Dr. Joel Dunning interviews Dr. Isabelle Opitz about robotic surgery, ESTS, and more!

CTSNet To Go

CTSNet To Go: Dr. Isabelle Opitz Interview

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 CTSNet Beat Podcast : LAAOS III Trial, Randomized Trial of Left Atrial Appendage Occlusion, and Meta-Analysis Comparing Revascularization and Medical Treatment

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.

#16: CTSNet Podcast: Interview With Sean Grondin, President of the STS

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.

Leadership Book Club: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy by Amy Edmondson

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.

#15: CTSNet Beat Podcast: Training the Next Generation - an Interview with Dr. Elliot Servais

  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.  

#14: CTSNet Beat Podcast: CT Training Models, Postop Day 1 Discharge After Lobectomy, and Overview of Anatomy for Robotic Lobectomy

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.

Giants of Cardiothoracic Surgery: An Interview With Marc Ruel

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. 

Straight Talk With APPs: Current Hot Topics and Trends in Practice and CT Surgery

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.

Importance of Physical Well-Being to Prevent Burnout

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 

#13: CTSnet Beat Podcast: Interview With Umberto Benedetto, Study on NHS and Private Hospitals, and ISMICS Guidelines

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 

#12: CTSNet Beat Podcast: Diaphragm Plication, Robotic Alternatives, Reducing Unnecessary X-rays, Job Highlights

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.

Giants of Cardiothoracic Surgery: An Interview With Oscar Howard “Bud” Frazier

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.

Nontechnical Skills for Cardiothoracic Surgery

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.

Exploit the Internet and Be a Shining Star

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.

#11: CTSNet Beat Podcast: COVID-19 Vaccines: Part II

Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.

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CTSNet To Go

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