Dr. Trevor Axford, MD

General Surgery  ·  
Male  ·  
Age 58
(6)
Insurances Accepted  ·  Save
Dr. Trevor Axford, MD
"Dr. Trevor Axford earned his medical degree from Washington University School of Medicine, St. Louis, in 1986. He completed his general surgery residency and cardiothoracic residency at the Brigham and Women's Hospital, Harvard Medical School in Boston. Dr. Axford is certified by the American Board of Surgery and the American Board of Thoracic Surgery, and is a fellow of the American College of Surgeons."

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.

Background Check

Healthgrades does not collect malpractice information for Missouri
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. Axford's Top Procedures and Conditions

Treatment Frequency
Vascular Disease
normal
normal

Treatment Frequency

Dr. Axford treats Vascular Disease more than 53% of his peers

Dr. Axford treats this condition more than 53% of his peers

Incisional Hernia
normal
normal

Treatment Frequency

Dr. Axford treats Incisional Hernia more than 49% of his peers

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

Heart Surgery
normal
normal

Treatment Frequency

Dr. Axford performs Heart Surgery more than 36% of his peers

Dr. Axford performs this procedure more than 36% of his peers

Dr. Axford's conditions and procedures:

Abdominal Disorders
Abdominal Pain
Aneurysm
Aortic Aneurysm
Aortic Dissection
Aortic Repair, Open or Repair of Arterial Aneurysm, Open
Aortic Valve Disease
Benign Tumor
Cancer
Chest CT (incl. Heart and Lungs)
Cholecystitis and Gallstones
Collapsed Lung (Pneumothorax)
Constipation
Coronary Artery Bypass Graft (CABG) Surgery
Coronary Artery Disease (CAD)
Decortication and Pleurectomy
Diaphragmatic and-or Hiatal Hernia
Esophageal Diseases
Esophageal Surgery
Excision of Skin Lesion
Excision, Shaving, or Destruction of Skin and Subcutaneous Tissue (incl. Mohs Micrographic Surgery), Tissue Transfer
Gastroenterology Procedures
Gastrointestinal Diseases
Gastrotomy
Head and Neck Surgery
Heart Defect Repair
Heart Surgery
Heart Tumors, Benign
Hemorrhoids
Hernia
Hyperparathyroidism
Incisional Hernia
Inguinal Hernia
Intestinal Obstruction
Lipomas
Lung Surgery
Mitral Valve Disease
Partial Lung Collapse
Pericardial Disease
Peripheral Arterial Embolism and Thrombosis
Peripheral Vascular Disease (PAD, PVD)
Pleural Effusion
Port Placements or Replacements
Pulmonary Disease
Stomach Diseases
Thoracentesis
Thrombosis
Ulcer
Valve Repair or Replacement (Aortic, Mitral, Tricuspid, and Pulmonary)
Vascular Disease
Vascular Surgical Procedure
Video-Assisted Thoracoscopic Surgery (VATS) or Thoracotomy

About Me

Biography

"Dr. Trevor Axford earned his medical degree from Washington University School of Medicine, St. Louis, in 1986. He completed his general surgery residency and cardiothoracic residency at the Brigham and Women's Hospital, Harvard Medical School in Bos...

Specialties

  • General Surgery

Board Certifications

  • Thoracic Cardiovascular Surgery

Education

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

Awards

Dr. Axford's Reviews

Likelihood to recommend Dr. Axford

4.2

Based on 6 reviews

5 Stars
66.66666666666667%
(4)
4 Stars
16.666666666666668%
(1)
3 Stars
0%
(0)
2 Stars
0%
(0)
1 Star
16.666666666666668%
(1)

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Average Wait Time
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Dr. Axford's Performance
  • Trustworthiness
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  • Answers questions
  • Time well spent
Office & Staff Performance
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  • Staff friendliness
What People Say About Dr. Trevor Axford, MD
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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...Read 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...Read More
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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
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
PHCS Network PPO

Affiliated Hospitals

Check the quality of care at hospitals where Dr. Axford treats patients.

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SSM Saint Mary's Hospital

Richmond Heights, MO