This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Kenneth Liao, professor of surgery and chief of the Division of Cardiothoracic Transplantation and Circulatory Support at Baylor College of Medicine, about performing the world’s first adult robotic heart surgery in the United States using a subxiphoid approach.
Chapters
00:00 Intro
02:31 JANS 1, Endocarditis Guidelines
13:02 JANS 2, Hybrid vs Catheter
16:16 JANS 3, Full Sternotomy Trial
18:07 JANS 4, Buttressing the BA
19:05 JANS 5, Intraspinal Vasc Perf
20:15 Career Center
20:37 Video 1, Root Replace & Ann Reconstr
21:56 Video 2, Bi-Atrial Cann for BVAD
24:17 Video 3, Pediatric Device Implant
26:23 Dr. Liao Interview
49:07 Upcoming Events
49:39 Closing
They discuss the details of the procedure, including its background, ischemic time, technique, and postoperative outcomes. Additionally, they explore the application of the subxiphoid approach for robotic heart transplants and robotic mitral valve repair vs traditional open-chest (sternotomy) repair. Dr. Liao shares insights into the training and practice required for this operation and discusses the advantages of using robotics in heart transplants. He also reflects on what he would do differently in future procedures.
Joel also highlights recent JANS articles on the surgical implications of the 2023 ESC endocarditis guidelines endorsed by EACTS, the two-year results from the randomized CEASE-AF trial on the durable effectiveness and safety of hybrid ablation vs catheter ablation, a randomized trial on superficial parasternal intercostal plane block and full sternotomy, a comparison of the short- and long-term outcomes in patients undergoing sleeve lobectomy with or without buttressing the bronchial anastomosis, and intraspinal vascular perfusion territories of the descending thoracic aorta.
In addition, Joel explores free-style root replacement and annular reconstruction for destructive aortic root endocarditis, bi-atrial cannulation for biventricular assist device in children, and a device implantation in a 26 kg child. Before closing, Joel highlights upcoming events in CT surgery.
JANS Items Mentioned
3.) Superficial Parasternal Intercostal Plane Block and Full Sternotomy; A Randomized Trial
5.) Intraspinal Vascular Perfusion Territories of the Descending Thoracic Aorta
CTSNET Content Mentioned
1.) Free-Style Root Replacement and Annular Reconstruction for Destructive Aortic Root Endocarditis
2.) Bi-Atrial Cannulation for Biventricular Assist Device in Children
3.) Device Implantation in a 26 kg Child
Other Items Mentioned
1.) Guest Editor Series Webinar: Insights Into Pediatric Mechanical Circulatory Support
2.) Cardiac Surgical Arrest—An International Conversation Series
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The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
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