Dr. Trevor Axford, MD

Cardiac Surgery  ·  
Male  ·  
Age 57
(6)
Insurances Accepted  ·  Save
Dr. Trevor Axford, MD
Dr. Trevor Axford, MD is a cardiac surgery specialist in Saint Charles, MO and has been practicing for 23 years. He graduated from Washington University St Louis in 1986 and specializes in cardiac 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

330 1st Capitol Dr Ste 500

Saint Charles, MO 63301

Contact Information

(314) 647-8269

Dr. Trevor Axford, MD

Dr. Trevor Axford, MD

Accepted insurance

  • Aetna
  • Anthem Blue Cross Blue Shield
  • Blue Cross Blue Shield
  • Cigna
  • HealthLink
  • Humana
  • MultiPlan

*Please verify this information when scheduling an appointment.

Learn about Dr. Axford

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. Axford performs your care needs compared to other doctors.

Vascular Disease
normal
more than 58% of peers
Incisional Hernia
normal
more than 49% of peers
Heart Surgery
normal
more than 37% of peers

Dr. Axford'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

  • Cardiac Surgery

1  Board Certifications

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

34  Conditions Treated

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18  Procedures

Background Check

Malpractice Claims not available

Healthgrades does not collect malpractice information for Missouri.

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

  • Washington University St Louis
    Medical School | Graduated 1986
  • Brigham and Womens Hosp/Harvard Med School
    Internship Hospital | Completed 1987
  • Brigham and Womens Hosp/Harvard Med School
    Residency Hospital | Completed 1992
  • Brigham and Womens Hosp/Boston Chldns Hospital
    Fellowship Hospital | Completed 1995
  • Brigham and Womens Hosp/Harvard Med School
    Fellowship Hospital | Completed 1993

Awards & Recognition

Awards & Honors
  • Healthgrades Honor Roll
Media & Publications

Dr. Axford has no media or publications listed.

Languages Spoken

  • English

Memberships & Professional Affiliations

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

Dr. Axford's Reviews

4.2
Likelihood of recommending Dr. Axford to family and friends
6 total reviews (2 have comments)

Likelihood to Recommend (6)

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

Dr. Axford's Performance

  • Trustworthiness

    EXCELLENT
  • Explains condition(s) well

    EXCELLENT
  • Answers questions

    EXCELLENT
  • Time well spent

    EXCELLENT

Office & Staff Performance

  • Scheduling

    VERY GOOD
  • Office environment

    VERY GOOD
  • Staff friendliness

    VERY GOOD
  • Average wait time

    10 to 15 minutes

Patient Comments (2)

Dr's Axford and John replaced my Mitral Flap in 11/16/16. They were EXCELLENT folks and I am 100% well. They were caring, concerned and never in a hurry. They even came to see in, the hospital, after I had a small stroke that only effected my speech. I would recommend him to any person who asked...more
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Dr. Axford did my double bypass last month. I highly recommend him not only because he is an excellent surgeon but he is considerate, caring and takes his time to answer any and all questions you may have. Everyone in his facility are the same way! All of them take their time with you and are...more
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Now Accepting New Patients

Dr. Axford accepts 7 insurance carriers

  • Aetna
    Aetna HMO
    Choice Plus POS II
  • Anthem Blue Cross Blue Shield
    Anthem Blue Cross Blue Shield HMO
    Anthem Blue Cross Blue Shield PPO
    Blue Preferred Plus POS
  • Blue Cross Blue Shield
    Blue Card PPO
  • Cigna
    Cigna HMO
    Cigna PPO
    Open Access Plus
  • HealthLink
    HealthLink PPO
  • Humana
    Choice Care PPO
  • MultiPlan
    MultiPlan PPO
    PHCS Network PPO
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*Please verify this information when scheduling an appointment.

Dr. Axford's affiliated hospitals

SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plz
Lake Saint Louis, MO 63367
View hospital profile
SSM Health DePaul Hospital
12303 Depaul Drive
Bridgeton, MO 63044
View hospital profile
SSM Health St. Joseph Hospital - St. Charles
300 First Capitol Drive
Saint Charles, MO 63301
View hospital profile
SSM Saint Mary's Hospital
6420 Clayton Rd
Richmond Heights, MO 63117
View hospital profile
SSM Health St. Clare Hospital
1015 Bowles Ave
Fenton, MO 63026
View hospital profile

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