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2012 Preliminary Program - Saturday, April 28, 2012 - Course Descriptions

Saturday, April 28, 2012

ABMS COMPETENCIES KEY
Medical
Knowledge		 Interpersonal and
Communication Skills		 Patient
Care
Practice-Based
Learning and Improvement		 Professionalism System-Based
Practice

This activity has been developed in recognition of the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of Patient Care, Medical Knowledge, Systems-Based Practice, Practice-Based Learning and Improvement, and Professionalism. The AATS has designated the primary competency each session will address.

ADULT CARDIAC SKILLS
8:00 a.m. – 12:00 p.m.

Chair: David D. Yuh, MD, Yale University School of Medicine

Over the last decade, technological and procedural advances have led to changes in the clinical practice of cardiothoracic surgery. Many of these changes have resulted in improved clinical outcomes; however, dissemination of the technical skills integral to these advances throughout the cardiothoracic surgical community remains challenging. These practice gaps may be mitigated by providing the cardiothoracic community with an overview of established and evolving technical advances in adult cardiac surgical clinical practice. This course is designed to provide such an overview, identifying areas of both general consensus and controversy. It will highlight indications and techniques for established advanced operations, including valve-sparing aortic root replacement, aortic root enlargement, septal myectomy, and complex mitral valve repair. This course will also address evolving topics such as the rational selection of specific lesion sets used in radiofrequency ablation for atrial fibrillation, techniques for thoracoscopic and hybrid ablation for atrial fibrillation, minimally-invasive/robot-assisted mitral repair, and percutaneous aortic valve replacement.

Course Objectives
At the conclusion of this course, the participants will be able to:

  • Understand proper execution and appropriate application of established and new adult cardiac surgical techniques.
  • Recognize key technical considerations for the performance of less-invasive cardiac operations, including small-incision and robot-assisted procedures.
  • Critically analyze outcomes data associated with "best-practice" application of established and emerging adult cardiac surgical techniques.
 

SESSION I – ISCHEMIC HEART DISEASE
8:00 a.m. – 8:15 a.m. Off-Pump Coronary Artery Bypass Grafting: Advanced Techniques and Helpful Hints
John D. Puskas, MD
Emory University
8:15 a.m. – 8:30 a.m. Post-Infarct Ventricular Septal Defect Repair: Techniques for Success
Tirone E. David, MD
University of Toronto
8:30 a.m. – 8:45 a.m. All Arterial Coronary Revascularization: What Are the Best Options?
Joseph F. Sabik, MD
Cleveland Clinic
8:45 a.m. – 8:55 a.m. DISCUSSION
 

SESSION II – VALVULAR DISEASE, PART I
8:55 a.m. – 9:10 a.m. Aortic Root Enlargement Operations: When and How?
Lars G. Svensson, MD, PhD
Cleveland Clinic
9:10 a.m. – 9:25 a.m. Valve-Sparing Aortic Root Replacement: Technical Tips and Pitfalls
Duke E. Cameron, MD
The Johns Hopkins Hospital
9:25 a.m. – 9:40 a.m. Less Invasive Reoperations for Aortic and Mitral Valve Disease: Approaches and Techniques
Lawrence H. Cohn, MD
Brigham and Women’s Hospital
9:40 a.m. – 9:50 a.m. DISCUSSION
9:50 a.m. – 10:05 a.m. BREAK
 

SESSION III – VALVULAR DISEASE, PART II
10:05 a.m. – 10:20 a.m. Mitral Repair for Complex Myxomatous Disease: Basic Principles
James S. Gammie, MD
University of Maryland
10:20 a.m. – 10:35 a.m. Techniques for Ischemic Mitral Valve Disease: An Update
D. Craig Miller, MD
Stanford University
10:35 a.m. – 10:50 a.m. Robotic and Mini-Mitral Repair: Technical Pearls
Tomislav Mihaljevic, MD
Cleveland Clinic
10:50 a.m. – 11:05 a.m. Percutaneous Aortic Valve Replacement: Patient Selection and Technical Considerations
Vinod H. Thourani, MD
Emory University
11:05 a.m. – 11:15 a.m. DISCUSSION
 

SESSION IV – SPECIALTY OPERATIONS
11:15 a.m. – 11:25 a.m. Ablation Operations for Atrial Fibrillation: Which Lesions Should I Use?
Michael Argenziano, MD
Columbia University
11:25 a.m. – 11:35 a.m. Thoracoscopic and Hybrid RF Ablation for Atrial Fibrillation: Advantages and Technique
John H. Sirak, MD
Ohio State University Medical Center
11:35 a.m. – 11:50 a.m. Septal Myectomy: “How I Do It”
Hartzell V. Schaff, MD
Mayo Clinic
11:50 a.m. – 12:00 p.m. DISCUSSION
12:00 p.m. ADJOURN


CONGENITAL SKILLS
8:00 a.m. – 12:00 p.m.

Chair: Joseph A. Dearani, MD, Mayo Clinic

The theme for much of this course is obstruction of the left ventricular outflow tract. There is more than one procedure and the indications for one procedure vs. another can be controversial. The operations can be complex and morbidity and mortality can be high. The learning objective for these talks is to clarify the best operation for a given type of obstruction, and to discuss the lessons learned for operative technique and postoperative care.

Two presentations address procedures that are being performed with increasing frequency. Valve sparing root replacement (VSRR) will be discussed along with the modified one-patch technique for repair of complete atrioventricular septal defect.

The final talk covers technical approaches to the relatively common problem of transposition with abnormal coronary artery patterns.

Course Objectives
At the conclusion of this course, the participants will be able to:

  • List the pearls and pitfalls of procedures that address obstruction of the left ventricular outflow tract.
  • Describe other operations the congenital heart surgeon frequently encounters.
8:00 a.m. – 8:15 a.m. Konno Procedure (AVR, Mechanical, and Ross)
Constantine Mavroudis, MD
Cleveland Clinic
8:15 a.m. – 8:25 a.m. DISCUSSION
8:25 a.m. – 8:40 a.m. Modified Konno (Aortic Valve Preservation)
Glen Van Arsdell, MD
Hospital for Sick Children
8:40 a.m. – 8:50 a.m. DISCUSSION
8:50 a.m. – 9:05 a.m. Septal Myectomy
Joseph A. Dearani, MD
Mayo Clinic
9:05 a.m. – 9:15 a.m. DISCUSSION
9:15 a.m. – 9:30 a.m. DKS vs. Enlargement BVF
Emile A. Bacha, MD
Children’s Hospital of New York/Columbia University
9:30 a.m. – 9:40 a.m. DISCUSSION
9:40 a.m. – 10:20 a.m. BREAK
10:20 a.m. – 10:35 a.m. LVOT Obstruction in AV Canal Defect
John W. Brown, MD
Indiana University School of Medicine
10:35 a.m. – 10:45 a.m. DISCUSSION
10:45 a.m. – 11:00 a.m. VSRR in Congenital Heart Disease
Christian Pizarro, MD
Nemours Cardiac Center, Alfred I. duPont Hospital for Children
11:00 a.m. – 11:10 a.m. DISCUSSION
11:10 a.m. – 11:25 a.m. Arterial Switch with Abnormal Coronaries
Francois Lacour-Gayet, MD
Montefiore Medical Center
11:25 a.m. – 11:35 a.m. DISCUSSION
11:35 a.m. – 11:50 a.m. Modified 1 Patch Technique AV Canal
Carl L. Backer, MD
Children's Memorial Hospital
11:50 a.m. – 12:00 p.m. DISCUSSION
12:00 p.m. ADJOURN


GENERAL THORACIC SKILLS
8:00 a.m. – 12:00 p.m.

Chair: Michael T. Jaklitsch, MD, Brigham and Women's Hospital

General Thoracic surgeons are learning and performing many new surgical procedures. It is not unusual to advance to a point in doing these operations where one has mastered the individual steps, but the time to do the operation is longer than in experienced hands. This course will teach how to do the new operations in a reliably safe and easy way. In this regard, it is targeted to participants who have tried these operations but who are seeking to learn from an expert how to do it better. Spatial relationships of incisions and targets dictates ease of operation more than any other variables. Fine-tuning knowledge of incision location, operative steps, and time saving techniques will be covered specifically.

Course Objectives
At the conclusion of this course, the participants will be able to:

  • Identify changes in technique that other surgeons have used to improve the technical ability to perform unusual thoracic surgery procedures.
  • Develop a contact list of other surgeons with experience with unusual thoracic operations to be used as a resource in improving surgical approaches to individual patients.
  • Create a local community plan to aid in natural disasters.
  • Identify patients that may benefit from newer thoracic surgical techniques.
 

SESSION I – SURGICAL LESSONS FROM COMBAT
8:00 a.m. – 8:15 a.m. Thoracic Surgical Skills from Combat Experience
Matthew Bacchetta, MD
Columbia University
8:15 a.m. – 8:25 a.m. DISCUSSION
8:25 a.m. – 8:40 a.m. What a Thoracic Surgeon Needs to Know During Natural Disasters
Michael Phillips, MD
Freeman Heart & Vascular Institute
8:40 a.m. – 8:50 a.m. DISCUSSION
8:50 a.m. – 9:05 a.m. Surgical Innovation Skills
Carlos M. Mery, MD
Texas Children’s Hospital
9:05 a.m. – 9:15 a.m. DISCUSSION
 

SESSION II – QUICK AND EASY: IMPROVING COMMON PROCEDURES
9:15 a.m. – 9:30 a.m. The Easy Way to Do a VATS Lobectomy
Robert J. McKenna, Jr., MD
Cedars Sinai Medical Center
9:30 a.m. – 9:45 a.m. Segmentectomy Made Simple
Matthew J. Schuchert, MD
University of Pittsburgh
9:45 a.m. – 10:00 a.m. Wound VACS in Thoracic Surgery
David C. Rice, MD
MD Anderson Cancer Center
10:00 a.m. – 10:15 a.m. DISCUSSION
10:15 a.m. – 10:30 a.m. BREAK
 

SESSION III – ADVANCED SURGICAL SKILLS
10:30 a.m. – 10:45 a.m. Vertebrectomy and Reconstructions
Walter J. Scott, MD
Fox Chase Cancer Center
10:45 a.m. – 11:00 a.m. Creation of Artificial Ribs
Jon Wee, MD
Brigham and Women’s Hospital
11:00 a.m. – 11:15 a.m. Laparoscopic Clamshell Partial Fundoplication
Rodney J. Landreneau, MD
University of Pittsburgh
11:15 a.m. – 11:30 a.m. Diaphragm Pacing
Christopher Ducko, MD
Brigham and Women’s Hospital
11:30 a.m. – 11:45 a.m. Laparoscopic Diaphragmatic Plication
Jonathan D’Cunha, MD, PhD
University of Minnesota
11:45 a.m. – 12:00 p.m. DISCUSSION
12:00 p.m. ADJOURN


ALLIED HEALTH PERSONNEL SYMPOSIUM
8:00 a.m. – 5:00 p.m.

Chair: Daniel J. Goldstein, MD, Montefiore Medical Center

The symposium, in its second year, is designed specifically to cover new developments, major topics, and controversial issues that allied health personnel, including nurses, nurse practitioners, perfusionists, and physician assistants, deal with on a daily basis as they provide care to patients in the perioperative setting.

These didactic presentations, case studies, and panel discussions, led by nationally recognized leaders, are designed to provide the best evidence-based recommendations. The symposium will specifically address new pharmacologic approaches for the patient requiring anticoagulation therapy, alternatives to the mangament of patients with heparin-induced thrombocytopenia, an overview of platelet inhibitors, perioperative management of pleural and pericardial effusions, atrial fibrillation, postpneumonectomy patients, and transfusions among other important topics.

Course Objectives
At the conclusion of this course, the participants will be able to:

  • Describe the current options for anticoagualation, management of the patient with HIT and preparation for surgery for the patient receiving platelet inhibitors.
  • Implement the best management strategies for the patient with perioperative effusions, atrial fibrillation, two of the most common challenges in cardiothoracic surgery. Integrate blood conservation therapies to daily practice.
  • Detail the limitations, benefits, and challenges of off pump CABG, minimally invasive mitral surgery, and total artificial heart technology.
  • Describe the current status of new techniques like TEVAR and TAVI and their impact on everyday cardiothoracic practices.
 

SESSION I – SURGICAL LESSONS FROM COMBAT
8:00 a.m. – 8:10 a.m. Welcome and Introduction
Daniel J. Goldstein, MD
Montefiore Medical Center
 

SESSION I – “BLOOD IS THICKER THAN WATER”
Moderator: Nicholas Mellas, CCP, Montefiore Medical Center
8:10 a.m. – 8:30 a.m. Oral Direct Thrombin Inhibitor – An Alternative to Warfarin
Wayne L. Chandler, MD
Methodist Hospital
8:30 a.m. – 8:50 a.m. Cardiac Surgery in the Patient with HIT: What Are the Options?
Gabriel Aldea, MD
University of Washington
8:50 a.m. – 9:10 a.m. Platelet Inhibitors: Type, Testing, and Timing of Surgery
Charles R. Bridges, MD
Sanger Heart & Vascular Institute
9:10 a.m. – 9:20 a.m. DISCUSSION
 

SESSION II – PERIOPERATIVE CONSIDERATIONS: BLOOD, TUBES, AND RHYTHM
Moderator: Michael Gardocki, PA, Montefiore Medical Center
9:20 a.m. – 9:40 a.m. Management of Postoperative Pleural and Pericardial Effusions
Kevin Greason, MD
Mayo Clinic
9:40 a.m. – 10:00 a.m. Perioperative Atrial Fibrillation: Prophylaxis and Treatment
Ralph Damiano, MD
Washington University School of Medicine
10:00 a.m. – 10:20 a.m. Transfusion and Blood Conservation
Kenneth Shann, CCP
Montefiore Medical Center
10:20 a.m. – 10:30 a.m. DISCUSSION
10:30 a.m. – 11:00 a.m. BREAK
 

SESSION III – THORACIC AND CONGENITAL CARDIAC DISEASE
Moderator: Julie Gennarino, PA, UCSF Medical Center
11:00 a.m. – 11:20 a.m. You Smoke, You Get Lung Cancer, You Die: Can Screening Change this Paradigm?
Robert J. McKenna, Jr., MD
Cedars-Sinai Medical Center
11:20 a.m. – 11:40 a.m. Care of the Postpneumonectomy Patient
Raja Flores, MD
Mount Sinai Medical Center
11:40 a.m. – 12:00 p.m. Adult Congenital Disease
Samuel Weinstein, MD
Montefiore Medical Center
12:00 p.m. – 1:00 p.m. LUNCH
 

SESSION IV – PROS AND CONS
Moderator: Daniel J. Goldstein, MD, Montefiore Medical Center
1:00 p.m. – 1:40 p.m. OPCAB Is Better than Conventional CABG
1:00 p.m. – 1:15 p.m. Pro: John D. Puskas, MD, Emory University
1:15 p.m. – 1:30 p.m. Con: Harold Lazar, MD, Boston Medical Center
1:30 p.m. – 1:40 p.m. DISCUSSION
1:40 p.m. – 2:20 p.m. Mini-MVR Is Better than Conventional MVR
1:40 p.m. – 1:55 p.m. Pro: Joseph Lamelas, MD, Mount Sinai Medical Center
1:55 p.m. – 2:10 p.m. Con: Anelechi Anyanwu, MD, MSc, Mount Sinai Medical Center
2:10 p.m. – 2:20 p.m. DISCUSSION
2:20 p.m. – 3:00 p.m. Do We Really Need an Artificial Heart?
2:20 p.m. – 2:35 p.m. Pro: Francisco Arabia, MD, Mayo Clinic
2:35 p.m. – 2:50 p.m. Con: John V. Conte, MD, The Johns Hopkins Hospital
2:50 p.m. – 3:00 p.m. DISCUSSION
3:00 p.m. – 3:30 p.m. BREAK
 

SESSION V – CARDIOTHORACIC POTPOURRI
Moderator: Edward Ranzenbach, PA, UC Davis Medical

3:30 p.m. – 3:55 p.m. TEVAR, TAVI, OPCAB: Is the Pump (and Perfusionist) Becoming Obsolete?
Michael J. Mack, MD
Baylor Health Care System
3:55 p.m. – 4:20 p.m. The Challenges in Surgical Education: Autonomy, Accountability, and Assessment
Edward D. Verrier, MD
University of Washington
4:20 p.m. – 4:45 p.m. Ventricular Assist Devices for Permanent Therapy: Current Status and Future Prospects
Francis D. Pagani, MD, PhD
University of Michigan
4:45 p.m. – 4:55 p.m. DISCUSSION
4:55 p.m. – 5:00 p.m. CLOSING REMARKS
5:00 p.m. ADJOURN


DEVELOPING THE ACADEMIC SURGEON SYMPOSIUM
1:00 p.m. – 5:10 p.m.

Chair: John S. Ikonomidis, MD, PhDMedical University of South Carolina

This symposium will provide the information that academic physicians need to navigate the specific professional facets of an academic career. Attendees will learn how to apply and negotiate for their first job, become effective surgical assistants, use simulation techniques for education, apply creativity in the conceptualization and performance of surgical procedures, incorporate basic principles to write fundable grant applications, and track and report clinical results.

Course Objectives
At the conclusion of this course, the participants will be able to:

  • Apply and negotiate for their first job.
  • Become effective surgical assistants and use simulation techniques for education.
  • Apply creativity in the conceptualization and performance of surgical procedures.
  • Understand the current funding climate, the principles of writing fundable grant applications and tracking and reporting clinical results.
1:00 p.m. – 1:10 p.m. Introduction
John S. Ikonomidis, MD, PhD
Medical University of South Carolina
1:10 p.m. – 1:30 p.m. Your First Job: What Do You Want? How Do You Get It?
David J. Sugarbaker, MD
Brigham and Women’s Hospital
1:30 p.m. – 1:50 p.m. Defining and Developing Your Clinical Niche
W. Randolph Chitwood, Jr., MD
East Carolina University
1:50 p.m. – 2:10 p.m. Educating Through Effective Surgical Assistance
D. Craig Miller, MD
Stanford University
2:10 p.m. – 2:30 p.m. Using Simulation as a Teaching Tool
Edward D. Verrier, MD
University of Washington
2:30 p.m. – 2:50 p.m. Creativity in Surgery
Tirone E. David, MD
University of Toronto
2:50 p.m. – 3:10 p.m. DISCUSSION
3:10 p.m. – 3:30 p.m. BREAK
3:30 p.m. – 3:50 p.m. The Current Climate in Research Funding
David H. Harpole, Jr., MD
Duke University
3:50 p.m. – 4:10 p.m. The Nuances of Successful Grant Preparation
Frank W. Sellke, MD
Brown University
4:10 p.m. – 4:30 p.m. Basic Science Research in a Busy Clinical Practice
David R. Jones, MD
University of Virginia
4:30 p.m. – 4:50 p.m. Tracking and Reporting Your Clinical Results
Robert J. Cerfolio, MD
University of Alabama
4:50 p.m. – 5:10 p.m. DISCUSSION
5:10 p.m. ADJOURN


SURGICAL ROBOTS/TECHNOLOGY BAZAAR
1:00 p.m. – 4:45 p.m.

Chair: Dennis L. Fowler, MD, MPH, Columbia University

Current surgical robotics technology has changed little in the past decade, yet there is great need for more intelligent technology. Presentations in this symposium will discuss current cardiothoracic surgery results using surgical robots and the following potential enhancements to surgical robots and other surgical technology:

  • Enhanced robotic technology focused on better access and automation of tasks
  • Use of modern computation capabilities for patient care
  • Enhanced non-robotic technology

Presenters will include visionaries, engineers, and surgeons engaged in developing new technology for surgery.

Course Objectives
At the conclusion of this course, the participants will be able to:
  • Describe the clinical results using currently available surgical robots in cardiothoracic surgery.
  • Detail the limitations associated with currently available surgical robots.
  • Discuss the potential surgical technology solutions for technical problems in surgery.
1:00 p.m. – 1:05 p.m. Welcome
Dennis L. Fowler, MD, MPH
Columbia University
1:05 p.m. – 1:15 p.m. Background and Current Limitations of Surgical Robotics
Dennis L. Fowler, MD, MPH
Columbia University
1:15 p.m. – 1:45 p.m. The Future of Surgical Robotics
Richard M. Satava, MD
University of Washington
1:45 p.m. – 2:15 p.m. The Rounding Robot and TeleSurgery
Yulun Wang, PhD
InTouch Health
2:15 p.m. – 2:45 p.m. Nonrobotic New Surgical Technology
Lee L Swanstrom, MD
Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic
2:45 p.m. – 3:15 p.m. Current Results of Robotic Thoracic Surgery
Franca Melfi, MD
University of Pisa
3:15 p.m. – 3:45 p.m. Current Results of Robotic Cardiac Surgery
W. Randolph Chitwood, Jr., MD
East Carolina University
3:45 p.m. – 4:15 p.m. Hospital Robotics
Michael R. Treat, MD
Robotic Systems & Technologies, Inc.
4:15 p.m. – 4:45 p.m. DISCUSSION
4:45 p.m. ADJOURN


 

 
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All rights reserved. IMPORTANT REMINDER: The preceding information is intended only to provide general guidance and not as a definitive basis for diagnosis or treatment in any particular case. It is very important that you consult a doctor about any specific medical problem or question.