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Tech-Con's 'Shark Tank' Dives Deep IN THIS ISSUE TIPS ON CABG, AORTIC SURGERY PAGE 5 CLARK PAPERS FEATURE IMPORTANT OUTCOMES RESEARCH PAGE 14 EXHIBITORS PAGE 19 STS MEETING BULLETIN THE SOCIETY OF THORACIC SURGEONS 52ND ANNUAL MEETING | PHOENIX, ARIZONA | sts.org MONDAY | JAN. 25, 2016 DAILY SCHEDULE MONDAY Tech-Con’s ‘Shark Tank’ Dives Deep 6:30 a.m.–5:00 p.m. ith video of an immense great Registration: STS Annual Meeting Lower Level Foyer white shark looming in waters as a stage backdrop, aspiring 9:00 a.m.–4:30 p.m. innovators posed their ideas Exhibit Hall before a panel of judges during Exhibit Halls 4-5 WSunday morning’s STS/AATS Tech-Con Joint Scientific Posters Room 120 Foyer Session: “Shark Tank”—Rapid-Fire Elevator Pitches of Revolutionary Technology. 7:00 a.m.–7:15 a.m. Opening the Shark Tank program were Opening Remarks Exhibit Halls 2-3 moderators Gorav Ailawadi, MD, Chief of the Section of Adult Cardiac Surgery 7:15 a.m.–8:15 a.m. and Associate Professor of Surgery at the J. Maxwell Chamberlain Memorial Papers University of Virginia in Charlottesville, and Exhibit Halls 2-3 Shanda H. Blackmon, MD, MPH, Associate 8:15 a.m.–9:00 a.m. Professor of Surgery at the Mayo Clinic, Richard E. Clark Memorial Papers Rochester, Minn. Exhibit Halls 2-3 “Tech-Con is completely different from many past years with no CME, enabling us to Innovators pose their ideas before a panel of judges during Sunday morning’s STS/AATS Tech- 9:40 a.m.–9:50 a.m. Con Joint Session, ‘Shark Tank.’ Introduction of the President: talk about new devices and approaches that Joseph E. Bavaria we were not able to discuss before at the STS inventions. The judges gave feedback as Mark Slaughter, MD, Louisville, Ky., and Exhibit Halls 2-3 meeting,” Dr. Ailawadi said. the audience was polled in three investment Steven F. Bolling, MD, Ann Arbor, Mich. After presenters took 5 minutes each scenarios: Yes, definitely in; No, I’m out; and After Miguel A. Maluf, MD, PhD, São 9:50 a.m.–10:50 a.m. Presidential Address: Mark S. Allen to state their cases, a panel of four judges Possibly, but not as an early investor. Paulo, Brazil, described his prototype of an Exhibit Halls 2-3 queried the innovators about the usefulness, The panelists were Daniela Molena, MD, expandable, catheter-implantable, polyurethane marketability, and cost of their cardiothoracic New York, Eric E. Roselli, MD, Cleveland, see TECH-CON, page 17 11:30 a.m.–12:30 p.m. Adult Cardiac Session: Arrhythmia Room 120D Basic Science Research: Adult Cardiac Chamberlain Papers Highlight Impactful Research Room 126ABC Basic Science Research: General Thoracic uality standards for received what could be called optimal Room 125AB lung cancer surgery, care. The bar needs to be raised, Congenital Session: Adult Congenital optimal timing between especially when meeting it conveys Room 122ABC myocardial infarction such a significant survival advantage Critical Care Room 128AB (MI) and coronary artery for patients.” Qbypass grafting (CABG) surgery, On behalf of Dr. Samson, Varun General Thoracic Session: New Technology Room 120A and initial results from the bifurcated Puri, MD, senior author of the study Quality Improvement Initiatives in Thoracic Y-graft Fontan procedure are featured and Associate Professor of Surgery at Surgery in three of the most important Washington University, will present Room 127ABC Pamela P. Samson, Elizabeth L. Kirk R. Kanter, MD STS/CATS/CSCS: Adding New Dimensions scientific abstracts accepted to the MD Nichols, MS the 2016 J. Maxwell Chamberlain to Your Surgical Practice—Optimizing Your STS 52nd Annual Meeting program. Memorial Paper for General Thoracic Internet Presence and Understanding the Each year, the J. Maxwell Surgery, “Quality Measures in Clinical Emerging Role of 3-Dimensional Printing in Cardiothoracic Surgery Chamberlain Memorial Papers kick off the measures decreased a patient’s risk of mortality State 1 Non-Small-Cell Lung Cancer: Room 123 meeting’s scientific sessions and honor Dr. by 60%,” said lead author Pamela P. Samson, Improved Performance in Associated With Chamberlain, who has been called “the most MD, General Surgery Resident at Washington Improved Survival.” The study was based on 1:15 p.m.–5:15 p.m. important influence in the formation of The University School of Medicine in St. Louis. 146,908 surgeries for clinical stage I NSCLCs Redefining Practice Through Quality and Evidence: What’s New? Society of Thoracic Surgeons.” Don’t miss the “Many patients were meeting at least two abstracted from the National Cancer Data Base Room 127ABC 2016 presentations, which begin at 7:15 a.m. quality measures during our study years of (NCDB). this morning in Exhibit Halls 2-3 as part of the 2004 to 2013. However, when we looked at Surgeries were evaluated on four quality 1:30 p.m.–3:30 p.m. General Session. the number of patients meeting all four quality measures established by STS, the National Adult Cardiac Session: Aorta I measures in the treatment of their stage 1 non- Room 120D MOST CENTERS MISS KEY LUNG CANCER small-cell lung cancer (NSCLC), only 22.5% see CHAMBERLAIN, page 4 Adult Cardiac Session: Ischemic Room 126ABC SURGERY QUALITY INDICATORS Congenital Session: Pediatric Congenital I Many lung cancer patients may not receive Room 122ABC optimal surgical care. New research shows that Don’t Miss Today’s Presidential Address General Thoracic Session: Lung Cancer I— the vast majority of institutions meet one or Diagnosis and Staging Mark S. Allen, MD Room 120A two quality standards for the surgical treatment of stage 1 non-small-cell lung cancer, but few 9:50 a.m.–10:50 a.m. institutions meet four key indicators. Exhibit Halls 2-3 see SCHEDULE, page 6 “We found that meeting all four quality Bio-Medicus™ NextGen DESIGNED FOR Femoral Venous Cannulae INSERTABILITY ENGINEERED FOR SMOOTH TRANSITIONS Medtronic Full Page 4C Page 3 30+Enhancements Packed Into Adult and Pediatric Models Patented fi ngerlet supports are formed into the tapered tip to create an even smoother transition between the introducer and thin cannula wall. Feel the diff erence at Medtronic Booth #713. Important Safety Information Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. For a listing of indications, contraindications, precautions and warnings, please refer to the Instructions For Use. CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician. Trademarks may be registered and are the property of their respective owners. fi ndyourideal.medtronic.com UC201604494 EN © 2015 Medtronic. All rights reserved. 12/2015 Minneapolis, MN 4 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016 results, they will think about lung cancer. These gaps are not toward reducing the waiting time between MI CHAMBERLAIN their own institutions and J. MAXWELL evident until you probe national and CABG surgery. An analysis of data from continued from page 1 practices and find ways to CHAMBERLAIN databases, like the NCDB, your 3,060 CABG patients within the Northern New Comprehensive Cancer Network, the American help more patients meet these PAPERS own institutional database, and England Cardiovascular Disease Study Group College of Surgeons Commission on Cancer, quality measures,” Dr. Samson Monday practice patterns. Therefore, Cardiac Surgery Registry found no difference and American College of Chest Physician said. “For example, at our we believe this study can be a in either crude or adjusted mortality rates guidelines. The measures included performing own institution, many patients 7:15 a.m.-8:15 a.m. starting point for the discussion in patients operated on 1–2 days, 3–7 days, an anatomical lung resection, surgery within 8 received delayed surgery Exhibit Halls 2–3 both nationally and locally to or 8–21 days after MI. Patients operated on weeks of diagnosis, achieving an R0 resection, by this criteria, and we are improve surgical quality and in <1 day had significantly higher mortality and pathologic evaluation of 10 or more lymph actively working to improve patient survival.” compared to those operated on 3–7 days after nodes. Socioeconomic factors were associated that. Nationally, we also are concerned MI. Patients who received their CABG 8–21 with a greater likelihood of receiving all four with increasing lymph node sampling and STUDY SUGGESTS REDUCING MI TO days after MI had more comorbidities and quality measures, as was receiving care at an decreasing the significant number of patients SURGERY TIMING slightly higher mortality. academic medical center, Dr. Samson said. who are still getting wedge resections, which The second Chamberlain paper being presented “The timing between MI and CABG has been “We hope that when attendees see these are seen as oncologically inferior surgeries for this morning generally supports current trends debated for a long time, but there are few data on outcomes with multiple discrete timing intervals of surgery,” said lead author Elizabeth L. Nichols, MS, a PhD candidate at The Dartmouth Institute in Lebanon, N.H. “These results help inform how to provide the best quality care for our patients, CREATING while not adding any unnecessary wait times between MI and surgery.” The Chamberlain Paper for Adult INNOVATION Cardiac Surgery, “Optimal Timing Between Myocardial Infarction and Coronary Artery Bypass Grafting: Impact on In-Hospital TOGETHER Mortality,” compared in-hospital mortality rates. The study excluded emergency and COMPLETE shock patients, as well as patients operated on less than 6 hours following their MI, to create a more uniform cohort. PORTFOLIO In-hospital mortality was highest in patients operated on less than 1 day after MI. There was no difference in mortality for surgeries performed 1–2 days and 3–7 days after MI, and a non-significant increase was seen in mortality for surgeries performed 8–21 days after MI.
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