Tag: 2014

Aortic arch surgery cerebral monitoring

A Chawla (London, UK) gives an overview of cerebral monitoring options in aortic arch surgery.

Posted in Aorta Tagged with: , , , , , ,

Endobronchial lung volume reduction

F Herth (Heidelberg, Germany) gives an overview of interventional treatment options in emphysema.

Posted in Lung Tagged with: , , , , ,

Virtual thoracic MDT

M Hawari (Nottingham, UK) presents a complex case of persistent chylothorax for discussion.

Posted in Pleura Tagged with: , , , ,

Future of atrial ablation surgery

J Cox (St Louis, USA) considers the evidence for ablation in atrial fibrillation treatment, to help inform what the future management might be.

Posted in Arrhythmias Tagged with: , , , , ,

Aprotinin regulation

D Royston (London, UK) reviews the history of aprotinin and its licencing.

Posted in Blood Tagged with: , , , ,

Commissioning in heart valve surgery

N Briffa (Shiffield, UK) explains the commissioning process for valve surgery in the English NHS.

Posted in NHS Tagged with: , , , ,

Mitral valve early intervention

B Bridgewater (Manchester, UK) introduces a session on early intervention in mitral valve repair. I Ahmed (Brighton, UK) argues in favour of early intervention. R Rosenhek (Vienna, Austria) prefers a watchful waiting approach. D Adams (New York, UK) discusses the

Posted in Mitral valve Tagged with: , , , , , , , , , ,

TAVI USA lessons

D Adams (New York, USA) presents evidence for transcatheter aortic valve implantation (TAVI) from the Pivotal trial of the Medtronic CoreValve.

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ECMO for thoracic pathology

P-E Falcoz (Strasbourg, France) describes the different types of ECMO available for thoracic patients and considers future developments.

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Why a minimally invasive programme?

I Ahmed (Brighton, UK) argues in favour of developing minimally invasive mitral valve surgery.

Posted in Mitral valve Tagged with: , , , ,

Why not a minimally invasive mitral programme?

S Livesey (Southampton, UK) argues against the widespread adoption of minimally invasive mitral valve surgery.

Posted in Mitral valve Tagged with: , , , ,

Minimising brain injury in aortic arch surgery

DK Harrington (Liverpool, UK) reviews the evidence for different techniques of brain protection in aortic arch surgery.

Posted in Aorta Tagged with: , , , , ,

Radial artery in CABG

D Taggart (Oxford, UK) gives a quick overview of the evidence for radial artery conduit patency rates.

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Chest wall resection and reconstruction

S Kalkat (Birmingham, UK) outlines the different types of primary chest wall tumours with discussion of chest wall resection and reconstruction.

Posted in Chest wall Tagged with: , , , ,

Mini AVR MiniStern trial

S Nair (Newcastle, UK) presents an update on the mini-sternotomy trial for aortic valve replacement.

Posted in Aortic valve Tagged with: , , , , ,

Chest wall soft tissue cover

H Khalil (Birmingham, UK) shows a number of cases requiring chest wall soft tissue cover, using a number of different flaps to achieve this.

Posted in Chest wall Tagged with: , , , ,

Revascularisation anatomy vs function

C Hamm (Bad Nauheim, Germany) explains the use of fractional flow reserve (FFR) in the assessment of coronary stenoses.

Posted in Coronary Tagged with: , , , , ,

TAVI valve in valve

M Bhabra (Wolverhampton, UK) describes the evidence for and techniques used in valve-in-valve transcatheter aortic valve implantation.

Posted in Aortic valve Tagged with: , , , , ,

Atrial fibrillation ablation devices

M Dalrymple-Hay (Plymouth, UK) describes devices available and their mechanisms of action in atrial fibrillation ablation surgery.

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Emphysema management advances

M Morgan (Leicester, UK) discusses assessment and case selection of emphysema patients in a multidisciplinary setting.

Posted in Lung Tagged with: , , , , , ,

Bleeding assessment

M Besser (Cambridge, UK) discusses assessment of the bleeding patient, looking at laboratory and point of care testing, and considering possible interventions.

Posted in Blood Tagged with: , , ,

Arterial cannulation in aortic arch surgery

M Sabetai (London, UK) considers the different cannulation options in aortic arch surgery.

Posted in Aorta Tagged with: , , , , ,

Revascularisation completeness discussion

This is a panel and audience discussion on the importance of completeness of myocardial revascularisation, with particular emphasis on the use of fractional flow reserve (FFR).

Posted in Coronary, Uncategorized Tagged with: , , ,

Emphysema case based discussion

M Shackcloth (Liverpool, UK) presents a case of emphysema for panel discussion.

Posted in Lung Tagged with: , , ,

Future of lone AF ablation techniques – discussion

The panel discuss various aspects of ablation for lone atrial fibrillation.

Posted in Arrhythmias Tagged with: , , ,

Off pump CABG – against

J Pepper (London, UK) presents evidence against the use of off-pump coronary bypass surgery.

Posted in Coronary Tagged with: , , , , , , ,

Type B dissection risk assessment & planning

R Clough (London, UK) reviews the evidence for management strategies in type B aortic dissection and describes her ongoing research in this area.

Posted in Aorta Tagged with: , , , ,

Off pump CABG – in favour

M S Uva (Lisbon, Portugal) argues in favour of off-pump coronary bypass surgery, reviewing the evidence from randomised controlled trials and meta-analyses.

Posted in Coronary Tagged with: , , , , , , ,

Intrapulmonary sepsis – case based discussion

I Hunt (London, UK) presents a case for interactive audience discussion.

Posted in Lung Tagged with: , , ,

Mini AVR with sutureless valves

O Dapunt (Oldenburg, Germany) describes the different types of sutureless valves available, with a video demonstration of an Enable valve insertion.

Posted in Aortic valve Tagged with: , , , , , , , , ,

LVRS & transplantation

D Van Raemdonck (Leuven, Belgium) reviews the relative benefits of lung volume reduction surgery and lung transplantation in patients with emphysema.

Posted in Lung Tagged with: , , , , , ,

Unilateral VATS ablation in hybrid AF treatment

G Bisleri (Brescia, Italy) discusses unilateral thoracoscopic ablation in hybrid atrial fibrillation treatment, with a video demonstration of the surgical technique.

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Oesophago-airway fistulae

R Page (Liverpool, UK) discusses the management of oesophago-airway fistulae.

Posted in Airways Tagged with: , , , , ,

Complex thoracic infections

G Massard (Strasbourg, France) reviews the management of the pleural space in complex situations.

Posted in Pleura Tagged with: , , , ,

Digital drains

A Brunelli (Leeds, UK) discusses the benefits of digital drainage systems in thoracic practice.

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Hybrid ablation of lone atrial fibrillation

M La Meir (Maastricht, Netherlands) considers aspects of hybrid approaches to lone atrial fibrillation.

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Minimally invasive mitral – unpublished evidence

B Bridgewater (Manchester, UK) describes his personal experience of starting and then stopping a minimally invasive mitral programme.

Posted in Mitral valve Tagged with: , , , ,

Multi-speciality surgery

D West (Bristol, UK) gives an overview of the issues involved in planning complex multi-specialty surgery.

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Medical management of pleural infection

N Maskell (Bristol, UK) discusses the medical management of pleural infection, including the possible use of medical thoracoscopy.

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Degenerative mitral valve – resect or respect discussion

This is a panel discussion on the philosophy of mitral valve repair.

Posted in Mitral valve Tagged with: , , , , ,

Mini AVR MAVRIC trial

A Goodwin (Middlesbrough, UK) gives a detailed description of the manubrium-only approach to minimally invasive aortic valve replacement and explains the set-up of the MAVRIC trial.

Posted in Aortic valve Tagged with: , , , , , ,

Mini mitral for posterior prolapse

J-F Obadia (Lyon, France) describes his minimally invasive mitral valve repair techniques, emphasising setup and how he measures the length of the goretex neochordae.

Posted in Mitral valve Tagged with: , , , , ,

Intra-operative solitary pulmonary nodule imaging

H Isringhaus (Voelklingen, Germany) describes the use of intra-operative imaging techniques, including DynaCT, to aid resection of pulmonary nodules.

Posted in Imaging, Lung Tagged with: , , , ,

Bilateral IMA evidence

D Taggart (Oxford, UK) reviews the evidence for bilateral internal mammary artery use in coronary bypass surgery.

Posted in Coronary Tagged with: , , , , ,

Lone AF laparoscopic convergent procedure

B Gersak (Ljubljana, Slovenia) describes a convergent (hybrid) procedure via a sub-xiphoid approach for the treatment of permanent atrial fibrillation.

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Mini mitral in special circumstances

H Vanermen (Brussels, Belgium) discusses SAM and how it can be repaired endoscopically.

Posted in Mitral valve Tagged with: , , , , , ,

Tracheal stem cells

P De Coppi (London, UK) explores the potential of stem cells in engineered cartilaginous grafts for tracheal repair.

Posted in Airways Tagged with: , , , , ,

Minimally invasive mitral programme setup

P Modi (Liverpool, UK) describes how he set up a minimally invasive mitral valve programme in Liverpool.

Posted in Mitral valve Tagged with: , , , ,

Mitral valve resect philosophy

D Adams (New York, USA) discusses the modern role of the Resect philosophy in mitral valve repair.

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Thoracic sepsis case based discussion

M Will (Edinburgh, UK) presents a complex thoracic case for discussion.

Posted in Lung Tagged with: , , , , ,

Tracheal transplantation

D Van Raemdonck (Leuven, Belgium) presents an overview of the current status of tracheal transplantation.

Posted in Airways Tagged with: , , , ,

Endoscopic totally closed chest mitral repair

A Yilmaz (Amsterdam, Netherlands) describes his techniques for minimally-invasive mitral valve repair, including a video demonstration.

Posted in Mitral valve Tagged with: , , , , ,

Mitral valve personal philosophy

H Vanermen (Brussels, Belgium) gives an overview of techniques used in mitral valve repair, with emphasis on P2.

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Pleural sepsis management

G Massard (Strasbourg, France) gives an overview  of the management of empyema.

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Shoulder girdle trauma

L Van Rensburg (Cambridge, UK) describes several injuries that can occur to the shoulder girdle and how they can be managed.

Posted in Chest wall, Trauma Tagged with: , , , ,

Blood conservation

G Murphy (Leicester, UK) gives an overview of blood management strategies in cardiac surgery.

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Mitral valve respect philosophy

N Moat (London, UK) argues in favour of a Respect philosophy towards mitral valve repsir.

Posted in Mitral valve Tagged with: , , , , ,

Combined spinal & thoracic surgery

PS Minhas (London, UK) describes cases where a combined approach is appropriate.

Posted in Chest wall Tagged with: , , , ,

NSTEMI case based discussion

Prof G Laufer (Vienna, Austria) argues in favour of CABG in multivessel disease. P Kolh (Liege, Belgium) considers the case in the context of European guidelines. A discussion follows.

Posted in Coronary Tagged with: , , , , , ,

VATS lone atrial fibrillation ablation future

M Castella (Barcelona, Spain) reviews the results of the FAST study, considers reasons for failure and looks at techniques to improve the results of surgical ablation.

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Extended use of endobronchial devices

F Herth (Heidelberg, Germany) describes the extended use of endobronchial devices for stenoses, airleaks and bronchopleural fistulae.

Posted in Airways, Lung Tagged with: , , , , ,

Rib fixation

M Bemelman (Tilburg, Netherlands) gives an overview of the current standing of rib fixation.

Posted in Chest wall, Trauma Tagged with: , , , , ,

Concomitant AF ablation AMAZE trial

S Nashef (Cambridge, UK) summarises the development of atrial fibrillation ablation techniques before explaining the aims of the AMAZE trial.

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Advances in LA appendage management

S Benussi (Milan, Italy) demonstrates the use of newer devices for left atrial appendage occlusion.

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Frozen elephant trunk

A Oo (Liverpool (UK) explains the frozen elephant trunk procedure and the grafts available.

Posted in Aorta Tagged with: , , , , ,

Type A dissection cannulation strategies

M Sabetai (London, UK) describes the different approaches to cannulation in type A aortic dissection.

Posted in Aorta Tagged with: , , , ,

Aortic arch replacement options

J Elefteriades (New Haven, USA) discusses the surgical techniques available for aortic arch replacement.

Posted in Aorta Tagged with: , , , , ,

Type A dissection evolving strategies

J Elefteriades (New Haven, USA) describes current surgical techniques in the management of type A aortic dissection.

Posted in Aorta Tagged with: , , , ,

LA appendage surgical options

S Salzberg (Zurich, Switzerland) explains the benefits of surgical left atrial appendage occlusion in the management of atrial fibrillation, demonstrating the differing devices available.

Posted in Arrhythmias Tagged with: , , , , ,

Aortic arch repair hybrid approaches

P Taylor (London, UK) discusses hybrid approaches to aortic arch disease and the consequences of extra-anatomic bypasses.

Posted in Aorta Tagged with: , , , , , ,

LA appendage closure evidence

J Dunning (Middlesbrough, UK) looks at the evidence for left atrial appendage closure in the management of atrial fibrillation.

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Thoracic surgery with spinal resection

P Dartevelle (Paris, France) describes his approach to complex chest wall resections.

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Type B aortic dissection

H Safi (Houston, USA) considers the evolving strategies in the management of type B aortic dissection.

Posted in Aorta Tagged with: , , , ,

Aspergillosis & tuberculosis

D Denning (Manchester, UK) gives an excellent overview of the management of aspergillosis, including indications for surgery.

Posted in Lung Tagged with: , , ,

Aortic arch & thoracoabdominal options

H Safi (Houston, USA) discusses some of the open and endovascular options available in complex aortic surgery.

Posted in Aorta Tagged with: , , , , , ,

Revascularisation completeness summary

D Taggart (Oxford, UK) summarises the debate on the evidence for completeness of myocardial revascularisation.

Posted in Coronary Tagged with: , , ,

Complete revascularisation – evidence in PCI

C Hamm (Bad Nauheim, Germany) reviews the evidence for the benefits of complete revascularisation in percutaneous coronary intervention.

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Total arterial revascularisation results

P Kolh (Leige, Belgium) considers the long-term results of arterial revascularisation, the SYNTAX trial and the 2010 European Revascularisation Guidelines.

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Measuring AF ablation success

M O’Neill (London, UK) considers how best to measure the success of ablation therapy for atrial fibrillation.

Posted in Arrhythmias Tagged with: , , , ,

Proximal LAD disease case based discussion

M Dweck (Edinburgh, UK) presents a case of isoated proximal LAD disease. G Laufer (Vienna, Austria) argues in favour of surgery, while C Hamm (Bad Nauheim, Germany) puts forward the case for PCI. P Kolh (Liege, Belgium) considers how the

Posted in Coronary Tagged with: , , , , , , , , ,

Graft flow assessment

V Zamvar (Edinburgh, UK) describes different techniques for assessing intra-operative graft flow.

Posted in Coronary Tagged with: , , , , ,

Complete revascularisation – evidence in CABG

P Kolh (Leige, Belgium) assesses the evidence for the importance of completeness of myocardial revascularisation in coronary bypass surgery.

Posted in Coronary Tagged with: , , , , ,

Mitral valve commissioning – achieving change

J Dark (Newcastle, UK) describes how a mitral valve service was set up in Newcastle.

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Bleeding prediction

A Jeppsson (Goteborg, Sweden) assesses how postoperative bleeding might be predicted and thereby prevented.

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Atrial fibrillation epidemiology and commissioning

D Connelly (Glasgow, UK) reviews the epidemiology of atrial fibrillation with a view to informing the commissioning of services.

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UK mitral valve surgery status

B Bridgewater (Manchester, UK) explains how the UK database can be used to inform commissioning of mitral valve services.

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TAVI UK trial

W Toff (Leicester, UK) explains the rationale for and design of the UK transcatheter aortic valve implantation (TAVI) trial.

Posted in Aortic valve Tagged with: , , , ,

Second generation TAVI devices

O Wendler (London, UK) describes new devices designed to improve outcomes in surgical TAVI.

Posted in Aortic valve Tagged with: , , , ,

Cardiology view of off pump CABG

C Hamm (Bad Nauheim, Germany) gives a brief assessment of off pump surgery from a cardiologist’s viewpoint.

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Mitral valve surgery commissioning

S Ray (Manchester, UK) argues for the development of valve centres of excellence, based on the recommendations in guidelines.

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Atrial fibrillation in context – discussion

This is a panel discussion following presentations on the use of ablation procedures in the treatment of atrial fibrillation.

Posted in Arrhythmias Tagged with: , , , ,

Virtual thoracic MDT

S Kalkat (Birmingham, UK) presents a case of bloody pleural effusion with chest wall mass. P McElnay (Bristol, UK) follows with a case involving a large mediastinal mass.

Posted in Airways, Chest wall Tagged with: , , , , , ,

Minimally invasive mitral surgery discussion

This is a panel discussion following a state of the art mitral valve surgery session.

Posted in NHS Tagged with: , , , ,

Mini mitral for bileaflet prolapse

H Vanermen (Brussels, Belgium) describes the principles of minimally-invasive mitral valve repair for bi-leaflet prolapse, before giving video demonstrations of his techniques.

Posted in Mitral valve Tagged with: , , , , , ,

Off pump CABG discussion

D Taggart (Oxford, UK) leads an audience discussion on the merits of off-pump coronary bypass surgery.

Posted in Coronary Tagged with: , , , , ,

TAVI UK registry

S Grant (Manchester, UK) presents data from the UK valve and TAVI registries.

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Evolution of Maze procedure

J Cox (St Louis, USA) recounts the development of the surgical treatment of atrial fibrillation up to the Maze-IV and hybrid procedures.

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