Coronary Artery Disease (CAD)
  • Empyema
  • Endocarditis
  • Esophageal Cancer
  • Esophageal Diseases
  • Heart Attack (Acute Myocardial Infarction)
  • Heart Disease
  • Heart Tumors, Benign
  • Lung Cancer
  • Lung Neoplasms, Not Specified as Malignant
  • Mediastinal Tumors, Malignant
  • Mediastinal Tumors, Not Specified as Malignant
  • Mitral Valve Disease
  • Mitral Valve Regurgitation
  • Mitral Valve Stenosis
  • Pericardial Disease
  • Pleural Cancer
  • Pleural Neoplasm, Not Specified as Malignant
  • Pulmonary Disease
  • Rheumatic Aortic Valve Disorders
  • Ruptured Aortic Aneurysm
  • Septal Defect
  • Thoracic Cancer
  • Thoracoabdominal Aortic Aneurysm

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33

Procedures

Less

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Background Check

Malpractice Claims not available

Healthgrades does not collect malpractice information for Alabama.

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

  • University Of South Alabama / College Of Medicine
    Medical School | Graduated 1981
  • Bridgeport Hospital
    Internship Hospital | Completed 1982
  • Bridgeport Hospital
    Residency Hospital | Completed 1986
  • Cleveland Clinic
    Residency Hospital | Completed 1989
  • Cleveland Clinic
    Fellowship Hospital | Completed 1987

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Clay has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

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

Dr. Clay's Reviews

Likelihood of recommending Dr. Clay to family and friends
4.6
based on 10 total reviews (3 with comments)

Likelihood to Recommend (10)

  • 5
    (9)
  • 4
    (0)
  • 3
    (0)
  • 2
    (0)
  • 1
    (1)

Dr. Clay'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
10 to 15 minutes

Patient Comments (3)

in Ardmore, TN
Dr. Clay was an excellent doctor and I would recommend him above any other heart surgeon. He was also kind, which meant a lot to me and to my family. Wonderful man/excellent doctor! Huntsville is blessed to have him.
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in Madison AL
Horrible!!!!!!!!!!!!!
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in Huntsville, AL
He organizes support team and uses his resources well. He is definitely a straight shooter who tells it like it is and covers each scenario with patient.
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Visit Dr. Clay

Now Accepting New Patients
Dr. Clay accepts 12 insurance carriers
  • Aetna
    Choice Plus POS II
  • Blue Cross Blue Shield
    Blue Card PPO
  • Blue Cross Blue Shield of California
    Dental Blue 100/200/300
  • Cigna
    Cigna HMO
    Cigna PPO
    Great West Healthcare-Cigna PPO
    Open Access Plus
  • Golden Rule
  • Government Employees Health Association (GEHA)
    GEHA
  • Humana
    Choice Care PPO
  • Mail Handlers Benefit Plan (MHBP)
  • MultiPlan
    MultiPlan PPO
    PHCS Network PPO
  • National Elevator
  • Tricare
  • UnitedHealthCare
    Choice Plus POS
    Navigate HMO
    Navigate POS
    Options PPO
    United Healthcare

*Please verify this information when scheduling an appointment.

Dr. Clay's affiliated hospitals

Huntsville Hospital
101 Sivley Rd SW
Huntsville, AL 35801
View Hospital Profile

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