AATS: American Association for Thoracic Surgery.
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Saturday, May 7, 2011 | PA/NP/Perfusionist Program, Skills Courses and Symposia
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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.

 

8:00 a.m. - 5:00 p.m.

   PHYSICIAN ASSISTANT/NURSE PRACTITIONER/PERFUSIONIST PROGRAM
Chair: Michael Argenziano, MD
Columbia University

This program will provide a state-of-the-art update on many evolving areas in cardiothoracic surgery, including percutaneous and hybrid approaches to coronary and valvular disease, treatment of aortic disease, and management of difficult challenges in the care of general thoracic surgery patients. In addition, sessions will be devoted to advanced perfusion techniques, cerebral and neuroprotection strategies and innovations in blood conservation, advanced respiratory support, and controversies in saphenous vein harvesting. Emphasis will be placed on application of appropriate criteria for considering each of these options for patients. Finally, advanced simulation technology and potential educational and training opportunities will be outlined.

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:
  • Apply advanced perfusion cerebral protection techniques and strategies.
  • Integrate innovations in blood conservation, advanced critical care, and saphenous vein harvesting into their practices.
  • Describe the newly available options in percutaneous and minimally invasive valve therapy and apply appropriate criteria for considering each of these options for their patients.
  • Become familiar with advanced simulation technology and potential educational and training opportunities.
8:00 a.m. - 8:05 a.m.   Welcome and Course Introduction
Michael Argenziano, MD
Columbia University
SESSION I – Percutaneous vs. Minimally Invasive AVR
8:05 a.m. - 8:10 a.m.   Case Presentation
Robin Gibbs, MSN, CRNP
University of Pennsylvania
8:10 a.m. - 8:35 a.m.   Argument in Favor of Minimally Invasive Surgical AVR
Prem Sadanand Shekar, MD
Brigham and Women’s Hospital
8:35 a.m. - 9:00 a.m.   Argument in Favor of Percutaneous AVR
Craig R. Smith, MD
Columbia University
9:00 a.m. – 9:10 a.m.   DISCUSSION AND Q&A

SESSION II – Complex Aortic Surgery
9:10 a.m. - 9:15 a.m.   Case Presentation
Tracy Andrews, DNP, CCRN, ACNP, APRN-BC, CMC, CSC
Columbia University
9:15 a.m. - 9:40 a.m.   Technical Approaches to Thoracic Aortic Disease
Allan Stewart, MD
New York-Presbyterian Hospital
9:40 a.m. - 10:05 a.m.   Cerebral and Neuroprotection Strategies
John W. Hammon, MD
Wake Forest School of Medicine
10:05 a.m. - 10:15 a.m.   DISCUSSION AND Q&A
10:15 a.m. - 10:45 a.m.   BREAK

SESSION III – Hot Topics in Cardiothoracic Surgery
Moderators: Linda Mongero, CCP
Columbia University

James Beck, CCP
Columbia University
10:45 a.m. - 11:05 a.m.   Advances in Intraoperative Blood Conservation and Mini-Circuits
Jeffrey B. Riley, MHPE, CCT, CCP
Mayo Clinic
11:05 a.m. - 11:25 a.m.   Current Thoracic Aortic Stent Grafting Techniques
Wilson Y. Szeto, MD
University of Pennsylvania
11:25 a.m. - 11:45 a.m.   What’s New in Mechanical Support and Miniature VADs
Scott C. Silvestry, MD
Washington University School of Medicine
11:45 a.m. - 12:05 p.m.   Simulation as an Educational Tool in Cardiothoracic Surgery
Harold M. Burkhart, MD
Mayo Clinic
12:05 p.m. - 12:15 p.m.   DISCUSSION AND Q&A
12:15 p.m. - 1:05 p.m.   LUNCH BREAK

SESSION IV – Techniques in General Thoracic Surgery
Moderator: Eric Beninghof, PA-C
New York-Presbyterian Hospital
1:05 p.m. - 1:25 p.m.   Management of the Pleural Space and CXR Interpretation
Isaac George, MD
New York Presbyterian-Hospital
1:25 p.m. - 1:45 p.m.   Fundamentals of VATS Surgery
Traves D. Crabtree, MD
Washington University School of Medicine
1:45 p.m. - 2:05 p.m.   Advanced Support and ECMO for Respiratory Failure
Matthew D. Bacchetta, MD
Columbia University
2:05 p.m. – 2:15 p.m.   DISCUSSION AND Q&A
2:15 p.m. – 2:45 p.m.   BREAK SESSION V – “Knife vs. Catheter” Debates
Moderator: Michael Guiry, PA
Columbia University
2:45 p.m. - 3:25 p.m.   Debate #1: PCI Is Better than CABG for Left Main and Multivessel CAD
Pro:
Mathew R. Williams, MD
Columbia University 		          Con:
Frederick Yen-Ching Chen, MD
Brigham and Women’s Hospital
3:25 p.m. - 4:05 p.m.   Debate #2: Open Saphenectomy Is Superior to Endoscopic Saphenectomy
Pro:
Marco A. Zenati, MD
Harvard Medical School 		            Con:
Mark W. Connolly, MD
St. Michael’s Medical Center
4:05 p.m. - 4:45 p.m.   Debate #3: Surgical Mitral Valve Repair Is Superior to the Percutaneous Clip Technique
Pro:
Robert L. Smith, MD
COR Specialty Associates of North Texas 		       Con:
William A. Gray, MD
New York-Presbyterian Hospital/Columbia University
4:45 p.m. - 5:00 p.m.   CLOSING REMARKS
5:00 p.m.   ADJOURN

 

8:00 a.m. – 12:00 p.m.

 

  

ADULT CARDIAC SKILLS
Chairs: Gorav Ailawadi, MD
University of Virginia

W. Randolph Chitwood, Jr., MD
East Carolina University

Data will be presented providing the methodology to evaluate treatment approaches for valvular and coronary diseases as well as arrhythmias. Presenters will outline how to determine individual patient indications for each procedure and explain the best practice skills essential for each operation and for after care. An outline of new technologies which facilitate adult cardiac surgical operations will be available.

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:
  • Evaluate various methods to surgically treat valvular, coronary, and arrhythmias.
  • Determine individual patient indications for each procedure.
  • Apply the best practice skills for each operation or after care.
  • Become acquainted with new technologies that facilitate adult cardiac surgical operations.
SESSION I – Coronary Artery Disease
8:00 a.m. - 8:10 a.m.   Radials, Veins, and ITAs: When and How?
Bruce W. Lytle, MD
Cleveland Clinic
8:10 a.m. - 8:20 a.m.   OFF-Pump, Beating Pump, and Arrested: When and How?
Gorav Ailawadi, MD
University of Virginia
8:20 a.m. – 8:30 a.m.   Hybrid Revascularization: Is this Good for Patients?
Joseph J. DeRose, MD
Albert Einstein College of Medicine/Montefiore Medical Center
8:30 a.m. - 8:40 a.m.   MIS Coronary Surgery: What are the Best Methods?
Johannes Bonatti, MD
University of Maryland
8:40 a.m. – 8:55 a.m.   DISCUSSION

SESSION II – Mitral Valve Disease
8:55 a.m. - 9:05 a.m.   Complex Mitral Valve Repairs: Please Simplify for Surgeons!
Irving L. Kron, MD
University of Virginia
9:05 a.m. - 9:15 a.m.   Robotic and “Keyhole” Mitral Repairs: Planning, Executing, and Defending!
Tomislav Mihaljevic, MD
Cleveland Clinic
9:15 a.m. - 9:25 a.m.   Catheter Based Alfieri Repair vs. MV Repair: What’s the Real Deal?
Michael Argenziano, MD
Columbia University
9:25 a.m. - 9:35 a.m.   Redo Surgery: I Need a Mitral Operation!
W. Randolph Chitwood, Jr., MD
East Carolina University
9:35 a.m. – 9:50 a.m.   DISCUSSION
9:50 a.m. – 10:10 a.m.   BREAK

SESSION III – Atrial Fibrillation
10:10 a.m. – 10:20 a.m.   Which Energy Source Is Being Proven Best?
Niv Ad, MD
Fairfax Hospital
10:20 a.m. - 10:30 a.m.   MIS and Robotic AF Ablation: Is this Method Prevailing?
Evelio Rodriguez, MD
East Carolina University
10:30 a.m. - 10:40 a.m.   AFib in Setting of CABG or AVR: When to Ablate?
Ralph J. Damiano, Jr., MD
Washington University School of Medicine
10:40 a.m. - 10:50 a.m.   That Damned Atrial Apendage: Tell Me What to Do!
A. Marc Gillinov, MD
Cleveland Clinic
10:50 a.m. - 11:05 a.m.   DISCUSSION

SESSION IV – Aortic Valve Disease
11:05 a.m. – 11:15 a.m.   Transcatheter AVR: In Europe 30% of all AVRs are Percutaneous!
Thomas Walther, MD, PhD
Kerckhoff Heartcenter
11:15 a.m. - 11:25 a.m.   How Do I Save the Aortic Valve with Annulo-Aortic Ectasia?
Michael A. Borger, MD, PhD
Leipzig Heart Center
11:25 a.m. - 11:35 a.m.   Small Root Needs Big Valve: Patch Enlargement, Stentless, or Konno?
David A. Fullerton, MD
University of Colorado, Denver
11:35 a.m. - 11:45 a.m.   Minimally Invasive AVR: Hemisternotomy vs. Mini-Thoracotomy
Glenn R. Barnhart, MD
Swedish Heart and Vascular Institute
11:45 a.m. – 12:00 p.m.   DISCUSSION
12:00 p.m.   ADJOURN

 

8:00 a.m. - 12:00 p.m.

 

   CONGENITAL SKILLS

Chair:

Constantine Mavroudis, MD
Cleveland Clinic

Presenters will address and discuss practice gaps in Truncus Arteriosus with interrupted aortic arch, arrhythmia surgery in association with congenital heart repairs, left ventricular outflow tract obstruction in adolescents with aortic stenosis with and without a small annulus, recognition and repair options concerning anomalous aortic origin of the coronary arteries, cardiac transplantation in abnormal recipient anatomy, addressing pulmonary arteriovenous malformations in association with the Kawashima operation for single ventricle patients, Double Outlet Right Ventricle (DORV) with distant ventricular septal defect, and clinical application of the intra/extracardiac Conduit Fenestrated Fontan.

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:

  • Appreciate how the operation for truncus arteriosus with interrupted aortic arch can be performed with a minimum of complications.
  • Explain the mechanisms of the various arrhythmias and the surgical ablative techniques necessary to treat them.
  • Review the techniques that are available to treat infants, children, and adolescent patients with left ventricular outflow tract obstruction.
  • Describe the techniques that surgeons use to approach patients with anomalous aortic origin of the coronary arteries.
  • Apply different techniques for cardiac transplantation in the setting of abnormal patient recipient anatomy.
  • Implement solutions for the treatment of pulmonary arteriovenous malformations in Fontan patients.
  • Describe new techniques to achieve biventricular repair in patients with complex double outlet right ventricle.
  • Appreciate the options for extracardiac Fontan operation to preserve sinus rhythm and potentially decrease the incidence of future arrhythmias.
8:00 a.m. - 8:05 a.m.   Welcome and Introduction
Constantine Mavroudis, MD
Cleveland Clinic
8:05 a.m. - 8:20 a.m.   Truncus with Interrupted Aortic Arch
Edward L. Bove, MD
University of Michigan
8:20 a.m. - 8:30 a.m.   DISCUSSION
8:30 a.m. - 8:45 a.m.   DORV with Uncommitted VSD
Francois G. Lacour-Gayet, MD
Montefiore Children’s Hospital
8:45 a.m. – 8:55 a.m.   DISCUSSION
8:55 a.m. - 9:10 a.m.   Modified Ross-Konno Left Ventricular Outflow Tract Obstruction
Erle H. Austin, III, MD
University of Louisville
9:10 a.m. – 9:20 a.m.   DISCUSSION
9:20 a.m. - 9:35 a.m.   Coronary Unroofing for Anomalous Aortic Origin of the Coronary Arteries
Robert D. Stewart, MD
Cleveland Clinic
9:35 a.m. – 9:45 a.m.   DISCUSSION
9:45 a.m. – 10:15 a.m.   BREAK
10:15 a.m. - 10:30 a.m.   Hepatic Vein to Azygous Vein Anastomosis After Kawashima Operation for Pulmonary Arteriovenous Fistulas
Tjark Ebels, MD, PhD
University Medical Centre Groningen
10:30 a.m. - 10:40 a.m.   DISCUSSION
10:40 a.m. - 10:55 a.m.   Operations for Arrhythmia Surgery for Congenital Heart Disease
Constantine Mavroudis, MD
Cleveland Clinic
10:55 a.m. – 11:05 a.m.   DISCUSSION
11:05 a.m. - 11:20 a.m.   The Intra/Extracardiac Conduit Fenestrated Fontan
Richard A. Jonas, MD
Children’s National Medical Center
11:20 a.m. - 11:30 a.m.   DISCUSSION
11:30 a.m. – 11:45 a.m.   Cardiac Transplantation for Complex Recipient Anatomy
Jeffrey P. Jacobs, MD
Cardiac Surgical Associates
11:45 a.m. - 12:00 p.m.   DISCUSSION
12:00 p.m.   ADJOURN

 

8:00 a.m. - 12:00 p.m.   GENERAL THORACIC SKILLS
Chair: Christine L. Lau, MD
University of Virginia

The faculty will address targeted lung cancer therapy, the possible role of thoracoscopic surgery in advanced lung cancer, treatment of Barrett’s esophagus, the changes in lung transplantation in the new LAS era, and the potential options to the management of a bronchopleural fistula and the optimal time to use them.

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:
  • Describe targeted lung cancer therapy.
  • Identify the possible role of thoracoscopic surgery in advanced lung cancer.
  • Apply the best treatment for Barrett’s esophagus.
  • Detail the changes in lung transplantation in the new LAS era.
  • Describe the potential options to manage a bronchopleural fistula and the optimal time to use the options.
8:00 a.m. – 8:10 a.m.   Introduction and Course Overview
Christine L. Lau, MD
University of Virginia

SESSION I
8:10 a.m. - 8:30 a.m.   Status of Lung Cancer Immunotherapy – Targeted Therapy
A. Sasha Krupnick, MD
Washington University School of Medicine
8:30 a.m. - 8:50 a.m.   Sleeve Resections
Walter Klepetko, MD
Vienna Medical University
8:50 a.m. – 9:10 a.m.   Assessment of the Solitary Pulmonary Nodule
Eric L. Grogan, MD, MPH
Vanderbilt University
9:10 a.m. – 9:30 a.m.   Role of VATS in Resection of Locally Advanced Lung Cancer
Thomas A. D’Amico, MD
Duke University
9:30 a.m. – 9:45 a.m.   DISCUSSION
9:45 a.m. – 10:15 a.m.   BREAK

SESSION II
10:15 a.m. - 10:35 a.m.   Novel Treatments of Barrett’s Esophagus
Michael J. Weyant, MD
University of Colorado
10:35 a.m. - 11:05 a.m.   Transhiatal Esophagectomy
Mark B. Orringer, MD
University of Michigan
11:05 a.m. - 11:25 a.m.   Who Not to Perform a Lung Transplant on
Michael S. Mulligan, MD
University of Washington Medical Center
11:25 a.m. – 11:45 a.m.   Management of the Postpneumonecotmy Empyema
Walter Weder, MD
University Hospital
11:45 a.m. - 12:00 p.m.   DISCUSSION
12:00 p.m.   ADJOURN

 

1:00 p.m. - 5:10 p.m.

 

  

DEVELOPING THE ACADEMIC SURGEON SYMPOSIUM
Chair: Bryan F. Meyers, MD, MPH
Washington University School of Medicine

Personal success stories of several CT surgeons who have achieved funded research grants will be augmented by discussion of pathways towards extramural funded research accessible to cardiothoracic surgeons. The faculty will identify several options for collaboration or mentorship outside the field and will detail the true potential cost in time and seed money necessary to launch and support a new investigator towards independence. Other issues pertinent to engaging and recruiting young surgeons into academic cardiothoracic surgery will be covered as well. 

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:
  • Identify at least three pathways toward extramural funded research accessible to cardiothoracic surgeons.
  • Summarize details and milestones in the personal successes of at least three CT surgeons achieving funded research grants.
  • Identify several options for collaboration or mentorship outside the field of other CT surgeons.
  • Describe the true potential cost in time and seed money support to launch a new investigator towards independence.
1:00 p.m. - 1:10 p.m.   Introduction
Bryan F. Meyers, MD, MPH
Washington University School of Medicine
1:10 p.m. – 1:30 p.m.   Successful Academic Recruitment
John S. Ikonomidis, MD, PhD
Medical University of South Carolina
1:30 p.m. - 1:50 p.m.   Getting to R01 Funded Status: Key Steps and Tips
Daniel Kreisel, MD, PhD
Washington University School of Medicine
1:50 p.m. - 2:10 p.m.   NIH K12 Career Development Awards
Dennis Wigle, MD, PhD
Mayo Clinic
2:10 p.m. - 2:30 p.m.   K08 with the AHRQ: Mentored Research with a Non-Surgeon Mentor
Benjamin D. Kozower, MD, MPH
University of Virginia
2:30 p.m. - 2:50 p.m.   Collaborative Research Between Surgeons and Educators
Sarah Peyre, EdD
Harvard University/Brigham and Women’s Hospital
2:50 p.m. – 3:10 p.m.   BREAK
3:10 p.m. - 3:30 p.m.   Academic Surgery Present and Future Prospects
W. Roy Smythe, MD
Texas A&M University Health Science Center
3:30 p.m. - 3:50 p.m.   Building on Local Strengths as a Path to Academic Success
Patricia A. Thistlethwaite, MD, PhD
University of California, San Diego
3:50 p.m. - 4:10 p.m.   How Much Is that R Grant in the Window?
G. Alec Patterson, MD
Washington University School of Medicine
4:10 p.m. - 4:30 p.m.   Sparking the Flame of the Next Generation of Academic Surgeons
William A. Baumgartner, MD
The Johns Hopkins Hospital
4:30 p.m. - 4:50 p.m.   Enrollment Challenges in Surgical Clinical Trials
Robert E. Michler, MD
Montefiore Medical Center/Albert Einstein College of Medicine
4:50 p.m. – 5:10 p.m.   DISCUSSION
5:10 p.m.   ADJOURN

 

1:00 p.m. - 4:00 p.m.


  High Performance Teams in the Operating Room: Using the NOTSS Program ("Non-Technical Skills for Surgeons") to Improve Communication, Understanding and Performance
Chairs: Simon Paterson-Brown, MBBS, FRCS, MPhil, MS
Royal College of Surgeons of Edinburgh

George Youngson, CBE, PhD
Royal College of Surgeons of Edinburgh

Steven Yule, MA, PhD, MSc
Royal College of Surgeons of Edinburgh

An interactive session focused on the underlying human factors and non-technical skills essential for successful surgical outcomes which are not covered in formal training programs. Participants will be provided with an introduction to observational techniques and become familiar with a behavior rating system to assist in the evaluation of the performance of surgeons in the operating room. Audience participation will be augmented by structured methods of analyzing behavior and some initial training in identifying and discussing performance in surgery.

COURSE OBJECTIVES
At the conclusion of this course, participants will be able to:
  • Understand the role of human factors in surgical safety.
  • Demonstrate an understanding of the relevance of observational techniques to improving clinical practice, including benefits and limitations.
  • Identify and rate examples of good and poor behaviors in the operating room.
  • Discuss key non-technical skills within a surgical context.

 
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All rights reserved. IMPORTANT REMINDER: The preceding information is intended only to provide
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It is very important that you consult a doctor about any specific medical problem or question.