Tag: Manchester

Transoesophageal echocardiography type II mitral regurgitation

A Macnab (Manchester, UK) gives a detailed description of the desirable TOE views in the assessment of the mitral valve.

Posted in Imaging, Videos Tagged with: , , , ,

Transoesophageal echocardiography type I mitral regurgitation

S Ray (Manchester, UK) gives an overview of TOE use in assessing mitral regurgitation with normal leaflet motion.

Posted in Imaging, Videos Tagged with: , , , ,

Transoesophageal echocardiography perioperative guidelines

S Reeves (Charleston, USA) reviews the SCA/ASE 2014 Perioperative Transoesophageal Echocardiography Guidelines.

Posted in Imaging, Videos Tagged with: , , , ,

TOE in Mechanical Assist

J Ender (Leipzig, Germany) discusses the use of transoesophageal echocardiography in the setting of mechanical circulatory support.

Posted in Imaging, Videos Tagged with: , , , ,

Coagulopathy diagnosis

K Görlinger (Essen, Germany) gives an overview on the management of postoperative coagulopathy based on ROTEM results.

Posted in Blood, Videos Tagged with: , , , , , ,

Transoesophageal echocardiography for ITU instability

M Bewsher (Manchester, UK) considers how TOE can help in the management of the postoperative unstable cardiac surgical patient.

Posted in Imaging, Videos Tagged with: , , ,

Transcatheter mitral Edwards Fortis

V Bapat (London, UK) describes the Edwards transcatheter mitral valve replacement system, including a video animation and presentation of his early results.

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

Coagulopathy pathogenesis

J Thachil (Manchester, UK) gives some new insights into the coagulation cascade and the pathogenisis of bleeding after cardiac surgery.

Posted in Blood, Videos Tagged with: , , , , ,

Transcatheter mitral repair overview

A Vahanian (Paris, France) reviews the current status of percutaneous mitral valve repair and considers how this field may develop in the future.

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

Transoesophageal echocardiography in the catheter lab

A Macnab (Manchester ,UK) shows a variety of cases from the catheter laboratory illustrated with echo imaging.

Posted in Imaging, Videos Tagged with: , , ,

Ultrasound-based approach to brain and somatic desaturation

A Denault (Montreal, Canada) describes in detail the current modalities available for cerebral monitoring.

Posted in Imaging, Videos Tagged with: , , ,

Intravenous iron for anaemia

T Richards (London, UK) details the importance of iron and its transport mechanisms. He then reviews the history of intravenous iron administration and looks at novel options.

Posted in Blood, Videos Tagged with: , , , , ,

Mini-mitral surgery: state of the art in Europe

P Perier (Bad Neustadt/Saale, Germany) reviews the evolution of minimally-invasive mitral valve surgery.

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

Tracheal substitutes

P Dartevelle (Paris, France) gives a detailed description of tracheal replacement using a forearm free flap.

Posted in Airways, Videos Tagged with: , , , ,

Adult congenital right heart problems

L Winslow (Manchester, UK) explains the mechanisms leading to right heart problems in the adult congenital population.

Posted in Congenital, Videos Tagged with: , , , ,

TOE type III mitral regurgitation

J Ender (Leipzig, Germany) considers functional restrictive mitral regurgitation, looking at mechanisms, measurements and therapeutic options.

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

Anaemia pathogenesis

A Klein (Cambridge, UK) reviews the incidence and causes of anaemia.

Posted in Blood, Videos Tagged with: , , ,

Preoperative anaemia management

C von Heymann (Berlin, Germany) reviews the incidence of preoperative anaemia in cardiac surgery and considers its contribution to adverse outcomes.

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Adult airway stenosis endoscopy

G Sandhu (London, UK) explains the causes and describes his approach to managing airway stenoses in the adult.

Posted in Airways, Videos Tagged with: , , ,

Anaesthetic implications of mini-mitral surgery

K Khan (Middlesbrough, UK) discusses his approach to anaesthesia in minimally-invasive mitral valve surgery, describing tips and tricks based on his unit’s experience.

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

Mesothelioma oncology

S Popat (London, UK) reviews the evidence for the use of chemotherapy in malignant mesothelioma and explores developing therapeutic options.

Posted in Pleura, Videos Tagged with: , , , , ,

ECHO in Outpatients

C Royse (Melbourne, Australia) discusses the potential routine use of transthoracic echocardiography, as well as other ultrasound techniques, in preoperative assessment in the outpatient setting. <iframe width=”560″ height=”315″ src=”https://www.youtube-nocookie.com/embed/Wxiu7MbhS9M?rel=0&amp;showinfo=0″ frameborder=”0″ allowfullscreen></iframe>

Posted in Imaging, Videos Tagged with: , , , ,

REPLACE trial of iv fibrinogen

R Gill (Southampton, UK) discusses the role of fibrinogen in coagulation and the REPLACE trial of its use in complex cardiovascular surgery.

Posted in Blood, Videos Tagged with: , , , , , ,

Cerebral blood flow monitoring and autoregulation

H Grocott (Winnipeg, Canada) explains the physiology of cerebral blood flow, looking at options for measurement and interventions to improve flow.

Posted in Imaging, Videos Tagged with: , , ,

Difficult airway management

T McLeod (Birmingham, UK) discusses anaesthetic aspects of difficult airway management.

Posted in Airways, Videos Tagged with: , , ,

Coagulopathy prevention

D Mazer (Toronto, Canada) discusses the pharmacological prevention of coagulopathy, looking in detail at the evidence for and against the use of tranexamic acid and aprotinin.

Posted in Blood, Videos Tagged with: , , , , , ,

Mitraclip in the UK

M Buch (Manchester, UK) looks at the current indications and outcomes for the Mitraclip, including consideration of the Everest II trial and the 2012 European Valve Guidelines.

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

Gaseous micro-emboli and perfusion monitoring

M Bennett (Plymouth, UK) considers how gaseous micro-emboli occur, what there effects might be, and how they might be prevented.

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Digital drains & standards of care

A Brunelli (Leeds, UK) reviews the evidence for electronic digital drainage systems. He explains the mechanism and benefits of regulated suction.

Posted in Pleura, Videos Tagged with: , , , ,

Non red cell treatment and adjuncts

D Mazer (Toronto, Canada) considers the management of postoperative bleeding, looking in particular at the emerging evidence for component therapy.

Posted in Blood, Videos Tagged with: , , , ,

Thoracoscopy under local anaesthesia

M Munavvar (Preston, UK) describes the use of semi-rigid thoracoscopy under sedation for the diagnosis and management of pleural diseases.

Posted in Pleura Tagged with: , , , ,

Off pump CABG is here to stay

M Lemma (Milan, Italy) puts forward the argument in favour of off-pump coronary bypass surgery.

Posted in Coronary Tagged with: , , , , ,

Recent advances in interventional cardiology

N Curzen (Southampton, UK) explains the importance of physiological ischaemia and FFR in deciding optimal management for coronary disease.

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

Ultrasound to reduce CVA in off pump CABG

C Royse (Melbourne, Australia) explains why he believes that the key to reducing risk of stroke is aortic assessment.

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

Digital drains & standards of care

A Brunelli (Leeds, UK) explains the use of digital drains in thoracic surgery and looks at the evidence for their benefits.

Posted in Pleura Tagged with: , , , , ,

Venous External Scaffolding Technology (VEST) for veins

E Orion (Tel Aviv, Israel), the co-inventor of the device, looks at the evidence for using an external support to improve vein graft patency.

Posted in Coronary Tagged with: , , , , ,

Extrapleural pneumonectomy indications

P Van Schil (Antwerp, Belgium) stresses the importance of correct terminology before reviewing the results of landmark trials of surgery in the management of mesothelioma.

Posted in Pleura Tagged with: , , , , ,

One arterial graft is sufficient

G. Angelini (London, UK) considers the evidence for single versus multiple arterial grafts in coronary bypass surgery, looking to explain why saphenous vein remains the second conduit of choice in the majority of cases worldwide.

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

Endovascular therapy in acute aortic syndrome

J Brennan (Liverpool, UK) discusses the use of endovascular stenting in the treatment of acute aortic syndromes.

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

Lung ultrasound in critical care

F Guarracino (Pisa, Italy) explains how ultrasound can be used in the diagnosis of intra-thoracic diseases.

Posted in Imaging Tagged with: , , , , ,

Vein graft external stenting

D Taggart (Oxford, UK) looks at the evidence for external stenting of vein grafts to optimise long-term outcomes.

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

Reintervention following acute type A dissection repair

Posted in Aorta Tagged with: , , , , ,

Circulatory support for aortic surgery

J Elefteriades (New Haven, USA) gives ten clearly illustrated technical tips for use in aortic surgery.

Posted in Aorta Tagged with: , , , , ,

Pulmonary sepsis surgery

A Toker (Istanbul, Turkey) gives an overview of pulmonary infections which may require surgical intervention.

Posted in Lung Tagged with: , , ,

Residual pleural space management

G Massard (Strasbourg, France) discusses the causes of a residual pleural space and considers the options for management.

Posted in Pleura Tagged with: , , , ,

Vein graft stem cell therapy

A. Newby (Bristol, UK) discusses the incidence and causes of vein graft failure. He considers options to improve outcomes, in particular the use of periadventitial human stem cells.

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

Pleural sepsis surgery

A Toker (Istanbul, Turkey) gives an overview of the surgical options for treating intra-pleural sepsis, emphasising the potential uses of VAC therapy.

Posted in Pleura Tagged with: , , , , ,

Managing multimodality anti-platelet therapy

W Lester (Birmingham, UK) explains how anti-platelet agents work and gives evidence-based advice on peri-operative management.

Posted in Blood Tagged with: , , , ,

Blood economics

A Hofmann (Perth, Australia) discusses the economics of blood transfusion.

Posted in Blood Tagged with: , , , ,

Haemovigilance

P Bolton – Maggs (Manchester, UK), its Medical Director, reviews the history and role of Serious Hazards of Transfusion (SHOT).

Posted in Blood Tagged with: , , , , ,

Paediatric surgery bleeding

H New (London, UK) presents highlights from a multicentre survey of blood component use in paediatric cardiac surgery.

Posted in Blood, Congenital Tagged with: , , , ,

Adopting new technology

S Chisholm (Manchester, UK) describes the work of the NHS Technology Adoption Centre.

Posted in Technology Tagged with: , , ,

Mini-AVR right anterior thoracotomy

Mattia Glauber of Instituto Clinico Sant’ Amgrogio, Milan argues in favour of the right anterior mini-thoracotomy approach for the performance of minimally invasive aortic valve replacement. He uses a short video to illustrate the technique of sutureless valve insertion.

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

Minimally invasive AVR is more than just cosmetic – the counter argument

John Pepper of the Royal Brompton and Harefield Hospitals, London, United Kingdom, as part of a debate, puts forward the alternate view that there is not yet the evidence for superiority of minimally invasive aortic valve replacement over a full

Posted in Aortic valve Tagged with: , , , ,

Minimally-invasive AVR is more than just cosmetic

Christopher Young of St Thomas’ Hospital, London, UK reviews the evidence for minimally-invasive AVR. He argues that the advantages of this approach over full sternotomy can be seen particularly in the outcomes of high risk patients.

Posted in Aortic valve Tagged with: , , ,

Uniportal VATS endochamelon camera

Eric Lim of the Royal Brompton Hospital, London, UK describes the benefits of using an endochamelon camera in performing VATS lobectomy. He includes an operative video of a sleeve resection.

Posted in Lung Tagged with: , , , , ,

Postoperative mechanical circulatory support

S. Westaby (Oxford, UK) gives an overview of the use of temporary mechanical support for post cardiotomy failure.

Posted in Mechanical support Tagged with: , , ,

Concomitant AF ablation during minimally-invasive mitral valve surgery

Joseph Zacharias of the Lancashire Cardiac Centre, Blackpool, UK gives an overview of the evidence for the use of ablation for atrial fibrillation in minimal access mitral valve surgery. He demonstrates his use of cryoablation and reviews his results.

Posted in Arrhythmias Tagged with: , , , , ,

Temporary mechanical support for critical cardiogenic shock

R. Venkateswaran (Manchester, UK) discusses temporary mechanical circulatory support as a bridge to transplantation in cardiogenic shock, considering the pathophysiology and the strategies which help decision-making.

Posted in Heart failure, Videos Tagged with: , , , ,

Laryngotracheal resections

W. Klepetko (Vienna, Austria) explains in detail the options available for complex airway resections in a variety of conditions.

Posted in Airways, Videos Tagged with: , , , , ,

TAVI anaesthetics

A Klein (Cambridge, UK) explains the role of an anaesthetist in the transcatheter aortic valve implantation team.

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

In favour of open vein harvest

D Souza (Örebro, Sweden) argues that an open vein harvest technique including peri-adventitial fat is best to optimise long-term patency.

Posted in Coronary Tagged with: , , , , ,

Optimising vein graft outcomes

J Pepper (London, UK) considers the causes of vein graft occlusion before looking at possible ways to improve results.

Posted in Coronary Tagged with: , , , , ,

TAVI cost effectiveness

J Eaton (Oxford, UK) looks at models of cost-effectiveness to consider the benefits of transcatheter aortic valve implantation.

Posted in Aortic valve, Data & statistics Tagged with: , , , , , , ,

Surgical interventions for veins

G. Angelini (London, UK) describes surgical techniques to improve vein graft patency rates.

Posted in Coronary Tagged with: , , , , ,

Measuring graft flow

G Di Giammarco (Chieti, Italy) describes his experience in graft flow measurement to improve patency outcomes.

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

Adequacy of IMA composite grafts

M Ruel (Ottawa, Canada) discusses whether single internal mammary artery grafts can adequately supply the heart.

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

CABG for coronary artery disease

D Taggart (Oxford, UK) argues that CABG remains the best therapy for coronary artery disease in 2015.

Posted in Coronary Tagged with: , , , , ,

Mediastinal surgery robotics

F Melfi (Pisa, Italy) gives an overview of the evidence for the benefits of robotic surgery in the management of mediastinal disease.

Posted in Mediastinum Tagged with: , , , ,

Surgery in borderline lung function

G Rocco (Naples, Italy) considers the difficulties of defining the high risk patient for lung resection. He explains why he thinks that wedge resection remains a valid option is some cases and looks at the increasing importance of minimally-invasive approaches.

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

Robotic lung resection

A Toker (Istanbul, Turkey) explains his views on the use of VATS and robotics for lung resection.

Posted in Lung Tagged with: , , , ,

Chest wall reconstruction

G Rocco (Turin, Italy) describes materials and techniques for chest wall reconstruction after resection.

Posted in Chest wall Tagged with: , , ,

Radial artery as the second conduit

D Taggart (Oxford, UK) reviews the evidence for using the radial artery as the first choice of second conduit in coronary bypass surgery.

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

Effect of SYNTAX trial in Europe

P Kolh (Liege, Belgium) considers whether the SYNTAX trial has changed coronary artery disease practice in Europe. He reviews the results, examines the guidelines and emphasises the importance of risk models.

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

Extended pleurectomy decortication

A Nakas (Leicester, UK) gives an overview of the surgical options before concluding that extended pleurectomy decortication should be used in suitable cases.

Posted in Pleura Tagged with: , , , , ,

SABR in borderline lung function

M Snee (Leeds, UK) explains how Stereotactic Ablative Radiotherapy (SABR) works and considers which patients are suitable for this treatment.

Posted in Lung Tagged with: , , , ,

Pushing the boundaries in thoracic surgery – lung transplantation

W Klepetko (Vienna, Austria) gives an overview of aspects of lung transplantation. He looks in detail at surgical techniques, donor organ utilisation, expanding the indications for surgery and the organisation of a service.

Posted in Transplantation Tagged with: , , , ,

First line treatment of mitral valve disease should be by open sternotomy

F Wells (Cambridge, UK) argues against the routine use of a minimal-access approach to mitral valve surgery. He recognises that good results for non-complex disease can be achieved in expert hands but believes that the open appoach is more appropriate

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

Thoracic surgery ECMO

P-E Falcoz (Strasburg, France) gives a detailed overview of the use of extracorporeal membrane oxygenation (ECMO) in thoracic surgery. He describes the different cannulation options and looks at future possibilities.

Posted in Mechanical support Tagged with: , , , ,

Manubrial AVR

E Akowuah (Middlesbrough, UK) describes his early experience with the technique of aortic valve replacement via a manubrial incision.

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

Trans subclavian TAVI

M Bhabra (Wolverhampton, UK) describes the subclavian / axillary approach for transcatheter aortic valve implantation, with a video demonstration and case presentations.

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

AVR ministernotomy trial

S Nair (Cambridge, UK) gives an overview of a single centre ongoing trial of mini- versus full sternotomy for aortic valve replacement.

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

TAVI neurological injury

Aiman Alassar (London, UK) looks at the incidence of neurological injury with transcatheter aortic valve implantation, causative mechanisms and the use of protection devices.

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

Off pump CABG should be abandoned

J Sabik (Cleveland, USA), as part of a debate, argues that off-pump CABG should be abandoned as our default procedure. He reviews results from the major trials as well as metaanalyses to support his view.

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

TAVI complication management

M Borger (Leipzig, Germany) talks about his unit’s experience in dealing with complications of transcatheter aortic valve implantation.

Posted in Aortic valve Tagged with: , , , ,

Non RBC components & bleeding

W Lester (Birmingham) considers the use of non-red blood cell components in major haemorrhage, with emphasis on the role of fibrinogen.

Posted in Blood Tagged with: , , , , ,

Mini-sternotomy AVR tips

C Young (London, UK) gives a detailed description of his techniques for minimal-access aortic valve replacement.

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

Percutaneous tricuspid valve replacement

M Borger (Leipzig, Germany) reviews the current status of percutaneous tricuspid valve implantation.

Posted in Right heart Tagged with: , , , , ,

VATS AF ablation programme

N Davidson (Manchester, UK) covers minimally invasive procedures in the treatment of atrial arrhythmias, emphasising the benefits of an integrated approach.

Posted in Arrhythmias Tagged with: , , , , ,

Right anterior thoracotomy AVR

B Gersak (Ljubljana, Slovenia) describes his techniques for performing aortic valve replacement via a right anterior mini-thoracotomy.

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

TAVI & mitraclip transoesophageal echocardiography

A McNab (Manchester, UK) describes the role of echocardiography in pre-procedural assessment, peri-procedural support and post-procedural follow-up of transcatheter aortic valve implantation cases. The mitraclip system is also considered.

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

Endoscopic mitral valve surgery with endoclamp

B Gersak (Ljubljana, Slovenia) describes his techniques for minimally-invasive mitral valve surgery using an endoclamp.

Posted in Mitral valve Tagged with: , , , ,

Is bilateral IMA use the gold standard?

J Sabik (Cleveland, USA) considers the evidence for bilateral internal mammary artery usage in coronary bypass surgery. He uses data from the large Cleveland clinic registry to explore the importance of time, coronary vessel anastomosed, conduit used and patient factors

Posted in Coronary Tagged with: , , , , ,

Bleeding & Factor VII

R Gill (Southampton, UK) considers haemostatic mechanisms and the use of rFVIIa as a bail out adjunct.

Posted in Blood Tagged with: , , , , ,

Transcatheter valve training

C Young (London, UK) ponders the future of cardiac surgical training in the era of TAVI.

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

Thoracoscopic IMA harvest

A de Souza (London, UK) describes his technique for endoscopic internal mammary artery harvest.

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

Diastolic dysfunction transoesophageal echocardiography

M Patrick (Manchester, UK) reviews the echocardiographic assessment of diastolic function.

Posted in Imaging Tagged with: , , , ,

Thoracic robotics fundamentals

F Melfi (Pisa, Italy) describes her experience in the use of robotics in thoracic surgery. She looks at the history of robotic developments before explaining the potential advantages. She gives a detailed review of the literature in this area and

Posted in Lung Tagged with: , , ,

Emerging blood products

N Currie (London, UK) discusses the emerging roles of fibrinogen concentrate and prothrombin complex concentrate (PCC).

Posted in Blood Tagged with: , , , , , , ,

Sutureless valves in high risk AVR

C Young (London, UK) and S Livesey (Southampton, UK) argue for the use of sutureless valves in high-risk aortic valve replacement.

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

Trans femoral TAVI

M Buch (Manchester, UK) looks at the trans-femoral approach to trans-catheter aortic valve implantation, with emphasis on assessment, access and possible complications.

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

Intracardiac masses transoesophageal echocardiography

N Fletcher (London, UK) shows several examples of atrial myxoma and intra-cardiac thrombus.

Posted in Imaging Tagged with: , , , , ,

SYNTAX trial influence in the USA

JF Sabik (Cleveland, USA) considers whether the SYNTAX trial has changed practice in the USA and, if not, why not? He reviews the trial design and results before looking at registry data to inform about current patterns of coronary artery

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

TAVI heart team

O Wendler (London, UK) explores the indications for transcatheter aortic valve implantation and the role of the heart team in decision-making.

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

Paravalvular leak transoesophageal echocardiography

J Swanevelder (Leicester, UK) examines the assessment of intra-operative paravalvular leak.

Posted in Imaging Tagged with: , , ,

Preoperative anaemia and adverse outcomes

M Ranucci (Milan, Italy) explores the literature evidence for adverse outcomes associated with preoperative anaemia in cardiac surgery.

Posted in Blood Tagged with: , , , , ,

VATS lobectomy: the new standard of care?

R Petersen (Copenhagen, Denmark) describes some difficult situations in VATS lobectomy before addressing training and the learning curve.

Posted in Lung Tagged with: , , , ,

Bleeding & point of care testing

M Ranucci (Milan, Italy) discusses the bleeding patient and point of care testing, particularly with the use of TEG / ROTEM.

Posted in Blood Tagged with: , , , , ,

VATS AF ablation

M Castella (Barcelona, Spain) uses a number of video clips to help explain his approach to minimally invasive atrial fibrillation surgery.

Posted in Arrhythmias Tagged with: , , , , , ,

MIDCAB procedure evolution

R Stanbridge (London, UK) describes the evolution of minimally invasive coronary surgery from his initial experience in 1995, and considers the results of the procedure.

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

Trans apical TAVI

M Borger (Leipzig, Germany) shows the 5 year Leipzig data for trans-apical transcatheter aortic valve implantation.

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

Aortic valve surgery risk stratification

N Howell (Birmingham, UK) discusses aspects of data analysis and the building of a new risk model for aortic valve replacement.

Posted in Aortic valve, Data & statistics Tagged with: , , , , , ,

Graft pharmacoprotection USA view

T Sundt (Boston, USA) gives a brief overview of the evidence for various drugs which could be used to improve vein graft patency.

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

Aortic dissection transoesophageal echocardiography

M Bewsher (Manchester, UK) describes the echocardiographic findings in acute aortic dissection.

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

ECMO review

R Firmin (Leicester, UK) presents an overview of paediatric extracorporeal membrane oxygenation. A Combes (Paris, France) gives a tutorial on VA and VV ECMO in adults.

Posted in Congenital, Mechanical support, Technology Tagged with: , , , , , , , ,

Tranexamic acid

A Kelleher (London, UK) considers the use of tranexamic acid to reduce bleeding in cardiac surgery.

Posted in Blood Tagged with: , , , ,

Acute severe RV dysfunction

D Jenkins (Cambridge, UK) discusses decision-making and management in acute severe right ventricular dysfunction after cardiopulmonary bypass.

Posted in Mechanical support, Right heart Tagged with: , , , ,

Endoscopic mitral valve surgery with portaclamp

I Birdi (Basildon, UK) discusses and shows a video demonstration of his techniques in minimally invasive mitral surgery.

Posted in Mitral valve Tagged with: , , , ,

Off-pump CABG anaesthetic viewpoint

C Palin (Oxford, UK), a cardiac anaesthetist, explains his view on how practice has become so polarised. This is followed by a panel and audience debate.

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

Hybrid coronary revascularisation

G Angelini (Bristol, UK) explains the evolution and current status of hybrid coronary revascularisation.

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

Coagulopathy pathogenesis

H New (London, UK) reviews coagulation, tests for coagulopathy, and changes in DIC and acute traumatic coagulopathy. Management strategies are discussed.

Posted in Blood Tagged with: , , , , ,

RV dysfunction management

A Combes (Paris, France) describes mechanisms of right ventricular dysfunction and risk scoring for prediction, particularly in the contact of transplantation an LVAD therapy. Treatment options, including ECMO and RVAD implantation, are discussed. J Pepke-Zaba (Cambridge, UK) then discusses the

Posted in Mechanical support, Right heart Tagged with: , , , , , ,

Endoscopic tricuspid valve surgery

J Zacharias (Blackpool, UK) describes some tips in performing endoscopic tricuspid valve surgery.

Posted in Right heart Tagged with: , , , ,

Mini mitral anaesthesia

D Cheng (London, Canada) gives an overview of the anaesthetic implications of minimally invasive mitral surgery.

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

Conduit alternatives

R Hasan (Manchester, UK) gives an overview of the alternative conduits for bypass grafting. A de Souza (London, UK) reviews to evidence for these conduits.

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

Trans aortic TAVI

V Bapat (London, UK) introduces the trans-aortic approach to trans-catheter aortic valve implantation, including a video demonstration.

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

Blood conservation methods

A Klein (Cambridge, UK) looks at blood conservation measures in cardiac surgery.

Posted in Blood Tagged with: , , , ,

Surgery for late RV failure after mitral valve surgery

F Wells (Cambridge, UK) discusses the difficult area of tricuspid regurgitation and failing right ventricular function late after mitral valve surgery.

Posted in Right heart Tagged with: , , , ,

Mitraclip update

M Buch (Manchester, UK) reviews the status of and indications for transcatheter mitral valve therapies.

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

BIMA evidence

D Taggart (Oxford, UK) argues in favour of using bilateral internal mammary arteries for surgical revascularisation.

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

TAVI surgeon’s role

A Borger (Leipzig, Germany) considers the role of a surgeon in transcatheter aortic valve implantation.

Posted in Aortic valve Tagged with: , , , ,

MIDCAB programme setup

E Akowuah (Middlesbrough, UK) shares his experience of setting up a minimally-invasive coronary surgery programme.

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

Transoesophageal echocardiography of aortic stenosis during CABG

H Skinner (Nottingham, UK) discusses aortic stenosis guidelines, estimation of severity, and patient-prosthesis mismatch.

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

Blood transfusion and adverse outcomes

G Murphy (Leicester, UK) dissects the evidence for an association between blood transfusion and adverse outcome.

Posted in Blood Tagged with: , , , , ,

Right mini-thoracotomy sutureless AVR

M Solinas (Massa, Italy) presents his experience with the right anterior mini-thoracotomy approach for aortic valve replacement, including a video demonstration of the sutureless technique with the Perceval prosthesis.

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

How to do it: (1) Mediastinal robotics (2) Airway obstruction management

P Van Schil (Antwerp, Belgium) presents videos with the use of robotics in the resection of mediastinal masses. D Breen (Galway, Ireland) shows some cases of airway obstruction management.

Posted in Airways, Mediastinum, Technology Tagged with: , , , , , , ,

Circumflex artery injury during mitral valve repair

J Ender (Leipzig, Germany) shows cases of circumflex artery injury during mitral valve repair and explains the anatomy to demonstrate how easily this can happen.

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

Off-pump CABG data to inform practicing surgeons

D Taggart (Oxford, UK) undertakes a detailed exploration of the evidence for and against off-pump CABG.

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

Right ventricular assessment – congenital lessons

S Thorne (Birmingham, UK) reviews the preoperative assessment of the right ventricle and the tricuspid valve, stressing the importance of protection of RV function in the long-term.

Posted in Right heart Tagged with: , , , ,

Carcinoid heart disease

N Howell (Birmingham, UK) presents his unit’s experience with carcinoid heart disease. T Oelofse (Birmingham, UK) discusses the anaesthetic principles of managing these patients.

Posted in Right heart Tagged with: , , , , , , ,

Right ventricular preoperative assessment

M Seeberger (Basel, Switzerland) gives a detailed description of right ventricular preoperative imaging, with emphasis on extra TOE views to improve assessment.

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Radial artery conduit – USA viewpoint

T Sundt (Boston, USA) gives a North American view of radial artery use as a bypass conduit.

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

Mesothelioma surgery

D Sugarbaker (Boston, USA) illustrates in detail his techniques for extrapleural pneumonectomy and pleurectomy/decortication.

Posted in Pleura Tagged with: , , , , , ,

Bicuspid aortic valve review

T Sundt (Boston, USA) discusses the timing of aortic intervention. G El Khoury (Brussels, Belgium) describes repair of a bicuspid regurgitant aortic valve, talking through a video of the David V technique. C Liopsis (London, UK) gives an update on

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

Blood management

G Murphy (Leicester UK) introduces blood management and how it affects outcomes in cardiac surgery.

Posted in Blood Tagged with: , , , ,

Off-pump CABG database evidence

B Bridgewater (Manchester, UK) presents provisional analysis of off-pump vs on-pump CABG from the SCTS database.

Posted in Coronary, Data & statistics Tagged with: , , , , , ,

Radial artery conduit

B Fabri (Liverpool, UK) explores the role of the radial artery as a conduit for bypass grafting.

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

Surgical practice polarisation

A Wechsler (Philadelphia, USA) explores some of the reasons for polarisation of surgical opinion, including intuition and the retention of biases.

Posted in Coronary Tagged with: , , , ,

Tricuspid valve echocardiography

A Roscoe (Toronto, Canada) describes echocardiography techniques for viewing the tricuspid valve and predictors of repair failure.

Posted in Right heart Tagged with: , , , , ,

Novel mitral valve technologies

M Dalrymple-Hay (Plymouth, UK) gives an update on the rapidly evolving field of new mitral valve technologies.

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

Robotics in urology

V Ramani (Manchester, UK) lectures on how the use of robotics in urology has improved outcomes.

Posted in Technology Tagged with: , , , ,

Off-pump CABG future

D Glineur (Brussels, Belgium) discusses the off-pump CABG trials and argues for the use of bilateral internal mammary arteries as a composite Y-graft.

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

SYNTAX 4 year results

D Taggart (Oxford, UK) presents pre-syntax evidence for CABG vs PCI, before analyzing the results of the SYNTAX trial at four years.

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

Tricuspid valve replacement indications

P Perier (Bad Neustadt, Germany) discusses the mechanisms of functional tricuspid regurgitation. The importance of the right ventricle is stressed. Mechanisms of repair failure are described and indications for valve replacement given.

Posted in Right heart Tagged with: , , , ,

Cardiac surgery datasets

B Bridgewater (Manchester, UK) describes some of the statistical processes behind the SCTS database. A Wechsler (Philadelphia, USA) discusses different types of high level clinical trials and interpreting significance.

Posted in Data & statistics Tagged with: , , , , ,

Off-pump CABG surgical viewpoint

G Angelini (Bristol, UK) talks about surgical attitudes to evidence-based medicine, professional competition and lack of innovation.

Posted in Coronary Tagged with: , , , , ,

RIMA to LAD revascularisation

N Howell (Birmingham, UK) explores whether RIMA-LAD revascularisation is equivalent to LIMA-LAD.

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

Tricuspid valve regurgitation surgical options

P Perier (Bad Neustadt, Germany) discusses the clinical significance of tricuspid valve regurgitation and options for surgical management.

Posted in Right heart Tagged with: , , , , ,

Aprotinin

D Cheng (London, Canada) reviews the rise and fall of aprotinin as an anti-fibrinolytic agent in cardiac surgery.

Posted in Blood Tagged with: , , , , ,

STITCH trial review

A Wechsler (Philadelphia, USA) reviews the surgical treatment for ischaemic heart failure (STITCH) trial. Problems with trial design, recruitment and results interpretation are highlighted.

Posted in Coronary, Heart failure Tagged with: , , , , , , ,

Decision making in thoracoabdominal aortic aneurysm repair

Posted in Aorta Tagged with: , , , , ,

Tricuspid valve pathophysiology

P Punjabi (London, UK) describes the mechanisms involved in the development of tricuspid valve disease, imaging techniques for assessment and indications for intervention. Some operative videos of complex repairs are shown.

Posted in Right heart Tagged with: , , , ,

AV valves and ventricles comparison

F Wells (Cambridge, UK) describes the similarities and fundamental differences between both the A-V valves and the ventricles. Important aspects of embryology, morphology and physiology are highlighted.

Posted in Right heart Tagged with: , , , , ,

Thoracotomy is the gold standard

P Dartevelle (Paris, France) argues in favour of thoracotomy as the best approach for lung resections.

Posted in Lung Tagged with: , , , ,

SCTS database evidence for BIMA

B Bridgewater (Manchester, UK) presents figures from the SCTS database comparing single versus bilateral mammary artery use in CABG.

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

Sorin corporate news

The history of the Sorin company and its current innovative products are briefly described.

Posted in Technology Tagged with: , , ,

Medtronic corporate news

Product choice in valve replacement and a new ipad app are mentioned.

Posted in Technology Tagged with: , , ,

TAVI industry update

JP Herzog (Edwards), X Bertrand (Medtronic), U Lonn (St Jude) and K Leadley (JenaValve) give an overview of developments in the design of TAVI valves and delivery systems.

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