Pub Date : 2023-07-01DOI: 10.1177/15569845231181442m
Objective: Composite trachea grafts made of collagen supported by 3D-printed plastic scaffolds contain void spaces between construct layers. To enhance cellular infiltration and support graft integrity, we developed a composite collagen-agarose hydrogel that permeates the entire graft providing a continuous cell substrate from the external side of the graft through to the lumen. In this study, we assessed the capacity of this hydrogel to support in vitro angiogenesis. Methods: Human C11-1). Conclusions: This study demonstrates decreased waitlist time with increased incidence of CHK transplantation in the new policy era. Despite the improved CHK transplant-ability in the new allocation system, survival on the waitlist and post-transplant outcomes are comparable to the previous 3-tier system.
{"title":"Scientific Session IV: Thoracic","authors":"","doi":"10.1177/15569845231181442m","DOIUrl":"https://doi.org/10.1177/15569845231181442m","url":null,"abstract":"Objective: Composite trachea grafts made of collagen supported by 3D-printed plastic scaffolds contain void spaces between construct layers. To enhance cellular infiltration and support graft integrity, we developed a composite collagen-agarose hydrogel that permeates the entire graft providing a continuous cell substrate from the external side of the graft through to the lumen. In this study, we assessed the capacity of this hydrogel to support in vitro angiogenesis. Methods: Human C11-1). Conclusions: This study demonstrates decreased waitlist time with increased incidence of CHK transplantation in the new policy era. Despite the improved CHK transplant-ability in the new allocation system, survival on the waitlist and post-transplant outcomes are comparable to the previous 3-tier system.","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45350673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/15569845231181442l
Objective: Limited access to cardiothoracic surgery in sub-Saharan Africa is well documented, with only one cardiotho-racic training program: Tenwek Hospital in Kenya. Given that 43.1% of U.S. general surgeons stay to practice in the state where they train, we aimed to assess the relationship between the number of surgical training programs and practicing surgeons in the U.S. Methods: The number of general surgeons and PGY-1 general surgery positions per capita in each state were assessed using American Association of Medical Colleges, American College of Surgeons, American Board of Surgery, and U.S. census population data. States without a training program were excluded. Differences were analyzed using descriptive statistics. Results: There was a median of 7.42 surgeons per 100,000 people (IQR 7.06-8.96). There was a median of 0.74 PGY-1 general surgery positions per 100,000 (IQR 0.55-1.02). States with PGY-1 positions greater than the national median had more general surgeons per capita than states with reported significantly less pain and 1.5-fold to > 10-fold reduction
{"title":"Scientific Session IV: Cardiac","authors":"","doi":"10.1177/15569845231181442l","DOIUrl":"https://doi.org/10.1177/15569845231181442l","url":null,"abstract":"Objective: Limited access to cardiothoracic surgery in sub-Saharan Africa is well documented, with only one cardiotho-racic training program: Tenwek Hospital in Kenya. Given that 43.1% of U.S. general surgeons stay to practice in the state where they train, we aimed to assess the relationship between the number of surgical training programs and practicing surgeons in the U.S. Methods: The number of general surgeons and PGY-1 general surgery positions per capita in each state were assessed using American Association of Medical Colleges, American College of Surgeons, American Board of Surgery, and U.S. census population data. States without a training program were excluded. Differences were analyzed using descriptive statistics. Results: There was a median of 7.42 surgeons per 100,000 people (IQR 7.06-8.96). There was a median of 0.74 PGY-1 general surgery positions per 100,000 (IQR 0.55-1.02). States with PGY-1 positions greater than the national median had more general surgeons per capita than states with reported significantly less pain and 1.5-fold to > 10-fold reduction","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43952813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/15569845231181442p
Benjamin R. Zambetti, S. Sinclair, Thomas Ng, G. Valaulikar, Jacob Szpernal, Adam R. Pagryzinski, Dustin Hang, Zubin P. Patel, D. Wilson, S. Schena, J. Novalija, P. Pagel, H. Almassi
heart
心
{"title":"Crazy Cases","authors":"Benjamin R. Zambetti, S. Sinclair, Thomas Ng, G. Valaulikar, Jacob Szpernal, Adam R. Pagryzinski, Dustin Hang, Zubin P. Patel, D. Wilson, S. Schena, J. Novalija, P. Pagel, H. Almassi","doi":"10.1177/15569845231181442p","DOIUrl":"https://doi.org/10.1177/15569845231181442p","url":null,"abstract":"heart","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49172713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/15569845231181442h
L. Seese, Allison Davila, Garett Coyan, K. Joubert, Dongning Zhang, Daivd, West, I. Sultan, Johannes Bonatti, A. Geirsson, P. Vallabhajosyula, Roland, Assi, J. Navia, N. Brozzi, Sinal Patel, Rene, Alemán, O. Montero
Objective: Robotic totally endoscopic coronary artery bypass grafting (TECAB) is a procedure in which all main operative steps including anastomotic suturing are carried out using a surgical robot. Methods: Here we discuss the technical aspects of how we conduct TECAB at our institution. Results: We present the preparation and technical conduct of totally endoscopic coronary artery bypass grafting in its arrested heart version using peripheral cardiopulmonary bypass and cardioplegia through an endoaortic balloon catheter. We showcase port placement, IMA harvest and LIMA-LAD along with diagonal sequential robotic anastomosis. Conclusions: With the right techniques and a well trained multidisciplinary team, TECAB can be performed safely and effectively.
{"title":"Movie Night: Cardiac","authors":"L. Seese, Allison Davila, Garett Coyan, K. Joubert, Dongning Zhang, Daivd, West, I. Sultan, Johannes Bonatti, A. Geirsson, P. Vallabhajosyula, Roland, Assi, J. Navia, N. Brozzi, Sinal Patel, Rene, Alemán, O. Montero","doi":"10.1177/15569845231181442h","DOIUrl":"https://doi.org/10.1177/15569845231181442h","url":null,"abstract":"Objective: Robotic totally endoscopic coronary artery bypass grafting (TECAB) is a procedure in which all main operative steps including anastomotic suturing are carried out using a surgical robot. Methods: Here we discuss the technical aspects of how we conduct TECAB at our institution. Results: We present the preparation and technical conduct of totally endoscopic coronary artery bypass grafting in its arrested heart version using peripheral cardiopulmonary bypass and cardioplegia through an endoaortic balloon catheter. We showcase port placement, IMA harvest and LIMA-LAD along with diagonal sequential robotic anastomosis. Conclusions: With the right techniques and a well trained multidisciplinary team, TECAB can be performed safely and effectively.","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44763524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/15569845231181442i
Colin C. Yost, Daniel Wong, Jenna, L. Mandel, K. Prochno, Caroline M. Komlo, Nathan Ott, T. Guy, J. Jurado, Jason Karp, Lawrence, Glassman, Kevin M Hyman, D. Zeltsman
anatomic dehiscence. The patient returned to the OR where endoscopy was performed revealing an anterior anastomotic breakdown approximately 9mm in diameter. The mediastinal collection was drained using a nasogastric tube guided across the dehiscence into the mediastinum prior to placement of a covered esophageal stent to close the defect. Results: Patient status improved with ongoing trans-defect drainage of mediastinum and stent exclusion for source con-trol. Conclusions: Nasogastric tube placement for drainage across anastomotic dehiscence with endoscopic stenting presents a potential option for nonoperative source control of post-esophagectomy anastomotic leaks. Self Expanding TAVR prosthesis, given its longer frame and self-expanding nature. Conclusions: This video case report describes the explantation of a TAVR valve and various technical challenges faced by the surgeon given advanced degeneration of the aortic sinuses post TAVR implantation, which was compounded by the aortic tear in the setting of an infected prosthesis
{"title":"Movie Night: Thoracic","authors":"Colin C. Yost, Daniel Wong, Jenna, L. Mandel, K. Prochno, Caroline M. Komlo, Nathan Ott, T. Guy, J. Jurado, Jason Karp, Lawrence, Glassman, Kevin M Hyman, D. Zeltsman","doi":"10.1177/15569845231181442i","DOIUrl":"https://doi.org/10.1177/15569845231181442i","url":null,"abstract":"anatomic dehiscence. The patient returned to the OR where endoscopy was performed revealing an anterior anastomotic breakdown approximately 9mm in diameter. The mediastinal collection was drained using a nasogastric tube guided across the dehiscence into the mediastinum prior to placement of a covered esophageal stent to close the defect. Results: Patient status improved with ongoing trans-defect drainage of mediastinum and stent exclusion for source con-trol. Conclusions: Nasogastric tube placement for drainage across anastomotic dehiscence with endoscopic stenting presents a potential option for nonoperative source control of post-esophagectomy anastomotic leaks. Self Expanding TAVR prosthesis, given its longer frame and self-expanding nature. Conclusions: This video case report describes the explantation of a TAVR valve and various technical challenges faced by the surgeon given advanced degeneration of the aortic sinuses post TAVR implantation, which was compounded by the aortic tear in the setting of an infected prosthesis","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44250257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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