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 ‘ 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

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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 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. superDimension™ “We would like to see more data, as Navigation System always,” Nichols said, “and we would like clinicians to be mindful about how long they wait between MI and CABG. For patients who are stable, we may not have to wait 5 days but can consider operating earlier, while it may be worth waiting for high-risk patients.”

EARLY RESULTS ARE POSITIVE FOR BIFURCATED Y-GRAFT FONTAN PROCEDURE ™ INVOS Initial clinical results suggest that the latest Monitoring System Endo GIA™ revision of the Fontan procedure using ™ ™ LigaSure BIS Reinforced Reload with a bifurcated Y-graft is safe and produces ™ Maryland Jaw Device Monitoring System Tri-Staple Technology reasonable results. The new procedure is based on computer modeling that predicts improved flow dynamics by directing the inferior vena caval flow to the right and left pulmonary Meeting all of your thoracic needs. arteries using separate graft limbs. The Chamberlain Paper for Congenital Pioneering new approaches is built into our DNA. But it is not innovation for the sake Heart Surgery, “Clinical Experience With of innovation. Our comprehensive portfolio of products and services work together the Bifurcated Y-Graft Fontan Procedure,” in harmony to help you meet your goals to improve your patients’ outcomes and recounts the experience with a heterogeneous experiences. group of children operated on between August 2010 and May 2015. Early pleural effusions Working together with like-minded innovators, we not only provide advanced product were common, but there were no long-term technology, but we also work tirelessly to deliver value-driven healthcare programs and recurrences, said lead author Kirk R. Kanter, patient-focused . MD, Professor of Surgery at Emory University School of Medicine in Atlanta. There were two deaths in the group, one from ongoing liver failure in a patient with preoperative liver Experience the Full Portfolio at dysfunction and one relentless heart failure. Medtronic Booth #713. “Computer modeling predicts that a Y-graft is more energy efficient than the straight tube procedure that is usually used,” Kanter said. “We have followed 45 children for just over 2 years and have found that it is a safe procedure medtronic.com/covidien and not inferior to the standard Fontan. This is a slightly bigger operation and may not be © 2015 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of necessary for everyone, but there are certainly Medtronic. All other brands are trademarks of a Medtronic company. 12.15 US150914 [REF#580911] patients for whom it is better.” MONDAY | JAN. 25, 2016 sts.org STS MEETING BULLETIN 5 How-To Session Offers Tips on CABG, Aortic Surgery

y nature, cardiothoracic surgeons supply to the sternum. do not rest on their laurels. They “We think it may decrease the risk of inherently look for ways to be sternal infection, which is useful for people more efficient in their surgeries and who are diabetic because they have a higher optimize outcomes. risk of sternal infection,” Dr. Lee said. BThis was clear when nearly two dozen In videos, he showed attendees how the private practice and academic surgeons helped procedure extends the length of the internal attendees refine and improve their techniques mammary artery. in four common adult cardiac areas: coronary “When you skeletonize it, it tends to stretch artery bypass grafting (CABG) surgery, mitral more, and it’s not confined by the surrounding valve surgery, aortic valve surgery, and aortic tissue of a pedicle. I’d say you probably gain surgery. They shared their expertise during 25% more length,” said Dr. Lee, adding that Sunday’s How To: Technical Tricks and Pitfalls the extra length of a skeletonized bilateral to Simplify Cardiac Surgery Procedures, a new mammary artery is ideal for obese patients session this year. undergoing CABG. Richard Lee, MD, MBA first saw surgeons Wilson Y. Szeto, MD, Associate Professor perform skeletonized internal mammary artery of Surgery at the University of Pennsylvania harvests during his fellowship at the Cleveland School of Medicine and Chief of Cardiovascular Clinic Foundation 14 years ago. He now Surgery at Penn Presbyterian Medical Center skeletonizes all his CABG patients. in Philadelphia, tackled complex valve-sparing “When you skeletonize the internal surgery for aortic root aneurysms. Richard Lee, MD, MBA discusses skeletonized internal mammary artery harvests during Sunday’s mammary artery, the blood supply to the chest Demonstrating the procedure through How To session on Technical Tricks and Pitfalls to Simplify Cardiac Surgery Procedures. is better preserved than when you take the videos, he noted that the risk of patients needing artery with a pedicle of surrounding tissue. a permanent pacemaker is higher with aortic Some people worry about damaging the valve replacement than with repair. Beyond Szeto, although he cautioned against repairing from reoperation at 10 years after surgery. mammary more, but that is not my experience. avoiding the need for lifelong anticoagulation severely damaged valves or ones with large “Valve-sparing root replacement is I don’t think the injury rate is any higher measures after mechanical valve replacement perforations. associated with a less than 3%–5% mortality with skeletonized than with the pedicle,” or a second surgery to replace a degenerated “The patient keeps his or her valve and the in most centers. In our center, this operation is said Dr. Lee, Co-Director of the Center for bioprosthetic valve, both prosthetic valve types hemodynamics that go with that valve. That’s associated with a less than 1% mortality,” Dr. Comprehensive Cardiovascular Care at St. have a higher risk of endocarditis compared to a much better than any valvular prosthesis,” Dr. Szeto said. “These are good results, and these Louis University Hospital and Vice Chair and native repaired valve. Szeto said. repairs last. My recommendation for surgeons Professor of Surgery at St. Louis University. A patient with an aortic aneurysm and a In Aortic Centers of Excellence, valve- who are starting to do this complex procedure The real value is that a skeletonized internal relatively normal aortic valve may be a good sparing operations have been shown to be is to be conservative and only repair and spare mammary artery harvest better preserves blood candidate for valve-sparing root repair, said Dr. associated with a greater than 90% freedom valves that are almost near normal.” RVU Salary Model Sets Up Cardiothoracic Surgeons to Fail sk Michael G. Moront, MD if hoarding, and does not pay for services that RVU- to salary-based employment contracts. The hospitals had no a Relative Value Unit-based do not fit a medical billing model, such as “Hospitals are very concerned about paying productivity employment model is attending hospital meetings and spending physicians fair market value. They need a stake in our salaries. We good for cardiothoracic surgeons, nights sitting by a patient’s bedside. number to hang their hats on, and they can as a group recognized internal and he will tell you no. During Sunday’s Practice Management calculate that number with RVUs,” said Dr. AFor Dr. Moront, an RVU model spurs Summit, he shared how he and his colleagues Moront, Director of Cardiothoracic Surgical group competition caused by the internal practice competition, discourages the at Cardiothoracic Surgeons of Northwest Ohio, Research at Toledo Hospital. work RVU employment model addition of new partners, encourages patient Promedica Health System, changed from “It was great when things were good. For the most part, we were pretty happy. At and wanted to get off the first, we got raises and bonuses,” Dr. Moront ‘wRVU treadmill.’ said. “But then, hospital administrators made decisions that negatively affected 15%–18% MICHAEL G. MORONT, MD of our cardiology referrals, and our salaries fell. The hospitals had no stake in our salaries. We as a group recognized internal STS MEETING BULLETIN group competition caused by the work RVU THE OFFICIAL NEWSPAPER OF THE STS 52ND ANNUAL MEETING employment model and wanted to get off the ‘wRVU treadmill.’” STS STAFF Robert A. Wynbrandt The cardiothoracic surgery group had Executive Director & General Counsel worked to grow the practice, performing more than 900 heart surgeries each year at two Natalie Boden, MBA Director of Marketing & Communications hospitals. Wanting a new employment model that Heather Watkins shared risks and addressed the problems with a Communications Manager wRVU-based agreement, the surgeons went to PUBLISHING PARTNER hospital administrators and were able to lock Ascend Integrated Media LLC into a 5-year salary-based contract. 6710 W. 121st St., Suite 100 Overland Park, KS 66209 “We’re 2 years into our new contract, 913-469-1110 and we’re all happy with it,” said Dr. Moront,

adding that the new employment model has © Copyright 2016, The Society of Thoracic Surgeons, 633 N. Saint provided his group with a degree of security in Clair St., Floor 23, Chicago, IL 60611-3658. The STS Meeting Bulletin is published and distributed for STS by Ascend Integrated Media. All a competitive medical environment, allowing rights reserved. The opinions expressed in this publication are those of the presenters and authors and do not necessarily reflect the views the group to work more cohesively with the of the Society. hospital. 6 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016

Abstract Book Updates WTS Celebrates 30th Anniversary The following speaker was changed from the STS 52nd Annual Meeting Abstract hen Women in Thoracic and successful group Both the WTS and the STS Book and the disclosure was not available Surgery (WTS) was formed of women has preceded at the time of publication: in 1986, the American Board them and that women leadership believe that of Thoracic Surgery (ABTS) are thriving within women represent an important MONDAY had certified only 37 women. cardiothoracic surgery. Basic Science Research: Adult Cardiac WBy 2015, that number was 274. This 740% Both the WTS and the group within cardiothoracic surgery Juan B. Grau, Ridgewood, NJ, will be increase certainly would cause the late Nina STS leadership believe and that young women should be moderating instead of T. Brett Reece. Starr Braunwald, MD, the first woman to be that women represent COMMERCIAL RELATIONSHIPS J. B. ABTS certified in 1961, to beam with pride. an important group Jessica S. encouraged to enter the field. Donington, MD Grau: Consultant/Advisory Board, Cardiac An educational session celebrating the within cardiothoracic JESSICA S. DONINGTON, MD Implants 30th anniversary of WTS, scheduled from surgery and that young 1:30 p.m. to 3:30 p.m. Monday in Room 123, women should be encouraged to enter the will highlight the significant professional field.” contributions by STS members who also are Women account for nearly half of medical have gone before us,” said Dr. Donington, WTS members. Topics covered will include residents, but just 3% of all ABTS-certified Associate Professor of Cardiothoracic Surgery Recording Policy the untapped potential of women as leaders, surgeons are women. However, Dr. Donington at New York University School of Medicine significant contributions of female pioneers in noted that about 15% of those currently and Director of Thoracic Surgery at Bellevue Recording of STS 52nd Annual congenital heart, completing their cardiothoracic surgery Hospital. Meeting sessions is strictly prohibited, adult cardiac, 30TH ANNIVERSARY fellowships are female. except by authorized personnel.. and general CELEBRATION Dr. Donington, who in 2004 was the thoracic surgery, OF WOMEN IN 124th woman to be board-certified in WTS 30TH ANNIVERSARY the changing THORACIC SURGERY cardiothoracic surgery, recently conducted RECEPTION demographics of a survey of the first 200 ABTS-certified Monday, 6:30 p.m.–8:00 p.m. ABTS diplomats Monday female cardiothoracic surgeons. She found since 1961, 1:30 p.m.–3:30 p.m. that beyond an increase in the number Valley of the Sun Ballroom DE, Sheraton Grand Phoenix mentoring female Room 123 of women entering medical school, and minority mentorship has contributed significantly to All are welcome to attend. surgeons, and the the growth of women entering the field of future face of cardiothoracic surgery. A panel cardiothoracic surgery. discussion will follow. “I think mentors play a particularly EARLY RISER SESSION 1: “With 2016 marking our organization’s important role when one chooses to enter a WOMEN IN THORACIC SURGERY: 30th anniversary, we wanted to offer a special profession outside of their demographic norm. PATIENT-CENTERED CARE AND session at the STS Annual Meeting to highlight There are some really key male and female RESEARCH the accomplishments of women in our field,” mentors who have influenced many of us. The Tuesday, 7:30 a.m.–8:30 a.m. said WTS Vice President and session co- WTS focuses a lot of effort on mentoring, SCHEDULE Room 123, Phoenix Convention moderator Jessica S. Donington, MD. “We and we hope we are doing as good a job as continued from page 1 Center want young women to recognize that a long the amazing and pioneering women who General Thoracic Session: Lung Transplantation Room 125AB SVS @ STS: Sharing Common Ground for Cardiovascular Problems TEE Simulator Helps Facilitate Decision Making in Cardiac Surgery Room 128AB 30th Anniversary Celebration of Women he advent of 3D transesophageal in Thoracic Surgery: Innovations and echocardiography (TEE) has given Contributions of WTS and STS Members cardiac surgeons the means to Room 123 better communicate with cardiac 3:30 p.m.–5:30 p.m. anesthesiologists as they reveal International Symposium & Reception: Tvalvular and other heart diseases. Learning The Ethics and Practicality of Using New to use this 3D technology has recently gone Technologies to Treat Cardiothoracic Diseases in Different Parts of the World beyond the echo room to simulation training. Room 129AB The Saturday morning STS/SCA session on Integrating Perioperative Echocardiography 4:15 p.m.–5:15 p.m. Into Cardiac Surgical Clinical Decision Making Surgical Motion Picture Matinee: Adult Cardiac featured a demonstration of the HeartWorks Room 120D TEE simulator by Inventive Medical. Surgical Motion Picture Matinee: The virtual TEE probe generates simulated Congenital ultrasound images, which are derived directly Room 122ABC and continuously from the 3D heart model. With Surgical Motion Picture Matinee: General Thoracic the standard flexion, rotation, and angulation Douglas Shook, MD demonstrated how transesophageal echocardiography simulation visually Room 120A capabilities of a multi-plane probe, students can enhances the educational experience for residents, fellows, faculty, and staff. maneuver through the manikin’s esophagus and 5:00 p.m.–6:30 p.m. see the underlying anatomy of the 3D heart, Douglas Shook, MD demonstrated how TEE Harvard Medical School and Program Director Scientific Posters and Wine Room 120D Foyer along with an echocardiogram generated by the simulation visually enhances the educational of the Cardiothoracic Anesthesia Fellowship and 3D heart on a split computer screen. experience for residents, fellows, faculty, and Director of Cardiac Interventional Anesthesia at 5:30 p.m.–6:25 p.m. “One of the joys I have is working with staff. Brigham and Women’s Hospital. Business Meeting (STS Members Only) surgeons, and one of the main tools we use is “The beauty of the simulator is that it allows An added benefit is how the TEE simulator Room 125AB echocardiography to make sure the plane flies you to integrate the two images—your anatomy facilitates communication. 6:30 p.m.–7:30 p.m. steady. This is a fully integrated TEE simulator and what you see echocardiographically—in a “All of us will get lost in the image if we STS-PAC Reception that helps people understand how to get way that helps you better understand what you’ll can’t anticipate what’s about to happen. A lot Camelback B, Sheraton Grand Phoenix images,” said co-moderator Stanton K. Shernan, see in the operating room. That ability to move of times, your echocardiographer will quickly 7:00 p.m.–10:30 p.m. MD, Director of Cardiac Anesthesia Services at your probe is one of the most powerful things move the probe around and tell you what you’re STS Social Event: Corona Ranch Brigham and Women’s Hospital and a Professor you have in the operating room to understand looking at,” Dr. Shook said. “It allows you the Buses depart from official hotels of Anesthesia at Harvard Medical School in and get a feeling for a valve pathology,” said opportunity to have that conversation about Boston. Dr. Shook, Assistant Professor of Anesthesia at precisely what you’re doing.” 1 Strong when you need it. †2 Gone within 30 days. Postoperative hemostasis protection in a resorbable surgical sealant.†2,3

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COSEAL Surgical Sealant Indication: COSEAL is indicated for use in vascular reconstructions to achieve adjunctive hemostasis by mechanically sealing areas of leakage. Important Risk Information for COSEAL: COSEAL is not to be used in place of sutures, staples, or mechanical closure. COSEAL swells up to four times its volume within 24 hours of application and additional swelling occurs as the gel resorbs. Therefore, surgeons should consider the maximum volume and its possible effect on surrounding anatomic structures potentially sensitive to compression. Apply only as a thin layer. Use caution when applying with pressurized gas. Do not place devices or other objects on top of tissue where COSEAL has been applied, until the material is fully polymerized (non-tacky). Do not apply COSEAL over any devices or objects that will need to be removed. COSEAL must not be used as a mechanism of adherence, even temporarily, for any object. Do not inject COSEAL into vessels. In vivo testing demonstrated a mild skin sensitization response in an animal model. Similar testing in humans has not been conducted. Rx Only. For safe and proper use of these devices, refer to the appropriate full device Instructions for Use. 1. Wallace DG, Cruise GM, Rhee WM, et al. A tissue sealant based on reactive multifunctional polyetheylene glycol. J Biomed. 2001;58:545-555. 2. Hill A, Estridge TD, Maroney M, et al. Treatment of suture line bleeding with a novel synthetic surgical sealant in a canine iliac PTFE graft model. J Biomed. 2001;58:308-312. 3. COSEAL Surgical Sealant Instructions for Use, Hayward, CA: Baxter Healthcare Corporation. March 2009.

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Get Free Tech Support at the Tech Bar Opportunities Abound n exciting amenity at the 2016 Learn about apps that will help you with Annual Meeting is the Tech everything from productivity to travel. Bar, which is located at Booth ■■ 5 Apps to Tame Your Inbox Avoid an for Education #639 in the Exhibit Hall. Stop e-mail overload. These apps will help Annals by for answers to all of your you deal with e-mail more effectively. eeting attendees interested 9:00 a.m. to 5:00 p.m. on Tuesday, and technicalA questions—experts can help you ■■ Wearables in the Medical World in improving their scholarly 8:00 a.m. to 12:00 p.m. on Wednesday. with personal and professional tasks, such You’ve seen the gadgets—Google Glass, research abilities have a number Finally, Annals editorial staff will host as downloading and using the STS Annual smart watches, and many other devices of opportunities at the Annual several tutorials in the Exhibit Hall. Visit Booth Meeting Mobile App, troubleshooting issues that help track lifestyle improvements. Meeting to learn more about #938 to participate in any of the following with your smartphone or tablet, and more. Come hear how these technologies are Mpublishing in The Annals of Thoracic Surgery. sessions: A complimentary charging station also is changing the way health is monitored. A Tuesday morning Early Riser session, ■■ New Submissions—Staff will help available, and you can attend these free demos The Annals Academy, will provide authors meeting presenters and other authors on various technology topics of interest: MONDAY navigate the online process to submit their ■■ Twitter 101 Want to share your thoughts 10:50 a.m.–11:30 a.m. manuscripts. and links with the world? Get on Twitter. Twitter 101 ■■ Journal CME—Learn how to access CME The Tech Bar team will get you set up 12:30 p.m.–1:15 p.m. content on the Annals website and how and Tweeting in minutes. (Hands-on 5 Productivity Apps these activities are developed. tutorial with your device.) 3:30 p.m.–4:15 p.m.

Volume 101 Q Number 1 Q January 2016 ■■ Figure Clinic—Authors can bring their ■■ Note Taking and Capturing Data: 5 Apps to Tame Your Inbox figure files and learn how to optimally Let’s Go Paperless! Are you still taking TUESDAY display images, including how to identify notes by hand with pen and paper? The 10:00 a.m.–10:45 a.m. image resolution and font size, as well as Tech Bar experts will share options for Note Taking and Capturing Data: Let’s Go how to submit files for Annals peer review. note taking on your mobile devices with Paperless! speech and handwriting recognition Schematic representation of the cascade of events that may lead from a healthy aortic wall to aneurysm formation and catastrophic rupture. From Martufi et al in this issue, p. 395. 12:00 p.m.–1:00 p.m. MONDAY features. OFFICIAL JOURNAL OF Wearables in the Medical World THE SOCIETY OF THORACIC SURGEONS AND THE SOUTHERN THORACIC SURGICAL ASSOCIATION 10:50 a.m.–11:30 a.m. ■■ 5 Productivity Apps How many days

ELSEVIER 3:00 p.m.–3:30 p.m. ISSN 0003-4975 Figure Clinic are you out of the office, yet you still 5 Productivity Apps ATS_v101_i1_COVER.indd 1 27-11-2015 16:16:36 12:30 p.m.–1:15 p.m. need to function as if you are there? with the necessary tools to turn their data into Journal CME interesting and potentially practice-improving 3:30 p.m.–4:15 p.m. scholarly articles. The session will be held New Submissions from 7:30 a.m. to 8:30 a.m. in Room 222A; STS-PAC Reception to be Held Tonight unlike in previous years, you do not need to TUESDAY Join your colleagues tonight for a special Grand Phoenix. Come learn about how STS- purchase a separate ticket to attend. 10:00 a.m.–10:45 a.m. reception in support of STS-PAC, the only PAC is helping to support STS advocacy in Annals editorial staff also will be available Figure Clinic political action committee representing Washington, DC. This event is open to US to assist attendees with new submissions, 12:00 p.m.–1:00 p.m. the interests of cardiothoracic surgery. The members of STS who contribute to STS-PAC figure editing, journal CME, mailing address Journal CME reception will be held from 6:30 p.m. to in 2016. Contributions will be accepted at changes, and other questions in Room 121C 3:00 p.m.–3:30 p.m. 7:30 p.m. in Camelback B at the Sheraton the door. from 8:00 a.m. to 5:00 p.m. on Monday, New Submissions EACTS @ STS Delves Into Combined Aortic GET FULL Valve Repair and Root Reconstruction EVENT COVERAGE he nuances of various aortic valve at the University repair procedures to treat tricuspid of Pennsylvania in It’s more complicated, ONLINE and bicuspid aortic valve diseases Philadelphia. more sophisticated, and will take center stage at EACTS @ Dr. Bavaria is STS from 1:00 p.m. to 3:00 p.m. co-moderator of the more focused than either TTuesday in Room 126ABC. joint STS/European of the two alone. “This session is about aortic valve repair Association for Cardio- and valve regurgitation together. It’s more Thoracic Surgery JOSEPH E. BAVARIA, MD complicated, more sophisticated, and more session, along with Joseph E. Bavaria, Ruggero de Paulis, MD, MD Director of Cardiac Boodhwani, MD, Ottawa, Canada, will provide STS MEETING BULLETIN EACTS @ STS: AORTIC Surgery at European Hospital and Associate an analysis of annulus and cusp management JAN. 23–27, 2016 VALVE REPAIR AND AORTIC Professor at Roma Tor Vergata University in in valve-sparing root replacement in bicuspid ROOT RECONSTRUCTION Rome. valves. The third, with Himanshu J. Patel, MD, PHOENIX, ARIZONA FOR INSUFFICIENT They called on international speakers to Ann Arbor, Mich., will highlight techniques TRICUSPID AND BICUSPID bring their perspectives to this emerging area and results for reimplantation for a type A PATHOLOGY of interest for cardiothoracic surgeons. dissection. Tuesday “Within the last 5 to 6 years, some of the The program also will include four abstract concepts have coalesced. It is not ‘settled presentations on suture annuloplasty, aortic 1:00 p.m.–3:00 p.m. law’—to use Chief Justice Roberts’ words— insufficiency outcomes after elective root Room 126ABC but we’re trying to get to the point where replacement, the long-term durability of cusp we can use data to help figure out the best repair after a type A dissection with bicuspid approach to an operation. That is why we’ll and tricuspid aortic valve repairs, and the impact focused than either of the two alone,” said STS explore our options,” Dr. Bavaria said. of preoperative aortic regurgitation on valve First Vice President Joseph E. Bavaria, MD, In the first of three invited talks, Dr. durability of aortic valve repair after type A Roberts-Measey Professor of Surgery, Vice de Paulis will offer step-by-step methods valve-sparing aortic root replacement. Chair of Cardiovascular Surgery, and Director for surgical reimplantation of a three-cusp The session will conclude with a panel STS-365.ASCENDEVENTMEDIA.COM of the Thoracic Aortic Surgery Program aortic valve. The second talk, with Munir H. discussion. Restoring Natural Vision and Depth Perception without Compromise

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Early Risers Offer Session Provides In-Depth Look at Something for Everyone Quality Measures, Public Reporting

ick off your Tuesday morning TS is well known for its leadership Surgery, Director of the Andrews/Daicoff Quality Forum (NQF), the American Medical with one of 16 Early Riser in reporting surgical outcomes, Cardiovascular Program, and Surgical Association-convened Physician Consortium Sessions that will be held from primarily stemming from the STS Director of the Heart Transplantation and for Performance Improvement, and the Centers 7:30 a.m. to 8:30 a.m. tomorrow. National Database, which was Extracorporeal Life Support Programs at Johns for Medicare & Medicaid Services Physician New this year, Early Risers no established in 1989 as an initiative Hopkins All Children’s Heart Institute, All Compare website. Klonger require separate tickets—anyone Sfor quality improvement and patient safety Children’s Hospital, and Florida Hospital for who is registered for the Annual Meeting among cardiothoracic surgeons. Children, St. Petersburg and Orlando. can attend, free of charge. Sessions will be The Database continues to expand, and The program will begin with John D. offered on a wide variety of topics. See a a Monday afternoon session will review the Mitchell, MD, Chair of the STS Workforce complete list of sessions below, along with latest updates. “Redefining Practice Through on Evidence-Based Surgery, providing an room locations. Quality and Evidence: What’s New?” will be update on STS clinical practice guidelines for from 1:15 p.m. to 5:15 p.m. in Room 127ABC. total arterial revascularization, Session 1: Women in Thoracic Surgery: “This forum will provide a focused look management during cardiopulmonary bypass, Patient-Centered Care and Research at the clinical practice guidelines, national lobectomy for lung cancer, and surgical Room 123 Vinay Badhwar, MD Jeffrey P. Jacobs, treatment of atrial fibrillation. risk model development, public reporting, MD Session 2: Task on Military and quality initiatives that currently and soon After a presentation on local and Affairs: Disaster Preparedness and Mass will shape how we’re assessed and judged in regional quality collaboratives, discussion Casualty—The Role of a Cardiothoracic a rapidly changing health care marketplace,” of scientific abstracts, and a talk on quality “It is important that STS has a seat at the Surgeon Room 221A said Vinay Badhwar, MD, Director of Cardiac measures, there will be two public reporting table as these national quality agendas evolve,” Surgery at the University presentations, including one with Dr. Dr. Jacobs said. For example, he noted that the Session 3: Transitioning to Retirement of Pittsburgh Heart Badhwar. Society’s commitment to quality is exemplified Room 221B and Vascular Institute, REDEFINING “It’s important for STS to in the NQF’s endorsement of multiple STS Chair of the STS Public PRACTICE transparently provide information performance measures. Session 4: How to Acquire and Use Data Reporting Task Force, THROUGH QUALITY about outcomes and activities, not “STS is the steward for more NQF- From the STS National Database for AND EVIDENCE: Research and member of the STS only for physician and hospital endorsed measures than any other specialty- Room 221C Quality Measurement WHAT’S NEW? consumption, but also for public based medical professional organization,” Dr. Task Force. Dr. Badhwar Monday consumption. We consider this a Jacobs said. Session 5: The Annals Academy will co-moderate the moral obligation for our professional The Chair of the AMA/Specialty Society Room 222A 1:15 p.m.–5:15 p.m. session with Jeffrey P. society,” said Dr. Badhwar, adding Relative Value Scale Update Committee, Peter Room 127ABC Session 6: New Technologies and Jacobs, MD, Chair of that work in adult and congenital K. Smith, MD, Durham, N.C., will conclude Controversies in Esophageal Disease the STS Workforce on cardiac surgery is progressing now the session with an update on physician Room 128AB National Databases. into excellence in general thoracic reimbursement, including CPT and the RUC. For Dr. Jacobs, the science of analyzing surgery public reporting. “What Peter has accomplished in Session 7: Lung Cancer Screening: Policy, Program Development, and Patient outcomes to improve the quality of After attendees take in a presentation on advocating for our profession to assure fair Management cardiothoracic surgical care is rapidly evolving. STS Congenital Heart Surgery Database risk strategies for assessing the value of physician Room 126ABC “As cardiothoracic surgeons, it’s our models, Dr. Jacobs will share updates on three work is important and legendary in our field,” professional responsibility to become experts national quality initiatives—the National Dr. Jacobs said. Session 8: Coding and Billing in the ICU Room 224A in these topics so that we can take better care of our patients. With this session, we Session 9: LVAD Thrombosis: Diagnosis felt we had an opportunity to really improve It’s important for STS to transparently provide information about and Management cardiothoracic care throughout the country Room 122ABC outcomes and activities, not only for physician and hospital by providing data and information related to Session 10: Tough Calls in Mitral Valve outcomes, quality, patient safety, and evidence- consumption, but also for public consumption. We consider this a moral Disease driven medicine,” said Dr. Jacobs, Professor Room 131ABC obligation for our professional society. of Surgery at Johns Hopkins University Session 11: Safe Reoperative Surgery and Chief of the Division of Cardiovascular VINAY BADHWAR, MD Room 127ABC

Session 12: Three Cases I Wish I Could Get Back Room 125AB Visit STS in the Exhibit Hall

Session 13: Mechanical Circulatory ake sure to stop by the STS Support of the Single Ventricle booth (#523) in the Exhibit Hall Room 129A to hear the latest updates from Session 14: Clinical Trials in Thoracic staff members. Ask about the Surgical Oncology first outcomes report from the Room 226C MSTS/ACC TVT RegistryTM, plans to upgrade Session 15: Update on Maintenance of and expand the STS National Database, public Certification for the American Board of reporting initiatives, exciting developments Thoracic Surgery from the STS Research Center (now in its fifth Room 224B year), and upcoming educational programs, Health Policy Forum: MIPS: The New such as the STS ECMO Symposium that will Medicare Fee-for-Service and What It be held in March 2016. Means to You Additionally, STS members can update Room 226A their contact information and pay membership dues. Non-members can fill out an application Note: Breakfast will not be served at the to begin taking advantage of the many benefits Early Riser Sessions. of STS membership. 15ADM043_CardioCel_STS_AD_Today__Adult_PROD_120815_Rv0a.indd 1 12/8/15 4:18 PM SOLO SMART Aortic Pericardial Heart Valve

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LivaNova SoloSmart STS Ad 121615.indd 1 12/17/15 10:21 AM 14 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016 Clark Papers Feature Important Outcomes Research

ince its inception in 1989, the STS Richard E. Clark Memorial Paper for General Adult Cardiac Surgery Database.” Understanding the prevalence of coexisting National Database has generated Thoracic Surgery, “Operative Risk for Major Researchers analyzed data within the ACSD conditions across congenital heart disease hundreds of key clinical research Lung Resection Increases at Extremes of Body on more than 2,000 isolated diagnostic groups has been a papers. Three of the latest practice- Mass: Analysis of the STS General Thoracic TV repair and replacement RICHARD E. CLARK challenging area of research.” changing studies—one each from Surgery Database.” surgeries performed for any MEMORIAL PAPERS Dr. Patel is the lead author Sthe Congenital Heart Surgery Database As expected, the most obese patients were reason across 49 hospitals. of “Prevalence of Noncardiac (CHSD), the Adult Cardiac Surgery Database at significantly increased risk for surgical More than 90% of US Monday and Genetic Abnormalities (ACSD), and the General Thoracic Surgery complications. The surprise finding was that programs that perform adult 8:15 a.m.–9:00 a.m. in Neonates Undergoing Database (GTSD)—will be presented as the patients who are underweight are at similarly cardiac surgery participate in Cardiac Surgery: Analysis Exhibit Halls 2-3 2016 Richard E. Clark Memorial Papers from increased risk for pulmonary and postoperative the ACSD. To date, the ACSD of the STS Congenital 8:15 a.m. to 9:00 a.m. this morning during the complications. has more than 5.8 million Heart Surgery Database.” General Session in Exhibit Halls 2-3. “We think that many patients who are surgical records. Researchers analyzed Dr. Clark was a key leader behind the underweight are frail, which is associated with This research identified risk scores for both the CHSD for presence of an associated impaired strength, reduced mortality and major morbidity associated with abnormality in neonates who underwent index activity, and being easily 13 patient factors, such as age, sex, specific cardiac operations between January 2010 fatigued. There also may be comorbidities, New York Heart Association and December 2013 at centers across North The surprise finding was that patients who are an association with immune Functional Classification, reoperation, America. The cohort underweight are at similarly increased risk for system impairment. All and urgent or emergency status. A simple of more than 15,000 of these factors adversely clinical risk score of 0–10 based on the sum neonates was divided pulmonary and postoperative complications. affect outcomes after lung of numerical scores for each factor was into 10 diagnostic surgery,” Dr. Williams said. strongly associated with incremental increases groups based on each Researchers also found in predicted morbidity and mortality. The infant’s most complex that patients who were predicted mortality risk ranged from 2% to cardiac anomaly or creation of the Database, serving as Chair overweight or somewhat obese had fewer 34% and predicted major morbidity risk ranged condition. of the STS Ad Hoc Committee to Develop a postoperative and pulmonary complications from 3% to 71%. Researchers National Database for Thoracic Surgery. compared to patients of normal , This is the first successful clinical risk score Angira Patel, MD, then queried the although the reason is unclear. to be developed for TV surgery. Surgeons MPH CHSD to determine UNDERWEIGHT AND SEVERE OBESITY SIMILARLY may be able to use this score to better identify the prevalence and DANGEROUS FOR LUNG RESECTION NEW CLINICAL RISK FACTOR SCORE DEVELOPED candidates for TV surgery, as well as to distribution of non-cardiac anomalies, genetic Body mass index (BMI) has long been used FOR ISOLATED TRICUSPID VALVE SURGERY counsel patients and guide perioperative anomalies, and syndromes across each of the to evaluate risk and stratify patients for lung The Clark Paper for Adult Cardiac Surgery management. diagnostic groups. The CHSD is the largest resection due to lung cancer. And while obesity showcases the development of a novel risk database in North America dealing with is commonly recognized as a risk factor, prediction score for tricuspid valve (TV) PRESENCE OF NON-CARDIAC AND GENETIC cardiac malformations. Since its launch in being underweight is emerging as a largely surgery. The literature shows consistently ABNORMALITIES VARIES DRAMATICALLY IN CHD 2002, the CHSD has collected more than underappreciated source of surgical risk. high mortality from TV surgery—about The Clark Paper for Congenital Heart 373,000 congenital heart surgery procedure Researchers queried the GTSD to find more 8%–10%—but this is the first clinical risk Disease will explore the prevalence of records. The prevalence of these anomalies than 41,000 patients who underwent anatomic score to successfully genetic abnormalities across various types of varied dramatically across different diagnostic lung resection for cancer between 2009 and predict mortality and congenital heart disease. groups, ranging from 4% to 59%. 2014. The patients were grouped by BMI: major morbidity using “Neonates and infants with congenital heart “This is the first large database study underweight, less than 18.5 kg/m2; normal, preoperative patient disease have had improved outcomes with in the contemporary era across multiple 18.5–24.9; overweight, 25.0–29.9; obese I, data. regard to morbidity and mortality over the past centers that evaluates the distribution of 30.0–34.9; obese II, 35.0–39.9; and obese Lead author half century,” said Angira Patel, MD, MPH, these anomalies across different cardiac III, 40.0 and higher. With more than 435,000 Damien J. LaPar, MD, Pediatric Cardiologist and Assistant Professor malformations,” Dr. Patel said. “We know thoracic surgery procedure records and more MSc, Cardiothoracic at the Northwestern University Feinberg that the association of these anomalies has an than 800 participating surgeons, the GTSD Surgery Fellow at the School of Medicine in Chicago. “We know impact on cardiac outcomes. Understanding Damien J. LaPar, is particularly useful for identifying under- University of Virginia that when you have a congenital heart disease, the prevalence across diagnostic groups MD, MSc recognized associations. in Charlottesville, will the coexistence of another abnormality— may be useful for patient counseling, Lead author Trevor Williams, MD, present “Development of a Risk Prediction whether it is a noncardiac congenital anatomic recommendations for screening for anomalies Cardiothoracic Surgery Resident at The Model and Clinical Risk Score for Isolated abnormality, a chromosomal abnormality, or and genetic disorders, and perioperative University of Chicago, will present the 2016 Tricuspid Valve Surgery: Analysis of the STS a syndrome—can affect clinical outcomes. management.”

LOOKING TO THE FUTURE Attend the

he Society awarded STS/CTSNet T 60 Looking to the Future scholarships to Career Fair medical students and general Recruiters will be available to talk with surgery residents you about career opportunities. The interested in a Career Fair will be held in the Exhibit career in cardio- thoracic surgery. Hall. The scholarship program is MONDAY, JANUARY 25 celebrating its 9:00 a.m.-4:30 p.m. 10th anniversary this year. TUESDAY, JANUARY 26 9:00 a.m.-3:30 p.m.

16 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016

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Satellite Activities “I think there is a lot of innovation and new “I learned how to reduce pulmonary hypertension in thinking among my colleagues and compa- patients whose hemodynamic values don’t allow them atellite activities are programs nies, and I’m looking forward to a great year to have a heart transplant.” offered by industry and held in of adopting new practices.” Lissette Aliaga Sanchez, MD conjunction with the STS 52nd I-Wen Wang, MD, PhD Rebagliati Hospital Annual Meeting. They are not Indiana University Lima, Peru S developed or sponsored by STS. Indianapolis

TUESDAY “I think the most important lesson I’ve learned Medtronic is that in order for us to continue to succeed “Work ethic and old-fashioned values are probably Electromagnetic Navigation Bronchoscopy: with new technologies, we have to make sure one of the most important things about training.” Expanding Options in Thoracic Oncology we form collaborative teams with our cardiolo- Caitlin Brown 6:00 p.m.–8:00 p.m. gy colleagues. That’s imperative.” Medical student Paradise Valley, Sheraton Grand Phoenix, Raymond Singer, MD Oregon Health and Science University 340 N. Third Street Lehigh Valley Health Network Portland Allentown, Penn. Medtronic Complex Endovascular Aortic Repair: The Role of the CT Surgeon Today and “I was in a session on reoperation, and I learned “I’ve learned the value of the heart team approach to Tomorrow a lot of interesting techniques to get back into treat valvular heart disease.” 6:00 p.m.–9:00 p.m. the chest safely. I was one of the speakers, but I Tamim Antaki, MD North Mountain, Sheraton Grand Phoenix, learned a lot from the other talks.” Union Hospital 340 N. Third Street Duke Cameron, MD Terre Haute, Ind. Johns Hopkins Medicine Baltimore

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• Adult Heart Disease • Pediatric and Congenital Heart Disease • Lung, Esophageal, and Other Chest Diseases • Heart and Lung Transplantation • Before, During, and After Surgery

Visit www.sts.org/patient-information to download a printable PDF for referring your patients to this website. MONDAY | JAN. 25, 2016 sts.org STS MEETING BULLETIN 17

audience responded with yes, definitely in. TECH-CON Tech-Con, which kicked off on Saturday, continued from page 1 ® also featured numerous talks in adult cardiac Bid on an NCAA Final stent valve for pediatric patients, Dr. Bolling and general thoracic tracks, exhibits where noted that the stent would have a higher companies showcased their products and potential for thrombosis “because you have a services, and a Saturday evening reception. ® lot of polyurethane touching polyurethane,” but Four Trip of a Lifetime! Dr. Molena was intrigued. Tech-Con is completely “It’s really early stage, but I could buy different from many he Thoracic Surgery Foundation the idea. I’m a mother. I love the idea of my for Research and Education kid not having to redo surgery. The concept past years with no CME, (TSFRE) is auctioning two NCAA is a good concept. We’re in a very early stage enabling us to talk about new Final Four packages for this spring of development. We’re going need a lot of in Houston. technology involved with this to really make it T devices and approaches. work, but I think I’m in it,” she said. Each package includes: GORAV AILAWADI, MD Then Dr. Roselli joked with Dr. Molena, ■■ Two tickets to the NCAA Final Four “You’re in the coral . I’m in the deep waters.” games on Saturday, April 2, 2016 John A. Elefteriades, MD, New Haven, Among the Saturday Adult Cardiac ■■ Two tickets to the championship game Conn., pitched a cooling catheter for spinal Track I mitral valve technology discussions on Monday, April 4, 2016 cord protection. He said that experiments to were ones on NeoChord and Valtech, and ■■ Two airline tickets and a 4-night hotel date, carried out in a sheep model, have shown the transcatheter mitral valve replacement stay the catheter accomplishes substantial cooling presentations included the CardiAQ Valve, The estimated retail value of each of the spinal cord (up to 7oC) at systemic Neovasc Tiara Valve, and Tendyne. Saturday package is $4,800, and bidding starts at education initiatives. normothermia with no evidence of histologic afternoon’s General Thoracic Track II: $5,000. Any amount you pay above the retail Place your bid at www.bit.ly/1mLA36P injury to the spinal cord and no physical injury Advances in Robotic Tools and Technology value is tax- or by visiting the TSFRE Booth #731 in the or limitation in 1-week survival experiments. gave attendees insights on robotic technology deductible to the Exhibit Hall. Winners will be announced on Also, in survival investigations, 19 of 19 sheep in development, emerging robotic tools, new extent permitted Wednesday, January 27 (you do not need to were neurologically intact in the long term. robotic platforms, and new haptic technology by law. All be present to win). Future goals include performing a first-in- for robotic surgery. Sunday’s General Thoracic proceeds will man safety trial in Europe and continuing to Track III focused on the operating room of the support TSFRE’s NCAA and FINAL FOUR are registered develop a brain cooling catheter. future in several discussions, including apps in cardiothoracic trademarks of the National Collegiate Dr. Elefteriades’s presentation brought practice, thoracic hybrid operating room of the research and Athletic Association. across-the-panel interest, and 73% of the future, and holographic projection.

Attend the STS Social Event Tonight The ORIGINAL: COSGROVE® , McCARTHY oin your colleagues tonight from ™ 7:00 p.m. to 10:30 p.m. for an evening and GILLINOV Heart Retractors of mariachi music, delicious food, EXCLUSIVE DESIGN & MANUFACTURING BY KAPP SURGICAL and ice-cold margaritas at Corona Ranch, nestled in the shadows of The Original Cosgrove® Gillinov™ Heart Retractor Jnearby mountains. You can compete against fellow attendees in “cowboy games” and get Mitral Valve Retractor Gillinov™/Maze Self Retaining Retractor on Chest Spreader a front-row seat for an exciting rodeo that will Cat.# KS-7000 incorporate bronco and bull riding, high-speed horse maneuvers, and trick roping. Don’t miss this opportunity to relax and have fun in an Old Mexico environment. (Please note that this is an outdoor event and the desert can get chilly at night, so please dress accordingly.) You can purchase a ticket for the social event at Registration on the lower level of the convention center. Photo credit: Corona Ranch Gillinov™/Maze Self Retaining • Exceptional Exposure for Right & Left Atrium Retractor Blades PRODUCT SHOWCASE Cat.# KS-7211 Set THANK YOU! • Mitral Valve Repair or Replacement Surgery The Society of Thoracic Surgeons McCarthy Mini-Sternotomy Retractor with Universal Lift gratefully acknowledges the following companies for providing education- PATENTED Universal Lift Cat.# KS-7600 al grants for the STS 52nd Annual • Provides greater surgical exposure Meeting. • Easy attachment to sternal retractor arm on patient’s left side • Lifts left side of patient’s sternum 1” to 2”

View cephalad to the sternum STS Platinum Benefactors Retractor Provided $50,000 or above • 5” modified chest spreader Abbott Vascular • Made from surgical stainless steal Universal Lift Medtronic Cat# KS-7650 Please come visit us at • Unique malleable blades allow better retraction and surgical exposure STS Silver Benefactors Booth 1032! • For proximal or distal mini-sternotomy procedures Provided $10,000–$24,999 Visit Us At: Ethicon Booth #616 HeartWare STS Annual Meeting Olympus America Inc. St. Jude Medical 18 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016

The Weekend in Photos The STS 52nd Annual Meeting got off to an exciting start this past weekend, with STS/ AATS Tech-Con sessions revealing the newest technology coming down the pipeline and a number of symposia in adult cardiac, general thoracic, and congenital heart surgery. Monday’s highlights include the Presidential Address and the top scientific abstracts.

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Use the menu icon to navigate through the app! MONDAY | JAN. 25, 2016 sts.org STS MEETING BULLETIN 19

2016 ANNUAL MEETING EXHIBITORS NEW EXHIBITORS MEETING BULLETIN ADVERTISERS

The information listed here is accurate as of January 24, 2016. Baxter Healthcare 210 Extracorporeal Circulatory Support System, offers messaging, and brand identity. Research studies The information for these products and services was provided Deerfield, IL versatile mechanical circulatory support treat- are initiated before, during, and after any US/ by the manufacturers, and inclusion in this publication should ment options. While the company is best known international conference. not be construed as a product endorsement by STS. As a global, diversified health care company, Baxter International Inc applies a unique combina- for its left ventricular support platform, it recent- tion of expertise in medical devices, pharmaceu- ly launched a line of arterial cannulae and the Domain Surgical 350 A&E Medical Corporation 211 PROTEK Duo™ veno-venous dual lumen cannula. Salt Lake City, UT Durham, NC ticals, and biotechnology to create products that advance patient care worldwide. Stop by the booth to learn more. Domain Surgical’s FMX Ferromagnetic Surgical A&E Medical’s products include MYO/Wire® tem- System is an advanced thermal energy surgical porary pacing wires, MYO/Wire II sternum wires, Cardica Inc 630 platform that uses ferromagnetic technology to MYO/Punch rotating surgical punch, MYO/Lead Baylis Medical 551 Mississauga, Canada Redwood City, CA cut, coagulate, and seal tissue. A variety of surgi- disposable patient cable, and DoubleWire high- cal tools have been designed to bring the unique strength sternal closure system. Baylor Scott & White 100 Christus Health 1040 clinical benefits of this technology to a broad array Irving, TX of surgical subspecialties. Abbott Vascular 231 Temple, AZ Santa Clara, CA BD (formerly CareFusion) 1035 Cook Medical 130 Eastern Maine Medical Center 106 Abbott (NYSE: ABT) is a global health care Bloomington, IN Bangor, ME company devoted to improving life through the San Diego, CA BD is a global corporation helping clinicians and Founded in 1963, Cook Medical pioneered many development of products and technologies that of the medical devices now commonly used to EBM 131 span the breadth of health care. With a portfolio hospitals measurably improve patient care. The PleurX® Catheter System allows patients to man- perform minimally invasive medical procedures Tokyo, Japan of leading, science-based offerings in diagnostics, throughout the body. Today, the company inte- EMB, a biomedical spin-out venture company medical devices, nutritionals, and branded generic age symptoms associated with recurrent pleural effusions and malignant ascites at home, reducing grates medical devices, drugs, and biologic grafts from Japan, provides the original beating heart pharmaceuticals, Abbott serves people in more to enhance patient safety and improve clinical simulator and quantitative assessment system than 150 countries and employs approximately length of stay and cost of care while improving quality of life. Visit BD at Booth 1035 to learn more. outcomes. Since its inception, Cook has operated for off-pump coronary artery bypass grafting and 70,000 people. as a family-held private corporation. vascular anastomosis worldwide. is based on rapid CFD technology and validated Abiomed Inc. 844 Berlin Heart Inc 1039 The Woodlands, TX CorMatrix 539 silicone vascular model. Danvers, MA Roswell, GA Berlin Heart is the only company worldwide that develops, manufactures, and distributes ventric- CorMatrix® Cardiovascular markets its ECM® Edwards Lifesciences 503 Acelity (KCI, LifeCell, Systagenix) 646 Bioscaffold devices for vascular repair, pericardial Irvine, CA San Antonio, TX ular assist devices for patients of every age and body size. EXCOR® Pediatric provides medium- repair and reconstruction, cardiac tissue repair, Edwards Lifesciences is the global leader in the to long-term circulatory support specifically for and CanGaroo ECM Envelope and is currently science of heart valves and hemodynamic mon- ACUTE Innovations 1023 conducting preclinical studies to evaluate future itoring. Driven by a passion to help patients, the Hillsboro, OR infants and children awaiting heart transplants. EXCOR Pediatric is approved for use in the United applications in other cardiac and vascular appli- company partners with clinicians to develop inno- Furthering its reputation as a leader in the thoracic cations. vative technologies in the areas of structural heart industry, ACUTE Innovations® continues to make States under Humanitarian Device Exemption reg- ulations by the Food and Drug Administration. disease and critical care monitoring, enabling them advancements in chest wall stabilization technol- CryoLife 321 to save and enhance lives. Additional company ogy. Stop by Booth 1023 to learn about ACUTE’s Kennesaw, GA information can be found at www.edwards.com. cutting-edge products: RibLoc® U Plus Chest Wall BFW Inc 438 Louisville, KY CryoLife® is a leader in the development and im- Plating System and AcuTie® II Sternum Closure plementation of advanced technologies associated Elsevier 938 System. BFW is known as a worldwide technological leader in surgical illumination and headlight video imag- with allograft processing and cryopreservation. Philadelphia, PA CryoLife also pioneers research in the develop- Elsevier is the proud publisher of The Annals of Admedus 320 ing. Visit Booth 438 to experience the foremost innovations in portable LED headlights offering ment of implantable biological devices, surgical Thoracic Surgery and a world-leading provider of Minneapolis, MN adhesives, hemostatic agents, and biomaterials for information solutions that enhance the perfor- Admedus, a global health care group, is work- intense, clean, bright white light and the new Hatteras™ LED light source—unmatched intense cardiac, vascular, and general surgery. mance of science, health, and technology profes- ing with renowned medical leaders to bring new sionals. Elsevier empowers better decision making medical technologies to market. CardioCel®, a fiberoptic illumination for headlights and instru- mentation. CT Assist 341 and the delivery of better care. www.elsevier.com cardiovascular scaffold, is the first of its ADAPT® Philippi, WV tissue-engineered bioimplants and is being used CT Assist is a managed service provider of EndoEvolution, LLC 124 by surgeons to repair simple and complex cardiac Biodesix, Inc. 650 Boulder, CO cost-effective cardiothoracic surgery advanced Raynham, MA defects. practitioners that deliver quality care. CT Assist EndoEvolution, LLC is the leading innovator in Bolton Medical 1032 provides workforce management solutions from advanced automated suturing device technology. Advanced Cardiothoracic Consultants, long-term to locum tenens and vacation cover- The Endo360 MIS suturing device is the only re- LLC 932 Sunrise, FL Bolton Medical is a subsidiary of the WerfenLife age. The company is a physician assistant-owned usable automated device with wristed articulation, Indianapolis, IN nationwide employer of talented and experienced using a curved needle that precisely replicates the Utilizing over 40 years of clinical expertise Company, a global company that manufactures and distributes medical diagnostic solutions and cardiothoracic physician assistants and nurse traditional method of suturing used by surgeons to in cardiothoracic, thoracic transplant/organ practitioners. place stitches and tie intracorporeal knots. replacement, and advanced heart failure, ACTC medical devices worldwide. Bolton’s vision is to can evaluate financial and clinical aspects for become the leading provider of endovascular solutions for aortic disease. Bolton develops, man- CTSNet 531 Enova Illumination 125 programs to increase efficiencies. Whether a new Chicago, IL St. Paul, MN or well-established program, hospital, or insurer, ufactures, and distributes innovative, high-quality products solely focused on the aorta. CTSNet (www.ctsnet.org), headquartered in NEW from Enova Illumination: Cyclops XLT-225 let ACTC assist in maintaining financial viability Chicago, is the leading international source of LED surgical headlight system. The world’s and sustaining growth in today’s challenging health online resources related to cardiothoracic surgery, brightest LED surgical headlight designed for deep care market. Bovie Medical Corporation 540 Clearwater, FL as well as the major hub of the international online cavity surgery HD Camera system with edit-free Bovie® Medical will be featuring J-Plasma®—the community of cardiothoracic surgeons and allied operation, cloud storage, and instant sharing. Aesculap 314 health care professionals. Center Valley, PA helium-based gas plasma technology that is transforming the way surgeries are performed. Essential Pharmaceuticals 206 Aesculap Inc, a member of the B. Braun family Davol Inc, a BARD Company 831 Ewing, NJ of health care companies, is the world’s largest J-Plasma works with precision and versatility across open and laparoscopic procedures. Bovie Warwick, RI Supporting the preservation and growth of hu- manufacturer of surgical instrumentation. For more BARD is the market leader in comprehensive soft man systems. From the cell to the entire organ, than 138 years, Aesculap has provided customers also will exhibit its complete line of electrosurgical products. tissue reconstruction. In addition to this exten- Essential Pharmaceuticals looks to advance with surgical instrumentation for ENT, plastic and sive suite of products, its BioSurgery franchise medical treatments and the research that creates reconstructive, thoracic, microvascular, cardiovas- is delivering a growing line of enhanced sealants new medical treatments. Originally developed for cular, and laparoscopic surgery. C Change Surgical 450 Winston-Salem, NC and hemostatic products to complement surgical cardiac surgery, Custodiol®HTK offers superior The SurgiSLUSH™ System creates sterile slush techniques across thoracic, cardiovascular, and convenience, water-like viscosity, and no need American Association for Thoracic other surgical specialties. for additives or filters, which makes it a preferred Surgery 1121 inside secure, reusable, sterile containers with no exposure to costly, vulnerable slush drapes that solution for many transplant centers. Beverly, MA De Soutter Medical 1101 Founded in 1917, the American Association for can tear or perforate, unintentionally contaminating your sterile slush. Users eliminate long exposure to Mooresville, NC ETHICON/ DePuy Synthes CMF 401 Thoracic Surgery is dedicated to excellence in Cincinnati, OH research, education, and innovation in cardiotho- open basins and the ambient, non-sterile environ- ment prior to use. Designs for Vision 1001 Ethicon US LLC, a Johnson & Johnson company, racic surgery and has become an international Ronkonkoma, NY commercializes a broad range of innovative sur- professional organization of more than 1,325 of the Just See It™ with Designs for Vision’s lightweight gical products, solutions, and technologies used world’s foremost cardiothoracic surgeons. www. Cancer Treatment Centers of America 443 custom-made surgical telescopes—now available to treat some of today’s most prevalent medical aats.org ® Goodyear, AZ with Nike frames. See It Even Better™ with the issues, such as colorectal and thoracic conditions, L.E.D. Daylite® or Twin Beam®, providing the bright- women’s health conditions, hernias, cancer, and AtriCure Inc 915 Cancer Treatment Centers of America®, Inc (CTCA) is a national network of five hospitals fo- est and safest untethered illumination. Introducing obesity. Learn more at www.ethicon.com, or follow West Chester, OH the L.E.D. Daylite® Nano Cam HD—document the Ethicon on Twitter @Ethicon. AtriCure is intent on reducing the global Afib cusing on the treatment of complex and advanced stage cancer. CTCA offers a comprehensive, procedure with HD video from your prospective. epidemic and healing the lives of those affected European Association for Cardio- through clinical science, education, and innova- fully integrative approach to cancer treatment and serves patients from all 50 states at facilities DGMR/Global Intercepts 1102 Thoracic Surgery (EACTS) 830 tion. The company is a leading Afib solutions part- Dumont, NJ Windsor, United Kingdom ner with the only FDA-approved surgical treatment located in Atlanta, Chicago, Philadelphia, Phoenix, and Tulsa. Utilizing relationships with health care providers all EACTS is the largest European association devot- for Afib and the most widely implanted occlusion over the world, DGMR/Global Intercepts provides ed to the practice of cardiothoracic surgery. The device for left atrial appendage management. CardiacAssist, Inc 449 insights on markets, technologies, and devices. main objective of the association is to advance ed- Pittsburgh, PA The company is uniquely qualified to evaluate mar- ucation in the field of cardiothoracic surgery and to CardiacAssist, inventor of the TandemHeart® keting strategies and test product development promote, for the public benefit, research into car- directions, device concepts, product positioning, ANNUAL MEETING EXHIBITORS continued on next page 20 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016

2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS diovascular and thoracic physiology and therapy General Cardiac Tech/Heart Hugger 1019 HeartWare 331 Inion Inc. 941 and to correlate and disseminate the useful results San Jose, CA Framingham, MA Weston, FL thereof. Visit Booth 830 for more information. The Heart Hugger sternum support harness is a HeartWare is dedicated to delivering safe, patient-operated support harness applied postop- high-performing, and transformative therapies that Intermountain Healthcare 248 European Society of eratively to splint surgical wounds. Benefits include enable patients with heart failure to get back to life. Salt Lake City, UT Thoracic Surgeons 834 improved patient compliance, faster return to pre- The HVAD® Pump is designed to be implanted in The Cardiovascular and Thoracic Surgery Core Exeter, United Kingdom morbid respiratory levels, fewer wound complica- the pericardial space, avoiding the more invasive Curriculum Review is a series of intensive lectures ESTS is the largest international general thoracic tions, and better postoperative mobility. It is useful surgical procedures required with older LVAD in cardiovascular and thoracic surgery. This surgery organization with more than1,500 members for open heart surgery, thoracotomy, fractured rib, technologies. The HVAD Pump is commercially course is intended for surgeons preparing for the from all continents. The society’s mission is to improve and other chest trauma patients. available around the world. American Board of Thoracic Surgery certification quality in our specialty: from clinical and surgical examination. Please visit corereview.org for more management of patients to education, training, and Genesee BioMedical 214 Heart Hospital Baylor Plano, The 647 information. credentialing of thoracic surgeons worldwide. The 24th Denver, CO Plano, TX European Conference on General Thoracic Surgery will Design Beyond Standard. Genesee BioMedical, International Biophysics Corp 1038 be held on 29 May–1 June 2016, in Istanbul, Turkey. Inc provides unique devices for cardiothoracic sur- Heart Valve Society, The (HVS) 843 Austin, TX gery, including a bovine pericardium tissue patch, Beverly, MA SternaSafe is an active, adjustable-stability Fehling Surgical 610 sternal/thoracic valve retractors, instruments for The HVS held its inaugural meeting in May 2015 sternum support brace that gives patients hands- Acworth, GA minimally invasive aortic, transcatheter aortic valve at the Grimaldi Forum in Monte Carlo, Monaco, free mobility, enhancing patient recovery after Fehling Surgical features the CERAMOâ instrument implantation, and robotic surgeries, coronary graft with more than 430 medical professionals and 80 sternotomy, coronary artery bypass graft surgery, line, SUPERPLAST probes, and new innovative markers, suture guards, retraction clips, and myo- industry partners in attendance. Whether you are a thoracotomy, lung operations, and rib fractures. retractor systems for minimally invasive cardiac cardial needles. www.geneseebiomedical.com cardiologist, surgeon, researcher, or another mem- SternaSafe provides sternotomy support while surgery. The CERAMO surface means high effi- ber of the crucial valve disease treatment team, the coughing, standing/sitting, and straining by sup- ciency through enhanced performance, increased Gore & Associates 631 HVS welcomes you to become a part of something porting the chest and sternum. endurance, and minimal maintenance. BREAKING Flagstaff, AZ very unique. Membership is available online. NEWS: See the Reusable Papillary Muscle Expo- The Gore Medical Products Division has provided International Society for Minimally sure Device and Atrial Lift System! creative solutions to medical problems for three Hospital Corporation of America 107 decades. More than 35 million Gore medical Ft Lauderdale, FL Invasive Cardiothoracic Surgery FUJIFILM Medical Systems devices have been implanted worldwide. Products HCA-affiliated facilities are a part of a quality (ISMICS) 832 U.S.A., Inc. 1042 include vascular grafts, endovascular and interven- health care network in East Florida and the Trea- Beverly, MA Wayne, NJ tional devices, surgical materials, and sutures for sure Coast with 14 affiliated hospitals, 12 surgery ISMICS: Innovation, technologies, and techniques The Endoscopy Division of FUJIFILM Medical use in vascular, cardiac, and general surgery. For centers, one integrated regional lab, and one in cardiothoracic and cardiovascular/vascular Systems U.S.A., Inc. supplies high-quality, techno- more information, visit www.goremedical.com. consolidated service center. Together, the network surgery. 2016 ISMICS Annual Scientific Meeting, logically advanced FUJIFILM brand endoscopes to employs more than 12,500 individuals and has 15-18 June 2016, Fairmont The Queen Elizabeth, the medical market. For more information, please Grifols 943 close to 6,000 physicians on staff. Montreal, Canada. www.ismics.org. visit www.fujifilmendoscopy.com Tustin, CA INFINITE TRADING INC. 447 Intuitive Surgical 311 G+N Medical Inc. 550 Las Vegas, NV Sunnyvale, CA Middletown, NJ Intuitive Surgical, Inc. designs, manufactures, and

2016 EXHIBITOR MAP

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247 346 The STS Exhibit Hall is located in Exhibit Halls 4–5. Monday

9:00 a.m.–4:30 p.m. THE ANNALS OF Tuesday THORACIC 9:00 a.m.–3:30 p.m. SURGERY TECH BAR

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2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS Learning distributes the da Vinci® Surgical System, technol- LivaNova (formerly Sorin Group) 201 and its newly designed surgical loupes offer up to ogy designed to allow surgeons to perform many Arvada, CO 130 mm field of view and up to 11x magnification. complex procedures minimally invasively. LivaNova is a world leader in the treatment of car- Opportunities diovascular disease. Its innovative product port- Myriad Genetic Laboratories, Inc. 239 IsoRay Medical 934 folio includes aortic and mitral valve replacement Salt Lake City, UT Richland, WA and repair, equipment, cannula, and Myriad Genetics is a leading molecular diagnostic Available in the IsoRay Medical manufactures and distributes minimally invasive cardiac surgery instruments. For company dedicated to making a difference in pa- radiation therapy sources for direct implantation more information, visit www.livanova.com. tients’ lives through the discovery and commercial- into cancer or surgical margins following resec- ization of transformative tests to assess a person’s tion of cancer. IsoRay markets cesium-131 based LoupeCam 643 risk of developing disease, guide treatment Exhibit Hall brachytherapy meshes and strands for resection Scottsdale, AZ decisions, and assess risk of disease progression xhibiting companies and line treatment following surgery for high-risk lung ® and recurrence. LoupeCam is the market leader in head-mounted others will present talks and cancers, resulting in highly conformal adjuvant radi- HD surgical cameras and is the ONLY company ation therapy that spares critical thoracic structures. offering cross platform (Mac, Windows, and soon Nadia International 614 demonstrations in the new Android compatibility). The company offers five Austin, TX Learning Labs in the Exhibit Hall. JACE Medical 121 Educational/surgical bronze sculptures specifically different magnification lenses to match all surgical The Large Theater is located to Winona Lake, IN points of view, along with a Bluetooth foot pedal for the thoracic surgeon. These museum-quality JACE Medical pioneered the world’s first rigid limited editions are created by the world famous Ethe far left of the 100 Aisle and the Small that allows for hands-free control of the camera. sternal closure system applied presternotomy: sculptor Ronadró. More than 7,500 surgeons in 77 Theater is located toward the back of the the Grand Pre®. JACE Medical is a company and countries collect his fine works of art. His works are LSI Solutions 101 900 Aisle. culture committed to creating innovative, transfor- Victor, NY on display at the Smithsonian Institute and many mational technologies that facilitate optimal patient COR-KNOT® delivers superior titanium suture fas- medical universities throughout the world. Introduc- treatment, recovery, and future wellness. Visit Booth tening technology worldwide. COR-KNOT reduces ing MIRACLE OF LIFE II at the 2016 meeting. 121 and see how the company thinks outside the cardiopulmonary bypass time and cross clamp MONDAY paradox. Get more information at JACEMED.com. time, reducing overall OR time. Find out how COR- nContact 217 KNOT can benefit your OR by visiting Booth 101. Morrisville, NC MAQUET Just Co, Ltd 742 nContact is a leader in the development of disease Preventing POAF by Reducing Retained Torrance, CA MAQUET 901 management programs with the goal of opening Blood Only a dedicated plating company can provide Wayne, NJ unmet markets, minimizing rehospitalizations, and 10:50 a.m.–11:20 a.m. “the strongest diamond plating” technology. The MAQUET Medical Systems is a market leader improving health care savings. nContact’s mission Small Theater company can designate the plated layer, which focused on improving patient care and quality of is to transform the underserved arrhythmia market anchors the diamond base on purpose. Its tech- life. The company offers a comprehensive portfolio and benefit the entire cardiovascular service line. Cook Medical nology is very unique and popular to those in the of innovative products designed to meet the needs Lunch & Learn: Hands-On and Didactics of medical field in need of microsurgery instruments of clinical professionals in the areas of advanced NeoChord, Inc. 1104 the New Low-Profile Zenith Alpha Thoracic and endoscope tips. hemodynamic monitoring, cardiothoracic and vas- Eden Prairie, MN Device cular surgery, thoracic drainage, cardiac interven- NeoChord, a U.S.A. medical device company, in- 12:30 p.m.–1:00 p.m. Kadlec Regional Medical Center 104 tion, perfusion, anesthesia, and ventilation. tends to transform mitral valve repair by providing Small Theater Richland, WA minimally invasive technology that enables beating Mayo Clinic 108 & 440 heart, sternal sparing implantation of artificial Ethicon Kapp Surgical 616 Rochester, MN chord tendinae. Practical Skills in Cardiothoracic Surgery Cleveland, OH Mayo Clinic surgeons are on the leading edge of 3:30 p.m.–4:00 p.m. Kapp Surgical is a custom design shop that de- treating cardiovascular and thoracic conditions Neu Wave Medical 446 Small Theater signs surgical instruments and implants, manufac- using the latest innovations and techniques. They Madison, WI tures them, and sells them, as well as distributes are part of an integrated, multidisciplinary team of Neu Wave Medical Inc. has the first and only Intel- Joint Council on Thoracic Surgery domestically and internationally. Kapp’s exclusive doctors and health care professionals who provide ligent Ablation System for microwave ablation of Education, Inc. products include the Cosgrove Heart Retractor, individualized care for each patient. soft tissue lesions with a total solution for ablating Jeopardy Championship – Round 2 Strip T’s surgical organizer, and countless surgical lesions of all shapes and sizes for consistency 3:30 p.m.–4:00 p.m. devices, all FDA-approved with several pending Med Alliance Solutions 611 and control. The computer-controlled platform Large Theater approval. St. Charles, IL with Ablation Confirmation software, an integrated ISO 13485-certified medical device distributor in-procedure confirmation, assists physicians with Karl Storz 546 committed to providing high-quality specialty proper probe placement and confirms success of El Segundo, CA devices for cardiothoracic surgery worldwide. procedures. Karl Storz, a leader in endoscopic equipment and Exclusive US distributor of French instruments Review STS University instruments, offers solutions for video-assisted manufacturer Delacroix-Chevalier and operational Northeast Provider Solutions 112 thoracic surgery. Its EndoCAMeleon® Laparo- partner to Michigan-based Surge Cardiovascular Valhalla, NY scope enables surgeons to adjust the viewing for open heart surgical products. Lecture Material Online direction from 0° to 120° throughout procedures. Northwestern Medicine 102 And its Video Mediastinoscope with DCI®-D1 Medela 923 Winfield, IL n order to maximize the hands-on learning Camera allows video recording while working un- McHenry, IL time during STS University, attendees der direct vision for documentation and teaching. Medela, the market leader in breastfeeding ed- Olympus America Inc 1130 ucation and research, provides medical vacuum Center Valley, PA are strongly encouraged to access the Kinamed Inc. 549 solutions featuring Swiss technology in over 90 Olympus is a precision technology leader in de- corresponding online video lectures prior Camarillo, CA signing and delivering imaging solutions in health countries. Medela Healthcare optimizes patient to Wednesday morning. You can access care through pioneering and intelligent, mobile, care, life science, and photography. Through its KLS Martin 739 health care solutions, Olympus aims to improve Ithe lectures at the computer stations located digital chest drainage therapy and advanced Jacksonville, FL wound management with negative wound procedural techniques and outcomes and enhance near the entrance to the Exhibit Hall and KLS Martin, a responsive company, is focused therapy. the quality of life for patients. on the development of innovative products for near Registration on the Lower Level of the oral, plastic, and craniomaxillofacial surgery. New Medistim 909 On-X Life Technologies, Inc. 617 Convention Center. You also can access them product developments in the company’s titani- Plymouth, MN Austin, TX from your own computer or handheld device um osteosynthesis plating systems allow these On-X Life Technologies is proud to announce Medistim is the standard of care in the operating by visiting www.sts.org/annualmeeting or by products to be used for rapid sternal fixation and room. With the unique combination of transit time FDA approval to reduce INR to 1.5–2.0 for On-X® reconstruction. flow measurement and high-frequency ultrasound Aortic Heart Valve patients starting 3 months after using the STS Annual Meeting Mobile App. imaging guidance to help reduce and minimize surgery. Chord-X® ePTFE suture for mitral repair Koros USA, Inc. 243 the risk of negative postoperative outcomes, is now available in an innovative Pre-Measured Moorpark, CA Medistim’s quality assessment technology offers Loops system. For the past 30 years Koros USA, Inc. has been surgeons quantifiable validation and guidance designing and distributing state-of-the-art surgical during cardiovascular, vascular, transplantation, Ornim 343 Join the Conversation instruments, like the Cervical Black Belt, Lumbar and neurosurgery. Foxboro, MA Super Slide, and ALIF Polaris Lateral Retractors, Ornim specializes in research, development, and ike the STS Facebook page along with the Rotating Osteo Punch, Ejector Medtronic 713 distribution of noninvasive patient monitors spe- at www.facebook.com/ Punch Rongeurs, and many more fine hand Minneapolis, MN cializing in the field of tissue and cerebral blood societyofthoracicsurgeons and instruments. flow. Its bedside product, c-FLOW™, is based As a global leader in medical technology, services, follow STS on Twitter at @STS_ and solutions, Medtronic improves the lives on the patented UTLight™ technology designed Lexion Medical 247 and health of millions of people each year. The to provide physicians with unique monitoring CTSurgery for information about Macon, GA company uses its deep clinical, therapeutic, and solutions that are imperative to individualized and LPhoenix and the Annual Meeting. If you personalized patient care. economic expertise to address the complex chal- tweet about the Annual Meeting, be sure to LifeNet Health 1031 lenges faced by health care systems today. Let’s Virginia Beach, VA take health care Further, Together. Learn more at OSF HealthCare System 110 use the hashtag #STS2016. LifeNet Health helps save lives, restore health, Medtronic.com. Peoria, IL After the Annual Meeting and give hope to thousands of patients each year. is over, the STS Facebook and It is the world’s most trusted provider of trans- Microsurgery Instruments, Inc. 122 Oxford University Press 213 plant solutions, from organ procurement to new Bellaire, TX New York, NY Twitter pages will continue innovations in bioimplant technologies and cellular Microsurgery Instruments is one of the leading Visit the Oxford University Press stand to browse to deliver news on future therapies—a leader in the field of regenerative the company’s prestigious surgery books and suppliers of surgical instruments and loupes. The STS events and CME credit medicine, while always honoring the donors and company’s instruments include titanium scis- journals, including the publications of the Euro- health care professionals who allow the healing sors, needle holders, and DeBakey forceps. Its pean Association for Cardio-Thoracic Surgery. opportunities. process. Super-Cut scissors are the sharpest in the market, ANNUAL MEETING EXHIBITORS continued on next page 22 STS MEETING BULLETIN sts.org MONDAY | JAN. 25, 2016

2016 ANNUAL MEETING EXHIBITORS cont. NEW EXHIBITORS MEETING BULLETIN ADVERTISERS

Collect your free sample copies of the European and trauma surgical procedures. Cardiothoracic STS/CTSNet Career Fair 100 Aisle suffering from advanced heart failure. Thoratec’s Journal of Cardio-Thoracic Surgery and Interac- implants offer increased stability and flexibility for Make sure to stop by the STS/CTSNet Career Fair, products include the HeartMate LVAS, Thoratec tive CardioVascular and Thoracic Surgery, and anterior chest wall fixation for all types of closures. which will give you the chance to meet face-to-face VAD, CentriMag, and PediMag/PediVAS. discover procedures from the Multimedia Manual with top employers. Recruiters will be available to of Cardio-Thoracic Surgery. Rultract/Pemco Inc. 839 talk with you about career opportunities. The Career Transonic 745 Cleveland, OH Fair will be open during all Exhibit Hall hours. Ithaca, NY Pinnacle Biologics 648 Pemco has designed and manufactured precision You’ve carefully constructed several challenging Bannockburn, IL surgical instruments for the cardiovascular field. The Surgical PA Consultants 339 anastomoses, and they all look good... but are Pinnacle Biologics, Inc. specializes in revitalizing company has documented that perfusion cannula, Lynchburg, VA they? Before you close your patient, take a few healthcare therapies by promoting, developing, and coronary ostial cannula, and cardiac suckers offer Since 1991, Surgical PA Consultants has provided seconds and get precise blood measurements on managing innovative approaches to the commer- cost savings over disposables. Additional products professional recruiting and advertising services each graft. Know if there is a problem now, before cialization of products with a focus on oncology and include reusable subclavian and femoral cannula, for cardiac surgical programs seeking physician the patient lets you know later. Visit Transonic orphan diseases. PDT with Photofrin® is an effective anesthesia screens, and the Rultract retractor. assistants at a reasonable fee. The company has and see how its meters and flowprobes can help therapy for select thoracic malignancies. been clinically active in cardiac surgery and related improve your outcomes. Scanlan International 511 PA professional societies for 40 years, developing Providence Health & Services 347 St. Paul, MN the resources that result in successfully finding University of Pittsburgh Medical Portland, OR Highest quality surgical products designed and qualified PA candidates for cardiothoracic surgical Center (UPMC) 348 Providence Health & Services is affiliated with manufactured by the Scanlan family since 1921. practices. Pittsburgh, PA Swedish Health Services, Pacific Medical Centers, More than 3,000 surgical instruments in titanium and Kadlec. Together, its organizations include and stainless steel, including D’Amico Medias- SurgiPrice 123 VasoPrep 132 more than 5,000 employed providers, 35 medical tinoscopy Biopsy Forceps, new shorter VATS Rockville, MD Morristown, NJ centers, and more than 600 clinics in Alaska, instruments, uniportal VATS instruments, MEMORY California, Montana, Oregon, and Washington. Dilators/Vessel Probes, LEGACY Needle Holders SurgiTel/General Scientific Corp 1030 Veran Medical Technologies 1100 The company is currently recruiting providers in and Forceps, and single-use products. Ann Arbor, MI St. Louis, MO nearly all medical specialties throughout the West. SurgiTel is the manufacturer of premium loupes providence.org/providerjobs SheerVision 242 and headlights sold around the world. Holding a Virtual Pediatric Systems, LLC 246 Rolling Hills Estates, CA variety of patents, SurgiTel is always on the fore- Los Angeles, CA QED Medical 342 SheerVision designs, develops, and manufactures front of vision and ergonomics. With more than 100,000 ICU cases, VPS Cardiac Lexington, KY loupe and headlight systems that enhance vision bridges the critical care continuum by providing QED Medical introduces the new XL 10-watt OR- through exceptional visual acuity and powerful SynCardia Systems, Inc. 1003 data collection, analysis, and interpretation to ready Portable LED Headlight System featuring illumination. SheerVision also is the exclusive pro- Tucson, AZ improve critical care. Benchmarking takes place untethered mobility, maximum intensity, and a vider of Under Armour Performance Eyewear. Also The SynCardia temporary Total Artificial Heart among cardiac, pediatric, and mixed units and in- lightweight design with intensity and spot size on display is the new loupe-mounted, hands-free (TAH-t) is the world’s only FDA, Health Cana- cludes the Pediatric Index of Cardiac Surgical Inten- controls. Since 1971, QED Medical has developed HD video camera allowing you to “Shoot. Store. da, and CE-approved Total Artificial Heart. It is sive Care Mortality (PICSIM), a novel risk-adjusted a comprehensive line of American-made headlight Share.” with state-of-the-art technology. approved as a bridge to transplant for patients score for the pediatric cardiac surgical population. illumination and video headlight systems for appli- dying from end-stage biventricular failure. Visit the Please visit VPS at Booth 246 to learn more about cations from examination to surgery. Society of Thoracic Surgeons, The 523 SynCardia booth for updates on the Freedom® the impact the company is making. Chicago, IL portable driver, 50 cc TAH-t, and destination Quest Medical Inc. 931 The Society of Thoracic Surgeons represents more therapy. VitaHEAT Medical 215 Allen, TX than 7,100 surgeons, researchers, and allied health Rolling Meadows, IL Quest Medical Inc. is a medical device manufac- care professionals worldwide who are dedicated to Tech Bar 639 Visit VitaHEAT Medical (Booth 215) to see the turer and worldwide distributor specializing in pro- ensuring the best possible outcomes for surgeries Get free technical assistance from the Tech Bar, next generation in patient warming: an underbody tecting the heart during cardiac surgery with the of the heart, lung, and esophagus, as well as other which is similar to Apple’s Genius Bar and will pro- mattress that is safe, effective, easy to use, and Quest MPS 2® and Microplegia. Quest also offers surgical procedures within the chest. The Society vide assistance from three subject matter experts, cost efficient. It is battery operated for portability a unique variety of aortic punches, safety valves, offers a wide variety of member benefits, including live demos on technology topics of interest, and a with an AC power option. Finally, one versatile vascular loops, and an anesthesia line designed reduced participation fees in the renowned STS charging station. You can get help with personal system that meets all your patient warming for optimum cardiovascular surgery. National Database™, a complimentary subscrip- and professional issues related to your tablets, needs. tion to The Annals of Thoracic Surgery, dynamic mobile devices, apps, e-mail, and more—through- Regional Data Managers: educational offerings, online patient information out the entire exhibition. Vitalcor, Inc./Applied Fiberoptics 533 STS National Database 735 resources, and much more. The Society also sup- Westmont, IL Ann Arbor, MI ports cutting-edge research via the STS Research Terumo 801 Vitalcor, Inc. is a supplier of medical devices used The Regional Data Managers booth provides Center and advocates in Washington, DC, on Ann Arbor, MI primarily in cardiothoracic surgery. Since 1975, opportunities for surgeons to interact with data behalf of cardiothoracic surgery professionals and Vascutek, a Terumo company, will display an Vitalcor has provided products that take input managers from around the country who are active- their patients. Stop by Booth 523 or visit www.sts. extensive range of sealed woven and knitted from teaching and practicing surgeons to make ly involved with regional STS National Database org to learn more. polyester grafts for peripheral, abdominal, and their practice easier. The company prides itself on efforts and collaborative STS groups. Come learn cardiothoracic surgery. Terumo will display the offering quality products and providing excep- about regional activities and initiatives! Sontec Instruments 310 VirtuoSaph® Plus Endoscopic Vessel Harvesting tional customer service. Centennial, CO System, Beating Heart, and Surgical Stabilization rEVO Biologics 747 Sontec offers headlights, loupes, and the most products, and Terumo® Perfusion Products. Vitalitec Geister 431 Framingham, MA comprehensive selection of exceptional handheld Plymouth, MA rEVO Biologics, Inc. is a commercial-stage surgical instruments available to the discriminating Thompson Surgical 441 Vitalitec Geister will be displaying all its products, biopharmaceutical company focused on the surgeon. There is no substitute for quality, exper- Traverse City, MI highlighting the Peters CV Suture, Enclose II Anas- development and commercialization of specialty tise, and individualized service. Sontec’s vast array Thompson Surgical has been a leader in expo- tomosis Assist Device, Cygnet Flexible Clamps, therapeutics to address unmet medical needs in awaits your consideration at Booth 310. sure for over 50 years. Cardiovascular surgeons Intrack Atraumatic Temporary Clamps and Inserts, patients with rare, life-threatening conditions. The will benefit from the Thompson Surgical Bolling and Geister ValveGate and ValveGate PRO line. company’s lead product, ATryn, is the first and only Spectranetics 349 Retractor, which provides low profile, stable, plasma-free antithrombin concentrate. Colorado Springs, CO uncompromised exposure of the heart structures. Wexler Surgical, Inc. 1009 SPNC develops, manufactures, markets, and The company provides innovative, high-quality Houston, TX Rose Micro Solutions 930 distributes single-use medical devices used in systems that deliver safe, versatile retraction. Wexler Surgical designs and manufactures a West Seneca, NY minimally invasive procedures within the cardio- variety of titanium and stainless steel specialty Rose Micro Solutions sells high-quality optical vascular system. The Lead Management (LM) Thoracic Surgery Foundation for surgical instruments and products for cardiac, loupes and LED lights for less! The company’s product line includes excimer laser sheaths, dilator Research and Education (TSFRE) 731 vascular, thoracic, and microsurgery. Come see loupes start at $279. Rose Micro Solutions is a sheaths, mechanical sheaths, and accessories for Chicago, IL their VATS/MICS instruments and ask about the family business consisting of four brothers who the removal of pacemaker and defibrillator cardiac TSFRE is the charitable arm of The Society of Optimus Series. Visit www.wexlersurgical.com for named the company after their mother Rose. Stop leads. Thoracic Surgeons. The mission of TSFRE is to more information about products and services, or by Booth 930, visit www.rosemicrosolutions.com, foster the development of surgeon scientists in e-mail [email protected]. or call (716) 608-0009. Spiration, Inc. 632 cardiothoracic surgery, increasing knowledge Redmond, WA and innovation to benefit patient care. The Wolters Kluwer 939 RTI Surgical 849 The Spiration® Valve System has a humanitarian foundation represents thoracic surgery in the Phoenix, AZ Alachua, FL device approval in the United States to control United States, and its research and educational RTI Surgical™ is a leading global surgical implant specific postoperative air leaks of the lung and has initiatives support the broad spectrum of thorac- Z Health Publishing, LLC 547 company providing surgeons with safe biolog- CE mark approval for the treatment of diseased ic surgery. Brentwood, TN ic, metal, and synthetic implants. RTI provides lung in emphysematous patients and for damaged surgeons with metal, cable, and plating systems, lung resulting in air leaks by limiting air flow to Thoramet Surgical 935 Zimmer Biomet Thoracic (formerly as well as biologic options for cardiothoracic selected areas. Rutherford, NJ Biomet Microfixation) 136 Thoramet Surgical Products sells the most com- Jacksonville, FL St. Jude Medical 701 plete line of VATS instruments available. Produced Founded in 1927 and headquartered in Jackson- St. Paul, MN in the USA in the company’s own facilities, they ville, Florida, Zimmer Biomet is a global leader St. Jude Medical is a global medical device man- are the surgeon’s choice. Come to Booth 935 to in musculoskeletal health care. The company Business Meeting Tonight ufacturer dedicated to transforming the treatment see their unique versatility. Thoramet has the feel designs, manufactures, and markets a compre- of some of the world’s most expensive, epidemic you want, the actuation you need, and the patterns hensive portfolio of innovative thoracic prod- 5:30 p.m.–6:25 p.m. diseases by creating cost-effective medical tech- you demand. ucts and treatment solutions for surgeons and nologies that save and improve lives of patients patients, including the RibFix™ Blu Thoracic Room 125AB globally. Clinical focus areas include cardiac Thoratec Corporation 730 Fixation System and the SternaLock® Blu Primary rhythm management, atrial fibrillation, cardiovas- Pleasanton, CA Closure System. STS Members Only cular, and neuromodulation. Visit sjm.com. Thoratec is the world leader in mechanical circu- latory support with the broadest product portfolio Zipper Belt 346 to treat the full range of clinical needs for patients Dallas, TX

Day 2STS Jan 2016DailiesIABP ChoiceAdMCV00035415 REVA_2.indd1

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