Tag: Edinburgh

Aortic arch surgery cerebral monitoring

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

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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.

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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.

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Aprotinin regulation

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

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Commissioning in heart valve surgery

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

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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.

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Why not a minimally invasive mitral programme?

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

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Minimising brain injury in aortic arch surgery

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

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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.

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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.

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Revascularisation anatomy vs function

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

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TAVI valve in valve

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

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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.

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Bleeding assessment

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

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Arterial cannulation in aortic arch surgery

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

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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.

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Off pump CABG – against

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

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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.

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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.

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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.

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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.

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Complex thoracic infections

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

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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.

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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.

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Bilateral IMA evidence

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

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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.

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Tracheal stem cells

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

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Minimally invasive mitral programme setup

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

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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.

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Tracheal transplantation

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

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Endoscopic totally closed chest mitral repair

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

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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.

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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.

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Combined spinal & thoracic surgery

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

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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.

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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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LVRS as gold standard for emphysema

D Waller (Leicester, UK) argues that lung volume reduction surgery remains the gold standard intervention for emphysema. He reviews the NETT trial and the evidence for valves and coils, before presenting data from his own unit.

Posted in Lung Tagged with: , , , ,

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.

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Type A dissection cannulation strategies

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

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Aortic arch replacement options

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

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Type A dissection evolving strategies

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

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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.

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Aortic arch repair hybrid approaches

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

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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.

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Aspergillosis & tuberculosis

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

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Aortic arch & thoracoabdominal options

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

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Revascularisation completeness summary

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

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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.

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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.

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Complete revascularisation – evidence in CABG

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

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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.

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Second generation TAVI devices

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

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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.

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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.

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Off pump CABG discussion

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

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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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