poster finalists inside - cardiothoracic surgery · 2014-05-30 · vinay m. tak, md haiyu zhou, md...

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2014 ANNUAL MEETING 28 - 31 May MARRIOTT COPLEY PLACE, BOSTON MEETING HIGHLIGHTS FRIDAY (continued on page 3) Thursday Program Highlights Included Rory McDonald, Innovations Accelrator Session, Thoracic Masters, Cardiac Sessions and Posters Flash Mob TakeOver POSTER FINALISTS INSIDE Technical Challenges DON’T MISS Friday Afternoon 15.45-16.30 President’s Address: Francis D. Ferdinand, MD Breakfast Symposia Cardiac Sessions Arrhythmia Imaging Valve Thoracic Sessions Lung Miscellaneous Esophagus Kit V. Arom Lecture: Michael Mack, MD Consensus Statement: A 10-Year Retrospective Luncheon Symposia Poster Competition: Final Round Attendee Reception at Isabella Stewart Gardner Museum A “disruptive innovation” occurred during the Exhibition Hall Reception when a flash mob broke out and a group of dancers entertained attendees with modern dance moves and lively music. The Technical Challenges: Pitfalls and Disaster Session, moderated by Valavanur Subramanian and Alex Zapolanski,continues to be one of the most popular sessions held during the ISMICS Annual Meeting. The ISMICS Annual Meeting contin- ued a successful run on Thursday with mul- tiple sessions and innovative presentations. Keynote Speaker Rory McDonald, PhD, Harvard Busi- ness School Professor, provided an engag- ing and stimulating presentation examining the principles of disruptive innovation and how they influence and drive businesses and how, in turn, they affect our lives. Dr. McDonald provided many ex- amples of the concept, including the influ- ence of mini-mill technology on the steel marketplace, the evolution of the video rental industry (Blockbuster vs. NetFlix), and recent advances in video game systems. “Sony developed PlayStation 3 to create a better product for their current video gamer market. Nintendo wanted to broaden their appeal to those who were not current users and stepped outside of their core gamer de- mographic and created the Wii,” explained Dr. McDonald. When asked for examples within health care, audience members cited pacemakers, the advancement of cardiologists into the surgeons’ domain, and the actual creation of ISMICS almost twenty years ago, as in- stances where disruptive innovation caused a shift in the environment. “Sustaining innovations improve prod- ucts and services along dimensions of per- formance that mainstream customers care about. Disruptive innovations are initially inferior on the historic performance dimen- sions, but offer a novel mix of attributes that appeal to fringe customers.” Citing additional examples, Dr. McDonald noted how the introduction of minute clinics has disrupted the healthcare industry, not by doing it better along tradi- tional dimensions, but by doing it differ- ently; how the increased use of TurboTax has affected H & R Block; and “although Google docs is not as good as Microsoft Word, it is certainly good enough for many tasks.” Looking forward to future innovations, Dr. McDonald noted several reasons to be excited, including Amazon’s drones deliv- ery of packages, Facebook’s Oculus Virtual

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Page 1: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

2014 ANNUAL MEETING 28 - 31 May MARRIOTT COPLEY PLACE, BOSTON

MEETING HIGHLIGHTSFRIDAY

(continued on page 3)

Thursday Program Highlights Included RoryMcDonald, Innovations Accelrator Session, ThoracicMasters, Cardiac Sessions and Posters

Flash Mob TakeOver

POSTER FINALISTS INSIDE

Technical ChallengesDON’T MISS

Friday Afternoon15.45-16.30

President’s Address:Francis D. Ferdinand, MD

Breakfast Symposia

Cardiac Sessions Arrhythmia Imaging Valve

Thoracic Sessions Lung Miscellaneous Esophagus

Kit V. Arom Lecture:Michael Mack, MD

Consensus Statement:A 10-Year Retrospective

Luncheon Symposia

Poster Competition: FinalRound

Attendee Reception atIsabella Stewart GardnerMuseum

A “disruptive innovation” occurred during the Exhibition Hall Receptionwhen a flash mob broke out and a group of dancers entertainedattendees with modern dance moves and lively music.

The Technical Challenges: Pitfalls and Disaster Session, moderatedby Valavanur Subramanian and Alex Zapolanski,continues to be oneof the most popular sessions held during the ISMICS Annual Meeting.

The ISMICS Annual Meeting contin-ued a successful run on Thursday with mul-tiple sessions and innovative presentations.

Keynote SpeakerRory McDonald, PhD, Harvard Busi-

ness School Professor, provided an engag-ing and stimulating presentation examiningthe principles of disruptive innovation andhow they influence and drive businesses andhow, in turn, they affect our lives.

Dr. McDonald provided many ex-amples of the concept, including the influ-ence of mini-mill technology on the steelmarketplace, the evolution of the videorental industry (Blockbuster vs. NetFlix),and recent advances in video game systems.“Sony developed PlayStation 3 to create abetter product for their current video gamermarket. Nintendo wanted to broaden theirappeal to those who were not current usersand stepped outside of their core gamer de-mographic and created the Wii,” explainedDr. McDonald.

When asked for examples within healthcare, audience members cited pacemakers,

the advancement of cardiologists into thesurgeons’ domain, and the actual creationof ISMICS almost twenty years ago, as in-stances where disruptive innovation causeda shift in the environment.

“Sustaining innovations improve prod-ucts and services along dimensions of per-formance that mainstream customers careabout. Disruptive innovations are initiallyinferior on the historic performance dimen-sions, but offer a novel mix of attributes thatappeal to fringe customers.”

Citing additional examples, Dr.McDonald noted how the introduction ofminute clinics has disrupted the healthcareindustry, not by doing it better along tradi-tional dimensions, but by doing it differ-ently; how the increased use of TurboTax hasaffected H & R Block; and “although Googledocs is not as good as Microsoft Word, it iscertainly good enough for many tasks.”

Looking forward to future innovations,Dr. McDonald noted several reasons to beexcited, including Amazon’s drones deliv-ery of packages, Facebook’s Oculus Virtual

Page 2: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

OpportunityFind

in Change

Visit us at booth 404, and at Sim City where you can test your skills through hands-on simulation.

MICS Mitral Valve Repair and MICS CABG simulation: see the access and visualization you can achieve through a small thoracotomy and test your sewing skills for anastomosis or annular suturing.

CoreValve® Procedural Simulation: learn more about the CoreValve System, practice key imaging steps and test your skills on our virtual CoreValve deployment app.

CoreValve System: Please reference the Instructions for Use for more information regarding indications, warnings, precautions and potential adverse events. To download the complete Instructions for Use visit: manuals. Medtronic.com

CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician.

CoreValve is a registered trademark of Medtronic CV Luxembourg S.a.r.l.

UC201500159 EN © Medtronic, Inc. 2014. All Rights Reserved

Change is nothing new to Cardiac Surgeons

And with change comes opportunities…

opportunities that matter.

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Page 3: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

ISMICS INSIDER29 - 31 MAY

3www.ismics.org

Thursday’s Program Highlights (continued from page one)

Attendee Reception Tonight at the Isabella Stewart Gardner Museum

Walking Directions: Head west toward Huntington Ave. Slight left onto Huntington Ave.Turn right onto Belvidere St. Turn left toward St Stephen St. Continue straight onto St StephenSt. Turn right onto Speare Pl/St Stephen St. Turn right toward Fenway. Turn right onto Fenway.Turn left to stay on Fenway. Turn left onto Evans Way. Destination will be on the right. IsabellaStewart Gardner Museum, 280 Fenway.

ISMICS invites all registered meeting attendees to join us for the Attendee Re-ception at the Isabella Stewart Gardner Museum. Your ISMICS Badge is requiredfor entry to the Museum. A lasting legacy of the late Isabella Stewart Gardner, theMuseum displays an art collection of world importance, including works that rankamong the most significant of their type. Isabella Stewart Gardner collected and care-fully displayed a collection comprised of more than 2,500 objects—paintings, sculp-ture, furniture, textiles, drawings, silver, ceram-ics, illuminated manuscripts, rare books, pho-tographs and letters—from ancient Rome, Me-dieval Europe, Renaissance Italy, Asia, the Is-lamic world and 19th-century France andAmerica. Built to evoke a 15th-century Vene-tian palace, the Museum itself provides an at-mospheric setting for Isabella Stewart Gardner’sinventive creation.

The evening will feature full access to themuseum and its gardens, docents to explain theworks of art, activities for children in the edu-cation center, a string trio, and a sumptuousbuffet and open bar.

The Reception will run from 7:00 pm to9:00 pm and transportation is available from theMarriott Copley Place. Or follow the walkingdirections below for a stroll through the city tothe Museum.

The Terrace, Saint-Tropez, 1904Henri Matisse, French, 1869-1954Location: Yellow Room

NEW ISMICS MEMBERSActive

Amal AlOtaibi, MDFlavio D. Camurca, MD

Prasanta Chanda , MBBS, MSCliff P. Connery, MD

Lisardo Garcia-Covarrubias, MDBryan S. Helsel, MD

Ho Young Hwang, MDJuan S. Jaramillo, MD

Djamel Kaili, MDJoerg Kempfert, MDHyun Koo Kim, MD

Vadim Kotowicz, MDAlexander Kraev, MD

Serguei I. Melnitchouk, MDRobert E Merritt, MD

Takehito Mishima, MDHitoshi Ogino, MD, PhD

Alexander Y. Omelchenko, MD, PhD

Salil G. Shah, MDKasra Shaikhrezai, MRCS MSc

Henry M. Spotnitz, MDVinay M. Tak, MDHaiyu Zhou, MD

Allied HealthOmkar Prasad Baidya, MBBS, MD, PHD

Robert F. Carlucci, PA

CandidatePeter T. Anastassiou, MDAbdulbadee A. Bogis, MD

Peter I. Ellman, MDShu S. Lin, M.D., PhD

Nouradin Pirmoazen, MDBilal Shafi, MD

Deane E. Smith, MD

Nineteen of the thirty-two newly-elected ISMICS members were onhand to receive theircertificates and congratulations from L. Wiley Nifong, Chair of the Membership Committee,Francis D. Ferdinand, President, and Paul F. Grundeman, Secretary. “Members are the lifebloodof the organization and I am pleased to welcome these new members to ISMICS,” said Dr.Ferdinand. “This represents one of the largest group of new members in recent history.”

SATURDAY’S PROGRAM

08.00-08.30 MEMBERS’ BUSINESS MEETING Salon G

CARDIAC SESSIONS08.30-09.40 Heart Failure, Pediatrics, & Perfusion Salon G9.40-11.20 Revascularization Salon G

THORACIC MOVIE DAY8.30-9.30 / 9.45-10.45 Salon C

Reality headset, and Google glass - a wear-able computer with an optical head-mounteddisplay.

Dr. McDonald concluded his presenta-tion with an acknowledgement that “Inno-vation is hard. Avoiding some of the pit-falls of innovation can be made a littleeasier.”

Late Breaking NewsCandace Lee, MD, presented an update

on “Titanium Knots in Cardiac Surgery: TheFirst Eight Years” which reviewing the de-velopment of the Cor-Knot titanium knotfasteners from the pioneering study atLankenau Hospital in Philadelphia in March

of 2007, to its current successful applica-tion in over 50,000 cardiac patients through-out the world. Dr. Lee highlighted many ofthe innovative uses of the technology andexplored its potential to further enhancecardiac patient surgical outcomes.

Innovations Accelerator SessionA panel of thought leaders and innova-

tors gathered to discuss current and futuretechnologies. Moderated by VinodThourani and Thomas Walther, panelistsincluded both inventors and those who workwith industry to modify existing technolo-gies: Lishan Aklog, Anson Cheung, GregoryFontana, Jörg Kempfert, and Murali Padala.

Thoracic and CardiacThe Thoracic Masters Class, co-chaired

by Hiran C. Fernando, Daniel L. Miller,Ricardo Santos, and Ralph A. Schmid, in-cluded three sessions on Thursday: LungCancer, Endoscopic Therapies for the Tho-racic Surgeon, and Mediastinum, Chest Walland Esophagus.

Cardiac Sessions on Thursday includedtwenty-three presentations and moderatedposters in three sessions on valvetranscatheter therapies, revascularization,and aortic & endovascular.

All abstracts, and many of the key pre-sentations, are available on the ISMICSwebsite: www.ismics.org.

Page 4: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

ISMICS INSIDER 2O14 ANNUAL MEETING

Marriott Copley Place, Boston4

2O14 ISMICS EXHIBITORSATRICURE, INC. Booth 4056217 Center Park DriveWest Chester, Ohio 45069 USA

www.atricure.comAtriCure is intent on reducing the global Afib epi-demic and healing the lives of those affectedthrough clinical science, education and innova-tion. We are a leading Afib solutions partner withthe only FDA-approved surgical treatment for Afiband most widely implanted occlusion device forleft atrial appendage management.

CORMATRIXCARDIOVASCULAR, INC.

Booth 3111100 Old Ellis Road, Roswell, GA 30076

www.cormatrix.comCorMatrix® Cardiovascular markets its ECM®Bioscaffold devices for carotid repair, pericardialrepair and reconstruction, and cardiac tissue re-pair, and is currently conducting preclinical stud-ies to evaluate future applications in other cardioand vascular applications.

COVIDIEN Booth 410555 Long Wharf DriveNew Haven, CT 06511

www.covidien.comCovidien is a leading global healthcare productscompany that creates innovative medical solu-tions for better patient outcomes and deliversvalue through clinical leadership and excellence.Please visit www.covidien.com to learn more.

DAVOL, A BARD COMPANYBooth 221

100 Crossings BoulevardWarwick, RI 02886

www.davol.comBARD is the market leader in comprehensive softtissue reconstruction. In addition to this exten-sive suite of products, our BioSurgery franchiseis delivering a growing line of enhanced seal-ants and hemostatic products to complementsurgical techniques across thoracic, cardiovas-cular, and other surgical specialties. This fran-chise is committed to serving our surgeons andclinicians by leveraging unique & proprietarymaterials science and continuing Bard’s focuson improving clinical outcomes.

EDWARDS LIFESCIENCESBooth 205

One Edwards Way, Irvine, CA 92614www.edwards.com/eu

Our cardiac surgery systems product line offersmarket-leading technologies that facilitate on-pump cardiac surgery procedures throughsmaller incisions. The Edwards Lifesciencesminimally invasive valve surgery system is com-prised of soft tissue retractors, venous and arte-rial cannulae, aortic occlusion, venting, and coro-nary sinus catheters, as well as reusable instru-ments for performing minimally invasive valvu-lar procedures.

ETHICON Booth 2154545 Creek Road, Cincinnati, Ohio 45242

www.ethicon.comEthicon US LLC , a Johnson & Johnson com-pany, commercializes a broad range of innova-tive surgical products, solutions and technolo-gies used to trat some of today’s most prevalentmedical issues, such as: colorectal and thoracicconditions, women’s health conditions, hernias,cancer and obesity. Learn more atwww.ethicon.com, or follow us on Twitter@Ethicon.

FEHLING INSTRUMENTSGMBH & CO. KG Booth 201509 Broadstone Lane, Acworth, GA 30101

www.fehling-instruments.de/enMinimal Access with Full Success! Possible withthe Fehling Minimally Invasive Cardiac SurgerySystem and CERAMOâ Micro Instruments. AllNEW Innovative Instrumentation and Retractorsare available now. Also take our new MICS MVRSimulator for a spin to refine your manual / tac-tile skills on a “Dummy”!

EXHIBITION HALL HOURS

EXHIBITION HALL - GRAND BALLROOM - SALONS E-F

Friday 30 May 07.00 – 10.30 & 13.30 – 16.00

EXHIBITION HALL HOURS

Page 5: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

ISMICS INSIDER29 - 31 MAY

5www.ismics.org

2013-2014 BOARD OF DIRECTORS

PresidentFrancis D. Ferdinand, MD

Past PresidentAlan H. Menkis, MD

President-ElectVolkmar Falk, MD

Vice PresidentGregory P. Fontana, MD

SecretaryPaul F. Grundeman, MD, PhD

TreasurerVinod H. Thourani, MD

DirectorsNiv Ad, MDTohru Asai, MDJohannes Bonatti, MDAnson Cheung, MDChangqing Gao, MDMattia Glauber, MDYoung Tae Kim, MD, PhDFrancesco Maisano, MDDaniel L. Miller, MDSimon C. Moten, MDL. Wiley Nifong, MDRobinson Poffo, MDRalph A. Schmid, MDPiotr Suwalski, MD, PhD

Editor, INNOVATIONSRalph J. Damiano, Jr., MD

Managing Editor, INNOVATIONSCarol Blasberg

ISMICS InsiderThe official newspaper of the ISMICS

2014 Annual MeetingExecutive Director

Aurelie J. Alger, JDAssociate Executive Director

Elizabeth ChouinardIndustry Relations

Stan AlgerYvonne Grunebaum

Meeting DirectorE.J. Weldon

Meeting ManagerJillian West

Meeting CoordinatorEmma Celeste

Membership CoordinatorAdam Denhard

Managing Editor, ISMICS InsiderLorraine M. O’Grady

© Copyright 2014 International Society for MinimallyInvasive Cardiothoracic Surgery, 500 CummingsCenter, Suite 4550, Beverly, Massachusetts 01915,USA.Produced and distributed by ISMICS. All rights re-served. No part of this publication may be repro-duced or transmitted in any form, by any means, with-out written permission from ISMICS. The opinionsexpressed in this publication are those of the pre-senters and authors and do not necessarily reflectthe views of the Society.

GENESEE BIOMEDICAL, INC. Booth 317

1308 S. Jason Street, Denver, CO 80223www.geneseebiomedical.com

Design Beyond Standard. Genesee BioMedical,Inc. provides unique devices for cardiothoracicsurgery including sternal/thoracic valve retrac-tors for adult, adult congenital and pediatric car-diac surgery, instruments for MICS, coronarygraft markers, suture guards, retraction clips andaortic valve repair. Denver, CO USAwww.geneseebiomedical.com

INTUITIVE SURGICAL, INCBooth 204

1266 Kifer Rd, Bldg 101Sunnyvale, CA 94086

www.intuitivesurgical.comIntuitive Surgical is the global leader in minimallyinvasive, robotic-assisted surgery. Its da Vinci®System – with a 3D-HD vision system andEndoWrist® instrumentation – enables surgeonsto offer a minimally invasive approach for a rangeof complex procedures. da Vinci is used in morethan 2,500 hospitals around the world.

KLS MARTIN GROUP Booth 309PO Box 16369, Jacksonville, FL 32245

www.klsmartin.comKLS-Martin, a responsive company, is focusedon the development of innovative products for oral,plastic and craniomaxillofacial surgery. New prod-uct developments in our titanium osteosynthesisplating systems allow these products to be usedfor rapid sternal fixation and reconstruction.

LSI SOLUTIONS Booth 2117796 Victor-Mendon Road, Victor, NY, 14564

www.lsisolutions.comCOR-KNOT® delivers instant security with au-tomated knotting and integrated suture trimmingin one easy step. COR-KNOT® may reducecardiopulmonary bypass and cross-clamp timein your OR. Visit LSI SOLUTIONS® at booth211 to learn more.

MAQUET MEDICAL SYSTEMS,USA Booth 30545 Barbour Pond RoadWayne, NJ 07470

www.maquet.comMAQUET Medical Systems is a market leaderfocused on improving patient care and quality oflife. We offer a comprehensive portfolio of inno-vative products designed to meet the needs ofclinical professionals in the areas of:cardiothoracic and vascular surgery, thoracicdrainage, cardiac intervention, perfusion, anes-thesia and respiratory.

MEDISTIM Booth 31014000 25th Ave N. Ste. 108Plymouth, MN 55447

www.medistim.comMedistim offers validated technologies that re-duce post-CABG MACCE. The VeriQ C™ pro-vides a novel combination of our proven transittime flow assessment along with a 15 MHz ul-trasound probe, specifically designed forepiaortic and epicardial imaging.

MEDTRONIC, INC. Booth 404710 Medtronic Parkway NEMinneapolis, MN 55432

www.medtronic.comFind opportunity in change and considerMedtronic’s intuitive solutions in structural heartdisease, including tissue, mechanical andtranscatheter valves; irrigated RF and cryo sur-gical ablation devices; OPCAB, MICS CABG,cannulae, and perfusion products.

NCONTACT Booth 4141001 Aviation Pkwy, Ste.400Morrisville, NC 27560

www.ncontact.usnContact has taken a leadership position in thedevelopment of arrhythmia management programsto improve healthcare system savings. nContact’smission is to transform the underserved arrhyth-mia market through a multidisciplinary approachand the advancement of comprehensive, less in-vasive ablation alternatives.

PACIRA PHARMACEUTICALS, INC.Booth 214

5 Sylvan Way, Parsippany, NJ 07054www.pacira.com

Pacira Pharmaceuticals, Inc. is a specialty phar-maceutical company focused on the develop-ment of products that meet the needs of acutecare practitioners and their patients. Its lead prod-uct, EXPAREL® (bupivacaine liposome inject-able suspension), was launched in 2012.EXPAREL utilizes the Pacira proprietary deliv-ery technology DepoFoam®. For more informa-tion, visit www.pacira.com.

SCANLAN INTERNATIONAL,INC. Booth 401One Scanlan Plaza, Saint Paul, MN, 55107

www.scanlaninternational.comHighest quality surgical products designed andmanufactured by the Scanlan family since 1921.Over 3,000 titanium and stainless steel precisioninstruments including: VATS / MIS thoracoscopicinstruments, SCANLAN® Caliper and MEMORYinstruments, SCANLAN® LEGACY titaniumneedle holders and forceps. Single-use productsinclude SCANLAN® Aorta/Vein Punch, VASCU-STATT® bulldog clamps and graft markers.

SONTEC INSTRUMENTS, INC.Booth 416

7248 South Tucson Way, Centennial, CO 80112www.sontecinstruments.com

Sontec offers a comprehensive selection of ex-ceptional hand held surgical instruments, head-lights and loupes available to the discriminatingsurgeon. There is no substitute for quality, ex-pertise and individualized service. Sontec’s vastarray awaits your consideration at our booth.

SORIN GROUP Booth 31214401 W. 65th Way, Arvada, CO 80004

www.sorin.comSorin Group is a world leader in the treatment ofcardiovascular diseases. Our innovative prod-uct portfolio includes aortic and mitral valve re-placement and repair, perfusion equipment, can-nula and MICS instruments. For more informa-tion visit our web site at www.sorin.com.

ST. JUDE MEDICAL Booth 3151 St. Jude Medical DriveSt. Paul, MN 55117

www.sjm.comSt. Jude Medical is dedicated to transforming thetreatment of some of the world’s most expen-sive, epidemic diseases by creating cost-effec-tive medical technologies that save and improvelives of patients around the world. For more in-formation, please visit sjm.com.

TRANSONIC SYSTEMS INC. Booth 408

34 Dutch Mill RoadIthaca, NY 14850

www.transonic.comTransonic, the company that invented transit timeflow measurement, just created the next inno-vation for minimally invasive surgery. The newprobe enables you to measure and documentthe actual flow you have restored, even withinthe tight confines of a closed chest. Eliminateguesswork, and know your true graft flow.

VITALITEC Booth 21010 Cordage Park Circle, Ste. 100/200,Plymouth MA 02360

www.vitalitecusa.comVitalitec Geister is presenting SLS TM and 9TMLigation Clip Systems, Intrack? AtraumaticClamps, Cygent? Flexible Clamps. TheGreyhoundTM, NovaclipTM and SofiaTM bull-dogs as well as highlighting Enclose II Anasto-mosis Assist Device. The Geister? open andValveGate? MIS CV instrumentation. Innovative,high quality products with excellent service.

WEXLER SURGICALBooth 200

11333 Chimney Rock Road, Suite #110,Houston, Texas 77035

www.wexlersurgical.comWexler Surgical designs and manufactures avariety of titanium and stainless steel specialtysurgical instruments and products for Cardiac,Vascular, Thoracic, and Micro Surgery. Come seeour VATS/MICS instruments and ask about ourOptimus Series. Visit us online atwww.wexlersurgical.com for more informationabout our products and the services.

WOLTERS KLUWER HEALTHBooth 400

2001 Market StreetPhiladelphia, PA 19103

www.wolterskluwerhealth.comWolters Kluwer Health & First Choice for infor-mation, tools, and solutions to help profession-als deliver quality results more efficiently. Ourcustomer promise is to be the preferred globalprovider of information-enabled solutions to helpprofessionals manage processes and drive re-sults effectively.

Page 6: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate
Page 7: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

ISMICS INSIDER29 - 31 MAY

7www.ismics.org

POSTER FINALISTS

MAQUET EDITORIAL: Can Routine Left Atrial Appendage Closure DuringOpen Heart Surgery Reduce Peri-Operative Stroke?

Sacha P. Salzberg, MD and Maximilian Y. Emmert, MD, PhDConcern about peri-operative stroke remains the main factor for the decreased Acceptance of coronary

artery bypass grafting (CABG) despite its well documented long-term superiority in patients with three vesseldisease and left main stenosis. An important technical advance has been the avoidance of aortic manipulation toreduce stroke; yet, approximately half of CABG-related strokes occur in the post-operative period surgery, andare most often related to new- onset atrial fibrillation (AF).1,2-4

New-onset AF is a common complication, occurring in close to 20% patients following CABG.2 Recentstudies have documented increased incidence of stroke with new-onset AF after CABG surgery. In a recent studyof 16169 consecutive isolated CABG patients with no prior history of AF, postoperative stroke risk was signifi-cantly greater for patients who developed new-onset AF vs. those who did not (3.2% vs. 1.3%, p<0.001). Further,new postoperative AF was associated with a 21% relative increase in mortality over a mean follow up of 6 years,even after controlling for 32 covariates.

As with other forms of AF, the primary mechanism of stroke secondary to postoperative AF is believed tooriginate from within left atrial appendage (LAA). In another recent report (2067 patients, 81% CABG), postop-erative AF was associated with a nearly three-fold increase in stroke (OR=2.79). Among patients who developedpostoperative AF, those who had undergone concomitant LAA ligation had significantly lower risk of stroke thanthose who had not (0.0% vs. 6.1%, p=0.003)4

Shortcomings of past surgical approaches to LAA exclusion using sutures or staples include risk of injuryand incomplete closure. Further, neither sutures nor staples provide complete electrical isolation of the LAA,which has recently been confirmed as a trigger in the induction and maintenance of AF5 as well as AF recurrencefollowing catheter ablation.6

New epicardial clip devices have been shown to provide easy, reliable, safe and durable exclusion duringcardiac surgery procedures, without leaks or significant residual LAA cavity. 7,8 An additional benefit of epicar-dial device-enabled LAA is electrical isolation.9 Silencing the LAA may be crucial in certain patients, underscor-ing the incremental advantage of isolation of the LAA provided by epicardial clip approaches.

Despite earlier conceptions as benign, postoperative AF carries significant risk for late cerebral injuryfollowing non-eventful cardiac surgery. LAA closure may be an important adjunct to all cardiac procedures toreduce the risk of postoperative AF-related cerebrovascular accident in selected patients. The current generationof epicardial LAA closure devices may make routine concomitant management of LAA easier, safer and moreeffective than past approaches.References1. Tarakji KG et al. JAMA. 2011 Jan 26;305(4):381-90.2. Almassi GH et al. Ann Surg. 1997 Oct;226(4):501-113. El-Chami MF et al. J Am Coll Cardiol. 2010 Mar 30;55(13):1370-6.4. Kim R et al. J Thorac Cardiovasc Surg. 2013 Feb;145(2):582-9;5. Hocini M et al. Heart Rhythm. 2011 Dec; 8(12):1853-61.6. Di Biase L et al. Circulation. 2010 Jul 13; 122(2):109-18.7. Emmert MY et al. Eur J Cardiothorac Surg. 2014 Jan;45(1):126-31.8. Slater AD et al. Ann Thorac Surg. 2012 Jun;93(6):2035-8

9. Salzberg SP et al. Ann Cardiothorac Surg. Jan 2014; 3(1): 75–77.

Topic 1: Aortic & Endovascular TherapiesP2 Off-Pump Debranching & TEVAR for Aortic Arch Pathology

Topic 2: Arrhythmia SurgeryP20 Introducer Development for Cardiac Resynchronization Via RightParasternal Mediastinotomy

Topic 3: Imaging & Facilitating Technology for Cardiac SurgeryP28 Fluorescent Imaging for In-Vivo Visualization of Mesenchymal StemCells in a Myocardial Infarct Model in Pigs

Topic 4: Congenital, Perfusion, & MyxomaP34 Perventricular Doubly Committed Subarterial VSD with NewSaddle-Like Occluders

Topic 5: Revascularization I: Arterial & Left SideP41 A New Suture for Distal Coronary Artery Anastomosis WhichEliminates Knot-Tying

Topic 6: Revascularization II: Graft StrategiesP58 Equivalent Medium Term Survival with Open and Endoscopic VeinHarvesting in Coronary Revascularization

Topic 7: Thoracic Surgery I: Lung CancerP64 Robotic Mediastinal Nodal Exenteration Is Safe and IncreasesUpstaging for Early Stage Lung Cancer

Topic 8: Thoracic Surgery II: OtherP72 Robot-Assisted Ivor Lewis Esophagectomy with Intrathoracic HandSewn Anastamosis for Esophageal Cancer

Topic 9: Valve Minimally Invasive AorticP89 Titanium Fasteners in Open Aortic Valve Replacement Surgery:Effective and Signifi cant Savings

Topic 10: Valve Minimally Invasive MitralP97 Evaluation of a Novel Automated ePTFE Suturing and CoaxialFastener System for Mitral Chordae Tendineae Replacement:Strength, Feasibility and Healing

Topic 11: TAVIP108 Off-Pump Mitral Valved Stent Implantation: Evaluation of Apical,Sub-Annular and Supra-Annular Fixation Technologies

Page 8: POSTER FINALISTS INSIDE - Cardiothoracic surgery · 2014-05-30 · Vinay M. Tak, MD Haiyu Zhou, MD Allied Health Omkar Prasad Baidya, MBBS, MD, PHD Robert F. Carlucci, PA Candidate

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�� ACROBAT® System for Off-Pump Cardiac Surgery (OPCAB)

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