SAN FRANCISCO THE FAIRMONT HOTEL JUNE 7-1O, 2OO6
WELCOME social and collegial environment. I am In this issue: delighted to conclude my term as TO ISMICS ISMICS President here. The Fairmont Invited Topic Sessions Page 2 provides a unique opportunity for ISMICS 2OO6! to “take over” the entire property and - Randall K. Wolf, MD enhances the familial atmosphere PG Course: Surgical Treatment ISMICS President 2006 among ISMICS members, non-member of Atrial Fibrillation physicians, spouses, invited guests, and Ralph J. Damiano, Jr., MD our industry partners. Page 3 As this year’s President of ISMICS, it At the end of WWII, this historic is my distinct pleasure to welcome the Fairmont Hotel was the site of the meeting back to the Fairmont Hotel in A Look Ahead: James D. Fonger, MD International Conference where the San Francisco. The last time we met in Page 4 San Francisco was in 2003 when I was (continued on page 14) privileged to serve with my friend A Look Back: Robert Emery, MD The Fairmont provides a unique Page 5 Vassilios Gulielmos as co-chair for that year’s Program Committee. Randolph opportunity for ISMICS to “take Chitwood was President, and we all had over” the entire property and Invited Entertainment: a great time. We enjoyed an excellent enhances the familial atmosphere. David Williamson, MD scientific program and an exceptionally - Randy Wolf Page 5 Invited Guest Speaker: Richard Satava, MD Page 6 WELCOME TO SAN FRANCISCO In addition to the obvious tourist attractions in San Francisco like Alcatraz and the Exhibit Hall Map Pages 8-9 Golden Gate Bridge, while in the Bay area, be sure to check out some of the city’s other fascinating sites. Wet Labs Schedule Page 10 Chinatown — San Francisco’s bustling Chinatown is a tightly packed warren of Industry Sponsored Luncheons Chinese restaurants, shops, temples and Page 11 street vendors. Enter at Dragon’s Gate at Grant Avenue and Bush Street. ISMICS Consensus Statement Fisherman’s Wharf — Popular with both Page 12 tourists and sea lions, Fisherman’s Wharf offers seafood markets, street performers Case Reports Page 13 and entertainment, souvenir shops, restau- rants and sidewalk vendors. Still a working wharf, its vendors sell thousands of tons of fish and shellfish. (continued on page 2) SAN FRANCISCO HIGHLIGHTS (continued from page one) The Haight — Center of the 1960s move- The Presidio — A military installation ment, it retains its hippie counterculture cre- from 1776 until 1994, the Presidio saw duty dentials and is dotted with Victorian houses, for Spain, Mexico and the United States. It bookstores, piercing salons and funky is now a national park with almost 1,500 shops. acres of hiking and biking trails, beaches and stunning views. Lombard Street — Known as the “crookedest” street in the world, the steep, Conservatory of Flowers-Located in hills and sharp curves of this one-way road Golden Gate Park is a spectacular living pass by grand Victorian mansions and at- museum of rare and beautiful tropical tract millions of tourists. plants from around the world that will en- gage visitors Mission District — The heart of San . Francisco’s predominantly Latino neigh- San Francisco Zoo - Northern borhood is 24th Street, a colorful collection California’s largest zoological park features of authentic restaurants, taquerias, Mexi- approximately 1,000 exotic and endangered can bakeries, markets, shops and murals. animals. Experience the wonders of the Mission Dolores at 16th and Dolores streets Children’s Zoo and visit Gorilla World, Pen- is the oldest structure in San Francisco. guin Island, AND Koala Crossing.
North Beach — Most of this Wax Museum at Fisherman’s Wharf - neighborhood’s former beatnik charm is Over 250 wax likenesses of past and retained while adding fine cuisine to its present world leaders, entertainers, heroes claim to fame. and scoundrels delights visitors since opening in 1963. DON'T MISS THESE INVITED TOPIC SESSIONS ON SATURDAY... 8:15 – 8:45AM Nanotechnology—A Truly Minimally Invasive Technology Chair: Randall K. Wolf, MD Carlo Montemagno, PhD University of Cincinnati, Cincinnati
9:00A – 9:15AM Hybrid Approaches to Cardiac Procedures Ralph de LaTorre, MD, Beth Israel Deaconess Medical Center, Boston
9:15 – 9:30AM Articulating Endoscopic Instruments and 3D Videoscopy: Disruptive Technology or Tools Looking for an Application? William E. Cohn, MD Texas Heart Institute, Houston
2 POSTGRADUATE COURSE: SURGICAL THE COURSE AT-A-GLANCE TREATMENT OF ATRIAL FIBRILLATION Ralph J. Damiano, MD, Jr.. CONTROVERSIES IN THE Course Director INTERVENTIONAL TREATMENT OF ATRIAL FIBRILLATION: PRESENT STATE-OF-THE-ART Panel discussions will examine the current controversies regarding the Controversies in Our Mechanistic Under- The Postgraduate course, operative approach in the treatment of standing of Atrial Fibrillation: Does Clinical “Surgical Treatment of Atrial Fibrilla- atrial fibrillation. Presentation Imply Pathophysiology? tion”, will be held on Wednesday, June 7th. The course, directed by Ralph J. Catheter Ablation for Lone Atrial Fibrillation: Damiano, Jr., has been designed to cryoablation, microwave ablation, and Is Pulmonary Vein Isolation Necessary? demonstrate the latest developments in the high frequency ultrasound. surgical treatment of atrial fibrillation, with The final section of the postgraduate Surgery for Lone Atrial Fibrillation: Present emphasis on surgical techniques and course will consist of two panel discus- State-of-Confusion emerging technologies. sions examining the current controver- Surgery for Atrial Fibrillation and Valvular Participants will discuss the electro- sies regarding the operative approach. Heart Disease: What Should Be the physiological mechanisms underlying The course will conclude with a Correct Lesion Set? atrial fibrillation. Presentations will cover presentation by Dr. Damiano on traditional medical and surgical treat- “Perioperative Management of of LATEST ADVANCES IN ABLATION ments, as well as the role of emerging Patients After Atrial Fibrillation Surgery.” TECHNOLOGY technologies and new energy sources. Dr. Damiano makes several important After an introduction and welcome by points during his talk. Irrigated Radiofrequency Energy Dr. Damiano, Dr. Richard Schuessler will Surgery for AF has excellent long- Bipolar Radiofrequency Energy review the current literature of AF. “Over the term results and virtually eliminates Cryoablation last two years, over 3200 papers have been the risk of late stroke in this popula- Atrial Ablation Surgery with Laser Energy published on atrial fibrillation. Of these 693 tion. via Unilateral Thorascopic Approach have involved ablation. I will attempt to Less invasive operations have been summarize some of the relevant findings developed and have greatly simplified Biological Properties of Microwave Ablation and how they relate to the surgical the procedures. High Frequency Ultrasound treatment of AF. Specifically, I will briefly Virtually all patients with chronic AF review the most recent thinking on the undergoing coronary or valve CASE PRESENTATIONS: CURRENT underlying mechanisms of AF,” begins Dr. procedures should have a concomi- CONTROVERSIES REGARDING Schuessler. tant Cox-Maze procedure. OPERATIVE APPROACH Dr. Fred Morady reviews the rationale The Cox-Maze procedure needs to Panel Discussion: Surgical Treatment of Lone for pulmonary vein isolation in patients with be considered in medially refractory Atrial Fibrillation AF and provides evidence that complete patients with lone AF, particularly in Moderator: Ralph J. Damiano, Jr., MD isolation is not necessary. Dr. Damiano patients who develop a contraindica- Panelists: W. Randolph Chitwood, Jr., MD, Li takes a look at the current state of confu- tion to anticoagulation or a tachycar- Poa, MD , Niv Ad, MD, J. Crayton Pruitt, MD sion regarding surgery for AF. The final dia-induced cardiomyopathy. presentation will deal with the different Panel Discussion: Surgical Treatment of Atrial aspects of the surgical procedure to treat Fibrillation in Patients with Organic Heart atrial fibrillation in a subset of patients with Disease valvular heart disease. Registration for the Postgraduate Moderator: Takashi Nitta, MD The next session will review the latest Course will be open on Tuesday Panelists: Nicholas Doll, MD, A. Marc Gillinov, MD, Krishna Khargi, MD, PhD, John D. Puskas, MD advances in ablation technology and will from 3:00 pm to 6:00 pm in the cover: irrigated radiofrequency energy, Grand Ballroom foyer and on Perioperative Management of Patients after bipolar radiofrequency energy, Wednesday at 6:30 a.m. Atrial Fibrillation Surgery 3 A LOOK AHEAD Several needs were identified ISMICS remains a society interested during ISMICS’ early years i.e., in cardiothoracic surgical innovation - James D. Fonger, MD recognition by other groups, ISMICS President-Elect methods of incorporating new at its earliest stages, providing both technologies into mainstream a meeting place and publication surgery, and an entity to deter- mine the role of emerging and opportunity for these ideas to be innovative technologies/tech- presented when they may still be The founding goals of the Interna- niques. We continue to pursue tional Society for Minimally Invasive this innovation in the opportuni- relatively undeveloped. Cardiothoracic Surgery centered on ties that ISMICS develops for our providing a forum for the exchange of industry partners. We constantly information in the subspecialty, working strive to create unique and different fiscal and oversite challenges. Engaging towards an international exchange of meeting formats and venues to introduce our trainees and younger colleagues will data, and working with industry to new technologies. Wet labs were an encourage them to participate, despite accelerate the development of minimally early such innovation and the consensus the unsettling changes in the profession. invasive procedures and equipment. statements have also added value to our ISMICS needs to provide a forum for As ISMICS approaches its 10th relationship with industry, while clarifying them to voice their frustrations as well as anniversary, there are probably three complicated topics for the profession. fertile ground for their new ideas. features of the Society that have re- Our annual industry dinner reinforces Hopefully we can also join our allied mained unique throughout the life of the this philosophy of close industry engage- Societies in providing the additional organization. ISMICS remains the only ment. training opportunities that will be re- truly international body for the advance- Other cardiothoracic surgical quired to diversify in the face of change. ment of cardiothoracic surgery spanning societies have begun to recognize and The next decade in cardiothoracic the jurisdictions of many similar regional acknowledge our unique contributions surgery will experience different trends and national societies around the world. as ISMICS has emerged into the than we have seen. As our cardiac repair ISMICS has strived to retain and promote mainstream. However, ISMICS faces the techniques successfully address this direction with a mandated interna- same challenges that all societies face revascularization and valvular pathology, tional Board, Presidents selected from with less emphasis on development and the final common pathway, several years around the world, and a meeting refinement of tools for our specialty later, will inevitably be heart failure. We schedule with winter workshops that because of contracting surgical vol- don’t have the donors to replace these regularly take its meeting everywhere on umes. We share the responsibility with hearts or the repair techniques to the globe. our fellow surgical (continued on page 12) ISMICS societies - to remains a society continue to foster interested in innovation at all cardiothoracic levels to keep the Please share your thoughts surgical innovation, specialty fresh and and ideas about ISMICS and at its earliest to expand the the 2007 Annual Meeting. stages providing current practice both a meeting models. This role place and publica- will be increasingly tion opportunity for important in the ISMICS Administrative Offices these ideas to be presented when they coming years. 900 Cummings Ctr., Suite 221-U may still be relatively undeveloped. The The cardiothoracic surgical practice Beverly, MA 0-1915 criteria for the selection of a paper by the model itself will also be an area of (978) 927-8330 Program Committee reflects this belief innovation in the future. Groups will need (978) 524-8890/FAX and we will continue to advocate to organize differently to withstand new sending in your earliest thoughts. [email protected]
4 A LOOK BACK The International Society for Mini- mally Invasive Cardiac Surgery (ISMICS) As ISMICS has expanded its AT ISMICS' was formally founded in 1998. It was the reputation and influence, we have BEGINNINGS coalescence of early meetings in the attracted higher profile surgeons to field of minimally invasive cardiac - Robert Emery, MD surgery. It was formed to meet the “need our meetings - an indication of the Past President for a new society that could provide a growing importance of the group. forum for the development of this new - Bob Emery The building blocks for the advent of subspecialty, provide an audience for the minimally invasive cardiac surgery scientific evaluation of new minimally The first annual meeting was held in (MICS) have quietly been laid over invasive techniques and instruments, Minneapolis in 1998 with Robert Emery several years. Four years ago, in May of provide an online database allowing as the first President. The second 1995, the first full paper on minimally immediate access to the assessment and meeting took place in Paris, France in invasive coronary artery surgery was world wide results of new procedures and 1999 with Patrick Nataf as President. published in the Journal of Cardiac provide a marriage of industry and The Society has grown tremendously in Surgery by Robinson et al. The time was medicine to facilitate the development the 9 years since its formation. Each right and a revolution was initiated, and introduction of technology which year has seen an increase in members. changing the face of thinking regarding would be necessary to accomplish Each meeting has attracted more cardiovascular surgery as a whole. progressively more minimal invasion." abstracts submissions, with a steady -Dr. Emery in an editorial published in Excerpts from the minutes of the increase in the quality of the papers. And Heart Surgery Forum in May, 1999. ISMICS Formation Meeting each meeting experiences increased meeting attendance. DON'T MISS DAVID WILLIAMSON As ISMICS has expanded its reputa- tion and influence, we have attracted Friday, June 3 5:00 - 6:30 (Awards Reception) & higher profile surgeons to our meetings - 9:30 - 11:00 (President's Nightcap) an indication of the growing importance of the group. In addition, ISMICS A born showman and an unusually accom- meetings serve as a stepping-stone for plished sleight of hand artist, David Williamson will young surgeon/scientists to expose their dazzle with a unique and delightful brand of ideas and develop them in front of a entertainment, blending heart-stopping magic with friendly, but critical audience. Papers side-splitting hilarity. Recently, David was featured are presented that are cutting-edge, but on ABC’s Prime Time Special, Champions of Magic, which may not have been accepted at where he appeared with Princess Stephanie other major meetings due to the early performing around Monaco. He has also co-starred phase of development. in several prime-time network specials including The Society’s influence can been Magicians’ Favorite Magicians, Houdini: Unlocking seen across many aspects of His Mysteries, and World’s Greatest Magic III. cardiothoracic surgery. ISMICS has As host of the United Kingdom’s acclaimed influenced major surgical societies to television series The Magic Comedy Strip, David’s change the format of their meetings to mix of humor and skill make it one of the highest address the needs and wishes of the rated shows in the country. He has created illusions for and performed in several commercials audience. For example, the Society of and has developed TV shows for Walt Disney Productions and ABC, as well as consulting for Thoracic Surgeons (STS) recently illusionists David Copperfield’s and David Blaine’s TV specials. Most recently, David appeared on added TechCon in place of the standard PAX TV’s World Magic Awards special where he was awarded comedy magician of the year. He postgraduate course. Interestingly, the also created and starred in his own yet-to-be aired infomercial, David Williamson: The Man Who program directors responsible for the Knows, hosted by TV’s Harry Anderson. innovation for the first 5 years were David is acclaimed as one of the world’s outstanding sleight of hand artists and we welcome ISMICS Past Presidents: myself, Mike you to enjoy his magic during the ISMICS Awards Reception and President’s Nightcap. (continued on page 13) 5 KEYNOTE ADDRESS: RICHARD SATAVA, MD, FACS
FRIDAY, 2:00 PM
“The Chronicles of the Origins and Future of Surgical Ro- botics: Surgeons Have Nothing to Fear?”
The talk will demonstrate leading edge and revolutionary technologies that are changing the practice of surgery and shaking the very foundations of medicine. These changes may have unintended consequences which are causing profound moral and ethical questions -Richard Satava, MD
Richard Satava, MD FACS, is Professor of Surgery at the University of Washington Medical Center, Program Manager of Advanced Biomedical Technology at the Defense Advanced Research Projects Agency (DARPA), and Special Assistant in Advanced Surgical Technologies at the US Army Medical Research and Materiel Command in Ft. Detrick, MD. Dr. Satava has served on the White House Office of Science and Tech-nology Policy (OSTP) Committee on Health, Food and Safety. He is currently a member of the Emerging Technologies and Resident Education, and Informatics Committees of the American College of Surgeons (ACS), is past president of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), past president of the Society of Laparoendoscopic Surgeons (SLS), and is on the Board of Governors of the National Board of Medical Examiners (NBME). He is on the editorial board of numerous surgical and scientific journals, and active in many surgical and engineering societies. During his 23 years of military surgery he has been an active flight surgeon, an Army astronaut candidate, MASH surgeon for the Grenada Invasion, and a hospital commander during Desert Storm, all the while continuing clinical surgical practice. While striving to practice the complete discipline of surgery, he is aggressively pursuing the leading edge of advanced technologies to formulate the architecture for the next generation of medicine.
LATE BREAKING NEWS PRESENTATIONS WILL BE OFFERED BY THE FOLLOWING Presidential Address COMPANIES ON SATURDAY: Friday, 11:00 - 11:30 “The Future of Surgery and CryoCath ISMICS” Boston Scientific/Guidant Randall K. Wolf, MD Varian Medical Systems University of Cincinnati, Cincinnati
6 ISMICS 9th Annual DON'T MISS.... Scientific Meeting June 7-10, 2006 DEBATE San Francisco, California Saturday, 10:30 - 11:30AM
Learning Objectives What IS Minimally Invasive AFIB Surgery? Off-pump? Non- The ISMICS 2006 Annual sternotomy? Non Rib-spreading? Scientific Meeting is designed to offer 3 and one-half days of comprehen- Chair: Ralph J. Damiano, Jr., MD sive educational experiences in the fields of minimally invasive cardiac Washington University School of and thoracic surgery and related Medicine, St. Louis sciences with an emphasis on Randall K. Wolf, MD innovative techniques and technolo- University of Cincinnati, Cincinnati gies. The Society brings together the Robert R. Lazzara, MD leading cardiothoracic surgeons and Cardiac Surgical Associates, Tampa scientists in the world to freely and Joao Queiroz e Melo, MD, PhD openly discuss their latest clinical Hospital Santa Cruz, Carnaxide, and research findings. Portugal Takashi Nitta, MD Accreditation Statement Source: Newsweek Nippon Medical School, Tokyo, Japan This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continu- ing Medical Education through the CURRENT CONTROVERSIES joint sponsorship of the American College of Surgeons and the Interna- Saturday, 9:30 - 10:15AM tional Society for Minimally Invasive Cardiothoracic Surgery. The Ameri- can College of Surgeons is accred- LVADs for Destination Therapy - Don’t Throw Out Your ited by the ACCME to provide continu- ing medical education for physicians. Needledrivers, Here Comes the Next Big Thing!
AMA PRA Category 1 Credits™ Chair: James D. Fonger, MD The American College of Sur- Lenox Hill Hospital, New York geons designates this educational Paul A. Spence, MD activity for a maximum of 24.75 AMA University Cardiothoracic Surgical PRA Category 1 Credits™. Physicians Associates, Louisville should only claim credit commensu- Steven W. Boyce, MD rate with the extent of their participa- Washington Regional Cardiac tion in the activity. Surgery, Washington, DC
7 EXHIBIT HALL - TERRACE ROOM
Medtronic Cryo Cath
Boston CardioVations/ Scientific Ethicon
WET LABS SCHEDULE EXHIBITORS IN TERRACE ROOM Individual companies may offer WetLabs during all Exhibi- tion Hall hours. Additionally, the scientific program includes Dedi- ATS Medical, Inc. T110 / T111 cated WetLab Time during which there is no competing pro- gramming: Cardiogenesis T101 Wednesday June 7 5:00 – 6:00PM CardioVations/Ethicon T108 / T109 Thursday June 8 9:00 – 9:45AM Datascope Corp T102 2:15 – 3:00PM 4:15 – 5:00PM Boston Scientific T106 / T107 Friday June 9 9:15 – 10:30AM Intuitive Surgical, Inc. T114 2:30 – 3:00PM Karl Storz Endoscopy America T112 / T113 SIGN-UPS To provide the best possible learning experience, WetLab pro- Medtronic, Inc. T104 / T105 viders are scheduling sign-up slots to enable interested attendees an opportunity to see the device demonstrated and to “test drive” it. Attendees may sign-up onsite, once you have registered and ob- tained your registration materials. Sign-up sheets for each WetLab will be located in the Registration Desk area on Wednesday until the A complete listing of all scheduled WetLabs open at 5PM. From that point on the sign-up sheets will be Wet Labs appears on Page 10. located at each individual WetLab station.
8 EXHIBIT HALL - VENETIAN ROOM
Edwards Cardica Lifesciences
St. Jude AtriCure, Inc. Medical, Inc.
EXHIBITORS IN VENETIAN ROOM EXHIBIT HALL HOURS AtriCure, Inc. V213 / V214 Wednesday, June 7th CTSNet V211 5:00 pm – 7:00 pm Edwards Lifesciences V205 / V206 ESTECH Cardiac Surgery Specialists V217 / V218 Thursday, June 8th Fehling Surgical Instruments, Inc. V204 7:30 am – 11:00 am I-Flow Corporation V216 1:00 pm – 5:00 pm ISMICS V210 Koven Technology, Inc. V207 Friday, June 9th MedicalCV, Inc. V208 7:30 am – 10:30 am Novadaq Technologies, Inc. V215 1:00 pm – 3:00 pm Quest Medical V203 Scanlan International, Inc. V201 The Welcome Reception will be held on Wednesday Shelhigh, Inc. V202 from 6:00 - 7:00 pm. Continental breakfasts will be St. Jude Medical, Inc. V209 served on Thursday and Friday mornings and a con- Wexler Surgical Supplies V212 tinuous beverage service will be available during all Exhibition Hours.
9 WETLABS The WetLabs scheduled for this year's annual meeting are better than ever, with physician proctors directing each station, providing context and instructions. Providers may offer multiple stations. In some cases the same device will be featured at all stations during a specific timeslot. Other providers may choose to feature a different device at each concurrently running station. Check the timeslot titles on the sign-up sheets for the device you want to test-drive.
ATRICURE, INC. - Venetian # 8 Transpolar Pen and Transpolar Clamps Stations: 2 concurrent featuring the same device. Check the timeslots titles to see which device is being featured. Test Drive Slots: maximum of 3 attendees per 20-minute slot, per station. Proctor: Sydney L. Gaynor, MD, St. Louis, MO
BOSTON SCIENTIFIC - Terrace # 3 FLEXTech Simulator Stations: 1 Test Drive Slots: maximum of 3 attendees per 15-minute slot, per station.
CARDICA, INC.- Venetian # 6 C-Port® Distal and PAS-Port® Proximal Anastomosis Systems Stations: 3 concurrent stations for C-Port Distal Anastomotic Device and 1 station for PAS-Port Proxi- mal Device Test Drive Slots: maximum of 5 attendees per 45-minute slot, per station.
CARDIOVATIONS, INC. - Terrace # 4 Minimally Invasive Valve Surgery, PORT ACCESS and Other Devices Stations: 2 Test Drive Slots: maximum of 2 attendees per 10-minute slot, per station.
CRYOCATH TECHNOLOGIES - Terrace # 2 SurgiFrost® and FrostByte® CryoAblation Systems Stations: 1
EDWARDS LIFESCIENCES - Venetian # 5 Optiwave 980TM Laser Ablation System Stations: 1 Test Drive Slots: maximum of 6 people per 20-minute slot.
MEDTRONIC, INC. - Terrace # 1 Transmurality You Can Trust: Irrigated Radiofrequency Stations: 1 Test Drive Slots: maximum of 3 attendees per 20-minute test-drive slot.
ST. JUDE MEDICAL - Venetian # 7 Biocor Stented Tissue Valve and Epicor Cardiac Ablation System Stations: 2 Test Drive Slots: maximum of 5 attendees per station, 20-minute test- drive slots. 10 FOOD AND SCIENCE: INDUSTRY SPONSORED SYMPOSIA
THURSDAY - LUNCHEON S 11:30 AM - 1:00 PM FRIDAY - BREAKFAST 7:00 AM - 8:00AM "MitroFast®: Rapid, Simplified Mitral Valve Repair" “New Paradigms Guiding the Surgical Treatment Supported by Shelhigh, Inc. of Atrial Fibrillation” Main Lobby Level Chair: Marc Gerdisch, MD – Cardiac Surgery Associates Supported by CryoCath Technologies, Inc. The Impact of No-React® Anticalcification Technology Crystal Room on the Future of Heart Valve Surgery Chairman: W. Randolph Chitwood Jr., M.D. Marc Gerdisch, MD Opening Comments W. Randolph Chitwood Jr., M.D. A New Concept in Mitral Valve Repair Shlomo Gabbay, MD Picking the Right Lesion Set for the Right Patient Early Clinical Results with the MitroFast® Mitral Valve Repair System Ralph J. Damiano, Jr., MD Danijel Unic, MD, PhD Cryosurgical Platforms for Robotic Manipulation in AF Closing the Repair Gap, Potential Applications for Mitrofast Wiley Nifong, MD Lishan Aklog, MD Update on the M. Sinai Experience David Adams, MD FRIDAY - LUNCHEONS 11:30 AM - 1:00 PM “Controversies in Surgical Treatment of Atrial “Get the EDGE: Expand Your Skills, Control Your Fibrillation” Future” Supported by Boston Scientific Corporation Supported by Medtronic, Inc. Pavilion Room Hunt Room Moderator: John D. Puskas, MD Robert Emery, MD Husam H. Balkhy, MD and Niloo M. Edwards, MD Dr. Emery will share his views on the importance of expanding Discuss efficacy of surgical ablation therapy in the management of atrial fibrillation. one’s skills in our rapidly changing environment. Compare the efficacy of surgical ablation therapy versus catheter Grayson Wheatley, III, MD ablation therapy in the treatment of atrial fibrillation. Dr. Wheatley will discuss his own experience in acquiring Discuss treatment options for the “failed catheter ablation” emerging skills and adopting new technologies. population of patients with atrial fibrillation. Describe the clinical benefit of surgical ablation of the left atrial appendage in reducing risk of stroke. “Laser Ablation with the Edwards Optiwave 980 nm System—Patient Selection, Procedure Over- Malignant Aspects of Severe Pulmonic Regurgita- view and Clinical Results” tion: New Approaches in Minimally Invasive Surgical Treatment Supported by Edwards Lifesciences, Inc. Supported by Shelhigh, Inc. French Room French Room Li Poa, MD, Enlow Medical Center Chair: Hitendu Dave, MD – Royal Children’s Hospital The need for and optimal timing of pulmonary valve replacement in patients with formerly repaired Tetralogy of Fallot Hitendu Dave, MD Outcomes to date with the current generation of pulmonic valve conduits Stefano Marianeschi, MD Experience to date with the Minimally Invasive Shelhigh Injectable Pulmonic Valve Conduit: Per ventricular versus Percutaneous Approaches Check your padfolio for a flyer Shlomo Gabbay, MD Off-pump Extra-anatomic Aortic Valve Placement: A Novel describing these sessions. Concept and Technique for Severe Calcific Aortic Stenosis and Calcified Aorta Shlomo Gabbay, MD 11 A LOOK AHEAD (continued from page 4) ISMICS CONSENSUS STATEMENT: TRANSMYOCARDIAL REVASCULARIZATION eradicate the problem. Medications and regenerative cell therapy will play an increasing role and it will be reinforced The 2006 ISMICS by better permanent assist devices Expert Consensus placed with smaller procedures. How- Conference on ever, probably the biggest change will be Transmyocardial that much more of the management of Revascularization patients with these conditions will be (TMR) was held May done in the home with remote monitor- 27-29th at the Duke’s ing. The healthcare system will not be Hotel in London. This able to provide high tech hotel services year’s panel was for all these chronic patients who often ISMICS Expert Consensus Panel on TMR chaired by Dr. Anno need fine-tuning, rather than another Diegeler from Bad hospital admission. When patients do Neustadt, Germany. Chief Researcher was Dr. Davy Cheng of the London come into the hospital, the environment Health Sciences Centre in Canada, assisted by Janet Martin, PhD, also of the will have to be safer, more efficient, and London Health Sciences Centre. better integrated than it has been in the An international panel of experts in the field met for two days to review the past. Our return on healthcare invest- current evidence and research available in the field of TMR, and to answer a ment will be increasingly compared to other countries. series of questions regarding TMR, its efficacy and use in treatment. Panel The 2007 10th Anniversary ISMICS members included Dr. Keith Allen of Indianapolis, Indiana, Dr. Tohru Asai of the Annual Meeting in Rome will endeavor to Shiga University of Medical Science in Japan, Dr. Georg Lutter of the University provide meaningful discussion on all of Kiel in Germany, Dr. Michele Sartori of Houston, Texas, and Dr. Richard these issues. The venue is spectacular Weisel of Toronto General Hospital in Canada. Dr. Keith Horvath of Bethesda, and our hosts will be providing a true Maryland and Dr. Lars Aaberg of Oslo, Norway also participated in a review of Italian flavor. The theme will be “Innova- the literature and in formulation of the protocol used by the Expert Panel. tion” across all aspects of cardiothoracic surgical care and our hope is to have a The formal report of the Expert Consensus Panel will be presented meeting format to reflect that. Rome by Drs. Diegeler and Cheng on Friday morning, June 9th, at 10:30 a.m. 2007 will be both a professional meeting and an opportunity for the family to see and experience Italy at the most beautiful This was ISMICS’ third annual Expert Consen- time of the year. Plan now! Tell the family sus Conference. The 2005 conference held in San and we will see you next year in Rome. Francisco, California was on Endoscopic Vascular Ciao. Harvesting, and the 2004 conference held in Paris, Francs was on Off-Pump Surgery. Both previous conferences generated full statements and accom- panying meta-analyses which were published in ISMICS’ official journal, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery.
ISMICS Expert Consensus Conferences are supported in part by educational grants from industry. 12 A LOOK BACK (continued from page 5) CASE REPORTS:
Mack, Ranny Chitwood and Randy Wolf. THURSDAY, 6:00 PM - 7:30 PM Ranny Chitwood also serves as the current President-Elect of the STS and SESSION DIRECTOR: HANI SHENNIB, MD two STS councilors are Past Presidents MONTREAL GENERAL HOSPITAL of ISMICS. Our relationships with industry continue to flourish and grow. From the Successful Complete Excision of Bi- Endovascular Treatment Of Aorto- beginning, it was recognized that the lateral Coronary-Pulmonary Arterial Bronchial Fistula Due To Society cannot exist without industry, as Fistulas using SPY Intra-Operative Pseudoaneurysm Of The Distal Aor- our work is dependent on technology and innovation. Barriers, particularly Imaging System tic Arch conflict of interest, still exist and need to Masao Takahashi Kazuyuki Daitoku, Ikuo Fukuda, be addressed. Cardiovascular Surgery, Hiratsuka Satoshi Taniguchi, Masahito ISMICS has developed into a vital Kyosai Hospital, Hiratsuka, Japan Minakawa, Yasuyuki Suzuki, Kozo and important component in Fukui cardiothoracic surgery. We have Hybrid Procedure For Ventricular Sep- Department of Thoracic and established our reputation within the tal Defect Closure And Pulmonary Ar- Cardiovascular Surgery, Hirosaki specialty and with our industry partners. tery Banding Eliminating The Need University, Hirosaki, Japan We need to continue to encourage For Cardiopulmonary Bypass In A young surgeons to participate - by giving Pediatric Patient Erosion And Bleeding Complication them a forum for presentation of their Jeff L. Myers, Christian L. Gilbert, Of Left Circumflex Artery After Ro- research, a journal for the publication of Benjamin Rush Waller, III, botic Enhanced Thoracoscopic Epi- their papers, and active positions within Dane Douglas, Joel Lutterman cardial Lead Implantation For CRT our leadership. We cannot become an “old boy’s club”. Senior members must Pediatrics, Le Bonheur Children’s Bernard A. Stockman, Ivo G. encourage and mentor our younger Medical Center, Memphis, TN Deblier, Jan F. Nijs, Bram J. Amsel, colleagues to contribute their ideas and Inez E. Rodrigus participate in ISMICS. Non-sternotomy Approach for Left Cardiac Surgery, University Over the subsequent decade, as enabling Ventricular Assist Device Explantation Hospital Antwerp, Edegem, technology improves, the basic training of or Replacement Belgium surgeons in computer-based video-assisted Kenneth K. Liao1, Leslie Macho1, robotically enabled technology will change and Leslie W. Miller2, Soon J. Park3 Videoscopic Thoracic-Duct Division enhance our ability to perform more minimally 1Cardiac Surgery, For Aortic Surgery-Related Chylous invasive surgery in a safe and effective fashion. 2Cardiology, University of Minnesota, Leakage The environs of the operating room will change Minneapolis, MN, USA, Toshiya Ohtsuka, Mikio Ninomiya, as voice activation and surgeon control of their 3Cardiac Surgery, Takahiro Nonaka own workplace is integrated into the process. I California Pacific Medical Center, Cardiovascular Surgery, look forward to a rapid growth phase in the society as the organizational structure is San Francisco, CA, USA Tokyo Metropolitan Fuchu established, formal professional management General Hospital, Tokyo, Japan begins, and enthusiastic young surgeons take the helm of the society and begin to integrate DON'T MISS THESE EXCITING, this surgical process with other sub-specialties STATE-OF-THE-ART PRESENTATIONS. such as anesthesiology and cardiology to further the established goals of the society. LIGHT REFRESHMENTS WILL BE AVAILABLE. -Dr. Emery, an editorial published in Heart Surgery Forum in May, 1999. 13 WELCOME TO ISMICS 2OO6 (continued from page one) This year’s Program Committee, chaired by the imaginative William Cohn, has worked diligently to develop an outstanding scientific program covering all aspects of innovative techniques and technologies affecting minimally invasive surgery. A standing room only session from 2003. United Nations Charter was signed. The active in surgical education exciting time in this Society’s history. We original Charter led to the birth of the and surgical research, with more than have seen significant evolution of the United Nations. How appropriate for our 200 publications and book chapters, Dr. Society over the past year. We have international surgical meeting to occur in Satava has delved into diverse areas of recently reviewed and updated the the same venue! advanced surgical technology, including ISMICS bylaws and created a Finance This year’s Program Committee, surgery in the space environment, video Committee to oversee and maintain the chaired by the imaginative William Cohn, and 3-D imaging, telepresence surgery, Society’s fiscal health. These changes has worked diligently to develop an and virtual reality surgical simulation. reflect a more mature society. The outstanding scientific program covering On a lighter note, one of the high- Presidential Address on Friday morning all aspects of innovative techniques and lights of the previous meeting here in will address this societal evolution as technologies affecting minimally invasive San Fran- well as the surgery. The program features presenta- cisco was not future of tions on nanotechnology, robotics, video- only the technology’s assisted procedures, minimally invasive “magic” of impact on AFIB surgery, and more. We are thankful technology, our spe- to our industry sponsors for providing but the real cialty. Thank exhibits, late-breaking news, sponsored magic you for your symposia, and hands-on WetLab presented participation sessions. I urge you to take advantage of and per- in this year’s these opportunities to “test-drive” the formed by annual latest technologies. magicians. meeting- I am pleased that my colleague and This time Dr. Wolf, the magician, entertains a group of children during ISMICS is friend, Richard Satava MD, accepted my around, Billy the ISMICS Meeting in 2003 special invitation to join us at this year’s meeting. Cohn and I because of our common interests. I He will present an enlightening talk on are delighted to invite you to experience believe ISMICS members appreciate a Friday afternoon, entitled “The the magic of David Williamson, a quote from our great North American Chronicles of the Origins and Future of talented and world-renowned comedic philosopher, Wayne Gretsky. When Surgical Robotics: Surgeons have magician. David will join us at the asked why he was so successful in Nothing to Fear?” Dr. Satava is currently awards reception on Friday at 5:00 p.m. hockey, Wayne said, “I don’t skate to researching the leading edge of ad- and later on that evening during the where the puck is, I skate to where the vanced technologies to formulate the “President’s Nightcap.” Don’t miss this puck is going.” To see where we are architecture for the next generation of incredibly entertaining performer. going-that is the reason we cardiac medicine and his presentation promises I have been truly honored to serve as surgeons are gathered here in San to be fascinating. In addition to being the 9th ISMICS President during such an Francisco. Enjoy the meeting. 14 2005-2006 ISMICS Board
President Randall K. Wolf, MD Cincinnati, Ohio Past President Naresh Trehan, MD New Delhi, India President-Elect James D. Fonger, MD New York, New York Secretary John D. Puskas, MD Atlanta, Georgia Treasurer James R. Edgerton, MD Plano, Texas Senior Advisor Valavanur Subramanian, MD New York, New York
Directors Andrzej Bochenek, MD, PhD Katowice, Poland William E. Cohn, MD Houston, Texas Ralph J. Damiano, MD St. Louis, Missouri Christian Detter, MD Hamburg, Germany Robert J. Downey, MD New York, New York Vassilios Gulielmos, MD Thessaloniki, Greece Yugal Mishra, MD New Delhi, India Edgar Lama, MD Guayaquil, Equador Go Watanabe, MD, PhD Kanazawa, Japan
Co-Editors, INNOVATIONS W. Randolph Chitwood, MD Randall K. Wolf, MD
For additional information on the Winter Workshop, please Executive Director contact the ISMICS Administrative Office, 900 Cummings Cen- Aurelie M. Alger, JD ter, Suite 221-U, Beverly, MA 01915 (978) 927-8330 / FAX: (978) ADMINISTRATIVE OFFICES 524-8890. Or visit the ISMICS Website: www.ismics.org 900 Cummings Center, Suite 221-U Beverly, Massachusetts (978) 927-8330 / Fax: (978) 524-8890 www.ismics.org 15