CTSNet To Go

CTSNet

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

All Episodes

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

Oct 6

19 min 14 sec

  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.  

Mar 23

13 min 46 sec

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.

Mar 9

23 min 5 sec

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. 

Mar 9

21 min 3 sec

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.

Mar 9

23 min 39 sec

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

Mar 9

23 min 21 sec

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

Feb 23

11 min 32 sec

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.

Feb 23

30 min 6 sec

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.

Feb 23

17 min 58 sec

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.

Feb 23

31 min 34 sec

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.

Feb 16

36 min 45 sec

This Beat episode, featuring Joel Dunning, MD, focuses on survivors' longitudinal functional status of ECMO after COVID-19, a trial on advanced reperfusion strategies, an analysis on the decrease in all adult surgeries, and results of robotically-assisted congenital cardiac surgery. For more information on this episode's topics, links are provided: What Does Survival Look Like After ECMO for COVID-19? Small registry highlights need to analyze survivors' longitudinal functional status https://www.medpagetoday.com/meetingcoverage/sts/90972 Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial https://www.thelancet.com/article/S0140-6736(20)32338-2/fulltext An analysis of national data revealed a 53% decrease in all adult heart surgeries, including a 40% decline in non-elective heart surgeries and a 65% drop in elective heart surgeries during the pandemic, compared to 2019. https://consumer.healthday.com/b-2-2-pandemic-has-cut-heart-surgeries-in-half-and-more-patients-are-dying-2650177681.html    https://www.ctsnet.org/article/totally-endoscopic-transaortic-septal-myectomy-hypertrophic-cardiomyopathy Early Results of Robotically Assisted Congenital Cardiac Surgery: Analysis of 242 Patients : JANS posting https://www.ctsnet.org/jans/early-results-robotically-assisted-congenital-cardiac-surgery-analysis-242-patients

Feb 10

18 min

In this CTSNet To Go podcast episode, Niv Ad moderates a discussion on the importance of atrial fibrillation in decision-making in structural heart disease and coronary artery disease. He is joined by Marc Gerdisch of the Franciscan St. Francis Heart Center in Indianapolis, Indiana, USA; Joanna Chikwe of Cedars Sinai Medical Center in Los Angeles, California, USA;  and Vinod Thourani of the Piedmont Heart Institute in Atlanta, Georgia, USA.

Feb 10

26 min 2 sec

In this CTSNet To Go podcast episode, Mara Antonoff moderates a roundtable on the role of metastasectomy in pulmonary metastatic disease. She is joined by Erin M. Corsini of MD Anderson Cancer Center, Loretta Erhunmwunsee of City of Hope Cancer Center in California, and Neel Chudgar of  Memorial Sloan Kettering Cancer Center in New York. They discuss variability in practice patterns, specific tumor types, and patient selection.

Feb 10

19 min 13 sec

In this CTSNet To Go episode, David Tom Cooke moderates a discussion on innovative curriculum design in cardiothoracic surgery. He is joined by Rishindra M. Reddy of the University of Michigan, Amy G. Fiedler of the University of Wisconsin, Luis Armando Godoy of the University of California David Medical Center, and Thomas K. Varghese, Jr., of the University of Utah. They discuss the fundamental skill sets residents must learn before graduation, the current curriculum at each panelists' respective institutions, and innovative new ideas to guide curriculum development in the future.

Feb 10

20 min 58 sec

This Beat episode, featuring Brian Mitzman, general thoracic surgeon with the University of Utah in Salt Lake City, discusses recent highlights submitted to CTSNet along with a look at this weekend's Society of Thoracic Surgeons 57th Annual Meeting. For more information on this episode's topics, links are provided: Society of Thoracic Surgeons 57th Annual Meeting Fontaine J-P, Parvathaneni A. Moffitt Technique. January 2021. doi:10.25373/ctsnet.13549418.  Ceylan KC, Batihan G, Yazgan S, et al. Pleural complications in patients with coronavirus disease 2019 (COVID-19): How to safely apply and follow-up with a chest tube during the pandemic. Eur J Cardiothoracic Surg. 2020;58:1216-1221.

Jan 25

11 min 38 sec

In this CTSNet To Go podcast episode, Guest Editor Konstadinos A. Plestis and his panelists discuss the seven clinical videos of his recent Guest Editor Series: Surgical Management of Acute Aortic Dissections: Tricks and Tips to Simplify the Operation, highlighting key techniques in difficult cases that can be replicated by all cardiac surgeons. 

Jan 25

1 hr

David Jablons moderates this live event, which presented data about the development of a molecular assay based on resected tumor RNA expression from simple paraffin-fixed tissue samples. This is integrated into an algorithm that can assign a risk score for recurrence. This molecular risk score is fully independent of standard TNM staging and does not rely on any other clinical parameters. The assay has been widely validated in thousands of patients and demonstrates both significant prognostic information and the predictive benefit of adjuvant platinum based chemotherapy in high risk patients, as identified by this assay.

Jan 25

58 min 15 sec

In this Giants of Cardiothoracic Surgery interview, Jessica Luc speaks with Lars G. Svensson of the Cleveland Clinic about his career in cardiac surgery. They discuss the elephant trunk procedure, the modified David reimplantation procedure, and the "J" incision, as well as Dr Svensson's tips for mentorship and leadership.

Jan 25

48 min 4 sec

In this Giants of Cardiothoracic Surgery interview, Joel Dunning speaks with Patrick M. McCarthy, executive director of the Bluhm Cardiovascular Institute at Northwestern in Chicago, Illinois. They discuss Dr McCarthy's training and mentorship, his techniques with mitral valve surgery, and how the field has changed over the course of his career.

Jan 13

17 min 4 sec

Leanne Harling, MD, of the Imperial College, London, UK, and Jessica Luc, MD, of the University of British Columbia, Vancouver, Canada, moderate a discussion on the global experience of how to make the most of one's training and successfully transition to practice. They are joined by an international panel of guests, and this discussion spans cardiac surgery and general thoracic surgery. This Resident Corner also covers specific tips and lessons learned in the realm of resident education during the COVID-19 pandemic.

Jan 13

1 hr 2 min

In this CTSNet roundtable, Dawn Hui of UT Health San Antonio, Texas, moderates a discussion on advocacy within the cardiothoracic surgery specialty. She is joined by Keith Naunheim of Saint Louis University in Missouri, John H. Calhoon of the UT Health San Antonio, Texas, Ourania Preventza of Baylor College of Medicine in Houston, Texas, Seth Wolf of the University of Vermont, and Courtney Yohe, director of government relations for the Society of Thoracic Surgeons in Washington, D.C. They discuss what advocacy means to them, the impact of advocacy on the specialty, and ways cardiothoracic surgeons can have a direct impact on federal policy. Disclaimer Contributions to STS-PAC are voluntary and not tax deductible for federal income tax purposes. You have the right to decline to contribute without any reprisal against your STS membership. Your contribution must be made using a credit card, check or money order, and must be drawn on a personal account to be used to support federal candidates. You must be a US citizen or lawfully admitted permanent US resident to contribute. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer of each individual whose contributions exceed $200 in a calendar year. Federal law prohibits STS and STS-PAC from soliciting contributions from persons outside STS’s restricted class. STS’s restricted class includes individuals who are dues paying members or non-dues paying members with voting rights, and who are US citizens or lawfully admitted permanent US residents.

Jan 13

37 min 13 sec

In this Beat episode, hosted by Joel Dunning of the James Cook University Hospital, UK, current topics include the mitraclip MR repair study by Pat McCarthy, Easy-AS study, MARS-2 trial, study on segmentectomy vs. lobectomy, lawsuits against surgical stapler manufactures, MAVRIC trial, and the UK mini mitral trial. For more information on this episode's topics, links are provided: Mitraclip MR repair study by Pat McCarthy https://clinicaltrials.gov/ct2/show/NCT04198870 Easy AS Study https://www.leicesterbrc.nihr.ac.uk/themes/cardiovascular/novel-cardiovascular-therapeutic-interventions/easy-as/ MARS-2 trial https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-looking-at-surgery-for-mesothelioma-mars-2 CALGB study 140503 on segmentectomy versus lobectomy https://pubmed.ncbi.nlm.nih.gov/30442588/ Lawsuits against surgical stapler manufacturers https://www.druganddevicewatch.com/2020/05/15/lawsuits-surge-surgical-stapler-manufacturers/ MAVRIC trial by Mr Enoch Akowuah https://pubmed.ncbi.nlm.nih.gov/31097171/ UK Mini Mitral trial by Mr Enoch Akowuah https://www.southtees.nhs.uk/services/cardiothoracic-services/cardiothoracic-research/uk-mini-mitral-trial/

Dec 2020

29 min 14 sec

Joel Dunning, Moishe Liberman, and Eric Goudie discuss Dr Liberman's method of dividing pulmonary vessels using an energy device and the multi-center study Dr Liberman and Mr Goudie are running to evaluate energy sealing on pulmonary arteries.

Nov 2020

12 min 2 sec

This Beat episode, featuring Dr Brian Mitzman, General Thoracic Surgeon with the University of Utah in Salt Lake City, as the host, discusses recent highlights submitted to CTSNet, along with a look at a new esophagogastric anastomosis simulator in this month's JTCVS. 

Nov 2020

8 min 45 sec

Priyadharshanan Ariyaratnam talks with William Brawn about his approach to hypoplastic left heart syndrome.

Nov 2020

47 min 6 sec

Mohamad Bashir, Eric Roselli, Vinod Thourani, and Malakh Shrestha discuss the use of sutureless aortic valves in patients with bicuspid valve anatomy. 

Nov 2020

15 min 7 sec

Leanne Harling, David Taggart, and Philippe Kolh discuss the future of coronary revascularization.

Nov 2020

23 min 40 sec

This Beat episode, featuring Joel Dunning, cardiothoracic surgeon at the James Cook University Hospital in Middlesbrough, UK, as the host, discusses: if the tide is turning on EXCEL and the European guidelines a meta-analysis of percutaneous interventions with coronary bypass surgery a document on the triage and management of aortic emergencies during the COVID-19 pandemic osimertinib in positive resected cancer

Nov 2020

27 min 26 sec

In this CTSNet Beat episode, Joel Dunning discusses presentations from the EACTS 2020 Annual Meeting, pectus excavatum in the United Kingdom, and a new diagnosis called slipping rib syndrome.

Oct 2020

23 min 33 sec

In this interview, Shruti Jayakumar and Martin Elliott discuss his path to and experience in congenital heart surgery. Professor Elliott describes the importance of recognizing the patient, safety and outcomes, leadership and teamwork, and challenges facing congenital heart surgery in the UK. He also discusses how to overcome the ethics of what surgeons do, the cost of care, and his advice for trainees.

Oct 2020

23 min 29 sec

Mark Ferguson, Thomas D'Amico, Gaetano Rocco, Robert Cerfolio, and Linda Martin discuss technical innovations in minimally invasive thoracic surgery.

Oct 2020

27 min 5 sec

Tom C. Nguyen, Patrick McCarthy, and Borut Gersak discuss indications for and the benefits of using sutureless valves.

Oct 2020

20 min 50 sec

In this episode, listen in as Nikki Stamp discusses recent news topics, including acute type A aortic dissection, myocardial revascularization, and the impact of sex outcomes after revascularization for multivessel coronary disease. Links to topics below: Type A aortic dissection https://www.annalsthoracicsurgery.org/article/S0003-4975(20)31425-9/fulltext Myocardial revascularization https://www.ctsnet.org/jans/myocardial-revascularization-really-necessary-patients-%E2%89%A550  Sex outcomes after revascularization https://www.annalsthoracicsurgery.org/article/S0003-4975(20)30397-0/fulltext 

Oct 2020

10 min 2 sec

In this interview with Joel Dunning, Joseph Bavaria reflects on his career and the initiatives advanced during his STS presidency, including collaboration with the wider cardiothoracic surgery community and advancing e-learning. Dr Bavaria is the Brooke Roberts-William Maul Measey Professor of Surgery and the Director of the Thoracic Aortic Surgery Program at the Hospital of the University of Pennsylvania.

Oct 2020

16 min 25 sec

Joel Dunning and Shanda Blackmon discuss safety in minimally invasive general thoracic surgery. They focus on the importance of preparation, such that a surgical team knows its course of action for potential critical events ahead of their occurance. They also discuss surgical videos of VATS bleeding events, with the intention of fostering a culture of openness where surgeons and trainees are able to learn to better manage such events.

Oct 2020

19 min 34 sec

CTSNet hosted a live event, co-moderated by David Cooke, MD, of UC Davis Health and Jacques Kpodonu, MD, of Harvard Medical School and joined by an esteemed panel of international guests, that discussed global health disparities in cardiothoracic surgery.

Oct 2020

1 hr 4 min

CTSNet Beat Premier Podcast host Nikki Stamp, an adult cardiothoracic surgeon from Australia, discusses the use of embolic filters during cardiac surgery procedures, techniques for donor cardiac heart transplantation, sex differences n thoracic aortic disease, and for residents and trainees, there’s a segment on technique for insertion of intercostal catheters.

Oct 2020

8 min 12 sec

Pavan Atluri, Husam Balkhy, Eric Lehr, Johannes Bonatti, and Michael Halkos reflect on the current state of coronary surgery, the importance of the heart team, and the NIH trial comparing multi-vessel PCI to hybrid procedures.

Sep 2020

20 min 36 sec

Jill Ley, Prakash Patel, Kathryn Gray DeAngelis, and Michael Colligan share perspectives from the nursing, anesthesiology, perfusion, and physician assistant specialties, and suggest strategies for effective team response to emergency situations.

Sep 2020

13 min 22 sec

Mohamad Bashir, Joseph Coselli, Kenji Minatoya, and Martin Czerny discuss the endovascular approach, including patient selection, surgical techniques, and secondary open repair.

Sep 2020

20 min 44 sec

Joel Dunning interviews Raja Flores of the Mount Sinai School of Medicine about mesothelioma prevention and the persisting risk from asbestos exposure, as well as surgical methods to pursue for disease management.

Sep 2020

18 min 53 sec

Mohamad Bashir interviews John Elefteriades, who provides insight into the diagnosis and surgical treatment of aortic aneurysm.

Sep 2020

23 min 18 sec

Mara Antonoff interviews Yolonda Colson about the many accomplishments of her career, and Dr Colson provides valuable advice for younger members of the specialty.

Aug 2020

31 min 41 sec

Joel Dunning speaks with Jill Ley about cardiothoracic surgery nurses at all stages of their careers.

Aug 2020

16 min 4 sec

Tsuyoshi Kaneko, Wilson Szeto, Michael J. Mack, and Gilbert Tang discuss the future of transcatheter mitral valve repair and replacement.

Aug 2020

19 min 10 sec

Jill Ley, Doa El-Ansary, Katijjahbe Mohd, Jenny Adams, Susan Triano, and Richard Gach discuss the origin of sternal precautions, the variability in how they are defined, and recent randomized research.

Aug 2020

23 min 4 sec

Juan P. Umana interviews Jose Navia about the "hemi-commando" procedure for double-valve endocarditis.

Aug 2020

15 min 39 sec

Leanne Harling talks with Gebrine El Khoury, a pioneer of aortic valvuloplasty, about his distinguished career and specific techniques for aortic valve repair.

Aug 2020

26 min 44 sec

Mara Antonoff, Melanie Edwards, Brian Mitzman, and Erin Gillaspie delve into why wellness matters during crises, strategies to achieve wellness, and obstacles to overcome so members of the healthcare team can support one another during such challenging times.

Jul 2020

22 min 34 sec