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CTSNet To Go
10 minutes | Jun 7, 2021
#17 CTSNet Beat Podcast : LAAOS III Trial, Randomized Trial of Left Atrial Appendage Occlusion, and Meta-Analysis Comparing Revascularization and Medical Treatment
The Beat episode, hosted by Patrick Myers, cardiac surgeon at the University of Lausanne and Geneva, Switzerland, focuses on three recent publications, presented at the ACC21 and EuroPCR meetings. First, Dr Myers discusses the LAAOS III trial, a practice-changing multicenter prospective randomized trial of left atrial appendage occlusion during cardiac surgery. He then dives into a meta-analysis comparing revascularization and medical treatment, covering 20’000 patients from 25 RCTs. Dr Myers then reviews a UK study on the impact of the COVID-19 pandemic on SAVR and TAVI volumes. He finally notes to not miss the guest editor series lead by Mark Gerdish, on surgery for atrial fibrillation. For more information on this episode’s topics, links to the articles are provided below: 1. Whitlock RP, Belley-Cote EP, Paparella D, Healey JS, Brady K, Sharma M, Reents W, Budera P, Baddour AJ, Fila P, Devereaux PJ, Bogachev-Prokophiev A, Boening A, Teoh KHT, Tagarakis GI, Slaughter MS, Royse AG, McGuinness S, Alings M, Punjabi PP, Mazer CD, Folkeringa RJ, Colli A, Avezum Á, Nakamya J, Balasubramanian K, Vincent J, Voisine P, Lamy A, Yusuf S, Connolly SJ; LAAOS III Investigators. Left Atrial Appendage Occlusion during Cardiac Surgery to Prevent Stroke. N Engl J Med. 2021 May 15. doi: 10.1056/NEJMoa2101897. 2. Navarese EP, Lansky AJ, Kereiakes DJ, Kubica J, Gurbel PA, Gorog DA, Valgimigli M, Curzen N, Kandzari DE, Bonaca MP, Brouwer M, Umińska J, Jaguszewski MJ, Raggi P, Waksman R, Leon MB, Wijns W, Andreotti F. Cardiac mortality in patients randomised to elective coronary revascularisation plus medical therapy or medical therapy alone: a systematic review and meta-analysis. Eur Heart J. 2021 May 18:ehab246. doi: 10.1093/eurheartj/ehab246. 3. Martin GP, Curzen N, Goodwin AT, Nolan J, Balacumaraswami L, Ludman PF, Kontopantelis E, Wu J, Gale CP, de Belder MA, Mamas MA. Indirect Impact of the COVID-19 Pandemic on Activity and Outcomes of Transcatheter and Surgical Treatment of Aortic Stenosis in England. Circ Cardiovasc Interv. 2021 May;14(5):e010413. doi: 10.1161/CIRCINTERVENTIONS.120.010413. 4. Gerdish M, La Meir M, McCarthy P, Ad N. Guest Editor Series Webinar: surgical atrial fibrillation – what we must do and what we can do. https://www.ctsnet.org/article/guest-editor-series-webinar-surgical-atrial-fibrillation-what-we-must-do-and-what-we-can-do
17 minutes | May 18, 2021
#16: CTSNet Podcast: Interview With Sean Grondin, President of the STS
In this latest Beat episode, hosted by Joel Dunning, MD, an interview with Sean Grondin, president of the STS, is featured. Dr. Grodin discusses the previous virtual STS meeting and shares plans for a hybrid meeting in Miami. He also covers the new STS Database transfer and the advantages this will have for members, as well as advocacy and interaction with government and the issues of training. It was a pleasure to talk to Sean who is doing an outstanding job of leading the STS in extraordinary times.
33 minutes | May 11, 2021
Leadership Book Club: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy by Amy Edmondson
The Leadership Book Club, hosted by Ara Vaporciyan, program manager of the Department of Thoracic and Cardiovascular Surgery at the University of Texas MD Anderson, discusses the book Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy by Amy Edmondson. Dr. Vaporicyan is joined by panelists Vinod Thourani, MD, of the Piedmont Heart Institute; Jennifer Romano, MD, of the University of Michigan; and Kimberly Holst, MD, of the Mayo Clinic. The Leadership Book Club discusses key concepts of the book as much of Dr Edmondson’s research is focused on health care, including cardiac surgery.
24 minutes | May 11, 2021
#15: CTSNet Beat Podcast: Training the Next Generation - an Interview with Dr. Elliot Servais
On this Beat episode, Dr. Brian Mitzman, Thoracic Surgeon with University of Utah Health in Salt Lake City, invites on Dr. Elliot Servais to discuss training the next generation of thoracic surgeons. Dr. Servais is a general thoracic surgeon with the Lahey Hospital and Medical Center in Boston, MA. He serves as the Director of Robotic Thoracic Surgery and Vice Chair for Quality and Safety in the Department of Surgery. He not only mentors fellows from the Beth Israel Deaconess training program, but also serves as a national proctor for Intuitive Surgical.
14 minutes | Mar 23, 2021
#14: CTSNet Beat Podcast: CT Training Models, Postop Day 1 Discharge After Lobectomy, and Overview of Anatomy for Robotic Lobectomy
This Beat episode, hosted by Brian Mitzman MD, general thoracic surgeon with the University of Utah in Salt Lake City, focuses two recent publications and also a featured video on CTSNet. First, Dr Mitzman discusses a recent JTCVS expert opinion from Dr Craig Baker of USC discussing traditional and integrated models for cardiothoracic surgery training. He then dives into a recent Annals publication from the team at University Hospitals Cleveland Medical Center which analyzes the STS General Thoracic Database and evaluates postoperative day 1 discharge after lobectomy. Lastly, Dr Mitzman reviews a CTSNet featured video from Drs Watkins and Servais in Boston, where they run through tips and tricks for all five robotic lobectomies. For more information on this episode's topics, links are provided: Baker CJ. What is the optimal cardiothoracic surgery residency model? JTCVS Open. 2021; In Press. doi:10.1016/j.xjon.2021.01.012 Towe CW, Thibault DP, Worrell SG, et al. Factors associated with successful postoperative day one discharge following anatomic lung resection. Ann Thorac Surg. 2021; In Press. doi:10.1016/j.athoracsur.2020.07.059 Zhao K, Zhang J, Li S. Discharge on POD1 after anatomic lung resection to be treated with caution. Ann Thorac Surg. 2021; In Press. doi:10.1016/j.athoracsur.2020.12.094 Towe CW, Worrell SG, Finley DJ, et al. One day is here to stay. Ann Thorac Surg. 2021;In Press. doi:10.1016/j.athoracsur.2021.03.020 Linden PA, Perry Y, Worrell SG et al. Postoperative day 1 discharge after anatomic lung resection: A Society of Thoracic Surgeons database analysis. J Thorac Cardiovasc Surg. 2020;159:667-678. doi:10.1016/jtcvs.2019.08.038 Watkins A, Servais E. Robotic Lobectomy: Review of Anatomy and Technique for RUL, RML, RLL, LUL, and LLL.
23 minutes | Mar 9, 2021
Giants of Cardiothoracic Surgery: An Interview With Marc Ruel
Jessica Luc of the University of British Columbia in Canada interviews Marc Ruel of the University of Ottawa Heart Institute about his pioneering work in minimally invasive cardiac surgical operations. They discuss his career, the importance of mentorship, and the development of current minimally invasive cardiac techniques.
21 minutes | Mar 9, 2021
Straight Talk With APPs: Current Hot Topics and Trends in Practice and CT Surgery
Lisa R. DeGarmo of McGovern Medical School at UTHealth in Houston, Texas, moderates a discussion for advanced practice providers. She is joined by Jill Engel of Duke University in Durham, North Carolina, Laura Marie Wueste of Memorial Hermann Health System in Houston, Texas, and Julie Dawn Shoffstall of Emory Healthcare in Atlanta, Georgia. They discuss the growth of APPs in the medical field, as well as how to build quality programs in cardiothoracic surgery.
24 minutes | Mar 9, 2021
Importance of Physical Well-Being to Prevent Burnout
Mara Antonoff of the University of Texas MD Anderson Cancer Center in Houston, USA, moderates a discussion on maintaining physical health to prevent burnout in cardiothoracic surgery. She is joined by Robert J. Cerfolio of NYU Langone Health in New York, Lisa M. Brown of University of California Davis Health, and Jennifer Sue Lawton of Johns Hopkins Medicine. They discuss the various ways to incorporate physical health and fitness as part of effective work-life balance.
23 minutes | Mar 9, 2021
#13: CTSnet Beat Podcast: Interview With Umberto Benedetto, Study on NHS and Private Hospitals, and ISMICS Guidelines
This Beat episode, hosted by Joel Dunning, focuses on the new ISMICS guidelines on TAVI versus SAVR, STS podcasts, the Mitral Foundation website, a new study on atezolizumab, and a UK National database comparison of outcomes between NHS hospitals and private hospitals with the author Umberto Benedetto. For more information on this episode's topics, links are provided: Thourani VH, Edelman JJ, Holmes SD, Nguyen TC, Carroll J, Mack MJ, et al. The International Society for Minimally Invasive Cardiothoracic Surgery Expert Consensus Statement on Transcatheter and Surgical Aortic Valve Replacement in Low- and Intermediate-Risk Patients: A Meta-Analysis of Randomized and Propensity-Matched Studies. Innovations. First Published January 25, 2021. STS Podcasts The Mitral Foundation Atezolizumab in addition to surgery in patients with lung cancer Disparity in clinical outcomes after cardiac surgery between private and public (NHS) payers in England
12 minutes | Feb 23, 2021
#12: CTSNet Beat Podcast: Diaphragm Plication, Robotic Alternatives, Reducing Unnecessary X-rays, Job Highlights
This Beat episode, featuring Brian Mitzman MD, general thoracic surgeon with the University of Utah in Salt Lake City, focuses on two recent CTSNet videos: robotic diaphragm plication and "robotic-alternative" instrumentation. He then looks into a recent Annals of Thoracic Surgery publication analyzing how to decrease overutilization of postoperative chest X-rays. Finally, Dr Mitzman takes a dive into the current CT surgery job market. For more information on this episode's topics, links are provided: Kraev A, Gregory J, Counts S. Robotic Left Diaphragm Plication Using Automatic (Cor-Knot) Device. CTSNet. February 2021. doi:10.25373/ctsnet.13957454 Dunning J, Colman A. VATS Wristed Instruments in a Middle Lobectomy and Control of Bleeding. CTSNet. February 2021. doi:10.25373/ctsnet.14047058 Porter ED, Kelly JL, Fay KA, Hasson RM, Millington TM, Finley DJ, et al. Reducing Unnecessary Chest X-Ray Films After Thoracic Surgery: A Quality Improvement Initiative. Ann Thorac Surg. 2021;111:1012-1018. CTSNet Career Center
30 minutes | Feb 23, 2021
Giants of Cardiothoracic Surgery: An Interview With Oscar Howard “Bud” Frazier
In this Giants of Cardiothoracic Surgery interview, Joel Dunning speaks with Oscar Howard “Bud” Frazier about his career. Dr Frazier trained with Michael DeBakey and Denton Cooley while they were developing the first mechanical heart. He continued and advanced this work throughout his career while also performing over 1,200 heart transplants and over 500 left ventricular assist devices (LVAD). Dr Frazier also performed the first HeartMate implantation and the first Jarvik implantation. He has been an instrumental part of mechanical heart development and continues to take a close interest in this rapidly advancing field.
18 minutes | Feb 23, 2021
Nontechnical Skills for Cardiothoracic Surgery
In this CTSNet To Go podcast episode, Jessica G. Y. Luc of the University of British Columbia moderates a discussion on nontechnical skills for cardiothoracic surgery. She is joined by Jason J. Han of the University of Pennsylvania, Patrick O. Myers of the Centre Hospitalier Universitaire Vaudois in Switzerland, Mara Antonoff of the University of Texas MD Anderson Cancer Center in Houston, Jennifer Sue Lawton of Johns Hopkins in Baltimore, Maryland, and Thomas K. Varghese Jr of the University of Utah. They discuss the important distinction between nontechnical and operative skills, the types of nontechnical skills that are unique to cardiothoracic surgery, and how to apply them to daily practice.
32 minutes | Feb 23, 2021
Exploit the Internet and Be a Shining Star
In this CTSNet To Go episode, Edward M. Bender of Stanford University in California, USA, moderates a discussion on how the internet plays a role in establishing and growing cardiothoracic careers. He is joined by T. Sloane Guy of Thomas Jefferson University in Philadelphia, Pennsylvania, USA, Jessica G. Y. Luc of the University of British Columbia in Canada, and Mara Antonoff of MD Anderson Cancer Center in Houston, Texas, USA. They discuss how to use social media to represent one's self and institution, communicate with colleagues and patients, and establish and evolve mentorships.
37 minutes | Feb 16, 2021
#11: CTSNet Beat Podcast: COVID-19 Vaccines: Part II
This Beat episode, hosted by Jessica Luc, MD, covers part two of a two-part discussion on vaccines. Dr Jessica Luc interviews Dr Dimitrios Coutsinos, thoracic surgery fellow with a PhD in immunology, to review the background and data on the latest vaccines available, as well as discuss the developments in its rollout, and potential effectiveness or lack of thereof, against the new variants. For more information on this episode's topics, links are provided: Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, et al. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. N Engl J Med. Dec 30, 2021. Voysey M, Clemens SAC, Madhi SA, Weckx LY, Folegatti PM, Aley PK, et al. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet. Dec 8, 2020. Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. N Engl J Med. 2020;383:2603-2615.
18 minutes | Feb 10, 2021
#10: CTSNet Beat Podcast: Survivors' Status After ECMO for Covid, Reperfusion Strategies, Adult Heart Surgeries Decrease, and Robotically-Assisted Congenital Cardiac Surgery
This Beat episode, featuring Joel Dunning, MD, focuses on survivors' longitudinal functional status of ECMO after COVID-19, a trial on advanced reperfusion strategies, an analysis on the decrease in all adult surgeries, and results of robotically-assisted congenital cardiac surgery. For more information on this episode's topics, links are provided:What Does Survival Look Like After ECMO for COVID-19? Small registry highlights need to analyze survivors' longitudinal functional statushttps://www.medpagetoday.com/meetingcoverage/sts/90972Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trialhttps://www.thelancet.com/article/S0140-6736(20)32338-2/fulltextAn analysis of national data revealed a 53% decrease in all adult heart surgeries, including a 40% decline in non-elective heart surgeries and a 65% drop in elective heart surgeries during the pandemic, compared to 2019.https://consumer.healthday.com/b-2-2-pandemic-has-cut-heart-surgeries-in-half-and-more-patients-are-dying-2650177681.html https://www.ctsnet.org/article/totally-endoscopic-transaortic-septal-myectomy-hypertrophic-cardiomyopathyEarly Results of Robotically Assisted Congenital Cardiac Surgery: Analysis of 242 Patients : JANS postinghttps://www.ctsnet.org/jans/early-results-robotically-assisted-congenital-cardiac-surgery-analysis-242-patients
26 minutes | Feb 10, 2021
Why Is Atrial Fibrillation Undertreated in Patients With CABG and Structural Disease?
In this CTSNet To Go podcast episode, Niv Ad moderates a discussion on the importance of atrial fibrillation in decision-making in structural heart disease and coronary artery disease. He is joined by Marc Gerdisch of the Franciscan St. Francis Heart Center in Indianapolis, Indiana, USA; Joanna Chikwe of Cedars Sinai Medical Center in Los Angeles, California, USA; and Vinod Thourani of the Piedmont Heart Institute in Atlanta, Georgia, USA.
19 minutes | Feb 10, 2021
Role of Metastasectomy in Pulmonary Metastatic Disease
In this CTSNet To Go podcast episode, Mara Antonoff moderates a roundtable on the role of metastasectomy in pulmonary metastatic disease. She is joined by Erin M. Corsini of MD Anderson Cancer Center, Loretta Erhunmwunsee of City of Hope Cancer Center in California, and Neel Chudgar of Memorial Sloan Kettering Cancer Center in New York. They discuss variability in practice patterns, specific tumor types, and patient selection.
21 minutes | Feb 10, 2021
Innovative Curriculum Design: What Are Programs Doing to Keep Graduates Relevant?
In this CTSNet To Go episode, David Tom Cooke moderates a discussion on innovative curriculum design in cardiothoracic surgery. He is joined by Rishindra M. Reddy of the University of Michigan, Amy G. Fiedler of the University of Wisconsin, Luis Armando Godoy of the University of California David Medical Center, and Thomas K. Varghese, Jr., of the University of Utah. They discuss the fundamental skill sets residents must learn before graduation, the current curriculum at each panelists' respective institutions, and innovative new ideas to guide curriculum development in the future.
12 minutes | Jan 25, 2021
#9: CTSNet Beat Podcast: STS 57th Annual Meeting, a Unique Technique for Robotic Lobectomy, and Managing Chest Tubes in COVID-19
This Beat episode, featuring Brian Mitzman, general thoracic surgeon with the University of Utah in Salt Lake City, discusses recent highlights submitted to CTSNet along with a look at this weekend's Society of Thoracic Surgeons 57th Annual Meeting. For more information on this episode's topics, links are provided:Society of Thoracic Surgeons 57th Annual MeetingFontaine J-P, Parvathaneni A. Moffitt Technique. January 2021. doi:10.25373/ctsnet.13549418. Ceylan KC, Batihan G, Yazgan S, et al. Pleural complications in patients with coronavirus disease 2019 (COVID-19): How to safely apply and follow-up with a chest tube during the pandemic. Eur J Cardiothoracic Surg. 2020;58:1216-1221.
60 minutes | Jan 25, 2021
Surgical Management of Acute Aortic Dissections: Tricks and Tips to Simplify the Operation
In this CTSNet To Go podcast episode, Guest Editor Konstadinos A. Plestis and his panelists discuss the seven clinical videos of his recent Guest Editor Series: Surgical Management of Acute Aortic Dissections: Tricks and Tips to Simplify the Operation, highlighting key techniques in difficult cases that can be replicated by all cardiac surgeons.
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