Barbados’ Queen Elizabeth Hospital (QEH) has achieved a transformative milestone in cardiac care with the successful execution of the nation’s inaugural Transcatheter Aortic Valve Implantation (TAVI) within its public healthcare system. This minimally invasive procedure, performed in the Cardiac Suite at the Lion’s Eye Care Centre, marks a significant leap forward in treating aortic stenosis—a dangerous narrowing of the heart valve predominantly affecting elderly patients who are often unsuitable for traditional open-heart surgery due to age and co-morbidities.
A multidisciplinary team of specialists, led by Cardiothoracic Surgeon Dr. Christita Powlett and supported by Consultant Cardiologist Dr. Jose Lugo, Head of Cardiology Dr. Dawn Scantlebury, and Anesthesiologist Dr. Sherry Lashley, pioneered the procedure. The TAVI technique involves threading a catheter typically through the groin or a minor chest incision to deploy a new valve over the malfunctioning one. With an international success rate exceeding 98%, the procedure offers rapid symptom relief and dramatically reduced recovery periods, frequently enabling discharge within 72 hours.
This achievement is particularly notable as it brings a advanced treatment modality previously available only in private sectors regionally—such as in Jamaica, Trinidad and Tobago, and Guyana—into the public health domain. To date, QEH has successfully completed two TAVI procedures despite significant infrastructural challenges. The hospital is currently operating with reduced theater capacity due to issues with the central air-conditioning system affecting six operating rooms.
In response, hospital CEO Neil Clark and medical teams have implemented an innovative extended rotating theater schedule, utilizing three functional theaters for prolonged hours throughout weekdays and weekends. This contingency measure has enabled the continuation of urgent surgeries, addressed critical demand, and begun reducing the procedural backlog.
While repairs are ongoing, QEH has procured a new air-conditioning unit scheduled for installation in March, which will serve as the permanent solution to restore full operational capacity. The hospital administration has extended apologies to patients experiencing delays and reaffirmed its commitment to advancing specialized medical services while ensuring safe, effective, and timely care for all Barbadians.