Podcasts about aorta center

In this episode, we discuss the challenges of explanting aortic grafts, the diagnosis and management of infected aortic grafts, as well as tips and tricks for once we're in the operating room.   Interviewers/Editors: Mark Basilious, MD Candidate (@markrbasilious) Eva Urrechaga, MD (@urrechisme) Sharif Ellozy, MD (@SharifEllozy)   Guests: Dr. Francis Caputo (@FrankCaputoMD) is an Associate Professor of Surgery at the Cleveland Clinic Lerner College of Medicine, Vascular Surgery Director of the Aorta Center, and Program Director of the Vascular Surgery Training Programs. His clinical interests include complex open and endovascular repair of thoracic, thoracoabdominal, and abdominal aortic aneurysms, management of thoracic dissection, and endovascular and open repair of failed endograft. Dr. Caputo earned his medical degree from the University of Medicine and Dentistry New Jersey, Newark, NJ, where he also served his surgical residency and two years as a National Institutes of Health research fellow. He completed his fellowship in vascular surgery at Barnes-Jewish Hospital of Washington University, St. Louis, MO and joined the Cleveland Clinic medical staff in 2018.    Dr. Peter Rossi (@peterjrossi) is a Professor of Surgery, Radiology, and Orthopedic Surgery, and Chief of the Division of Vascular and Endovascular Surgery at the Medical College of Wisconsin. His primary research and clinical interests are in complex  “re-do” and revision surgery, including for thoracoabdominal and abdominal aortic aneurysms, carotid artery surgery, and renal and mesenteric arterial disease, as well as vascular reconstruction for complicated soft tissue sarcomas. Dr. Rossi completed medical school at the University of Illinois College of Medicine before completing his general surgery training at the University of Chicago and his vascular surgery training at the Medical College of Wisconsin, where he has been a member of the faculty since 2009.  Dr. Xavier Berard (@XavierBerardMD)  is a French vascular surgeon who has been a Consultant in the Department of Vascular Surgery and Professor of Vascular and Endovascular Surgery in Bordeaux University Hospital in Bordeaux, France since 2010 and a full Professor of Vascular Surgery at the University of Bordeaux since 2016. He has also completed a PhD in Vascular Biomaterials and in 2010 worked as a research fellow at Lausanne University Hospital in Switzerland. He has been board certified by the French College of Vascular and Endovascular Surgeons since 2008 and by the European Society for Vascular and Endovascular Surgery since 2010. He has served as an examiner for the FEBVS exam since 2014 and as a reviewer for the European Journal of Vascular and Endovascular Surgery since 2016. Additionally, he is a member of the ESVS guidelines writing group for vascular graft infection and AAA.  His personal surgical interests include open surgery of (thoraco)abdominal aneurysms, redo aortic surgery, infections in vascular surgery, EVAR explantation, and biomaterials. He works closely with Institut Bergonié Bordeaux Cancer Center for sarcomas. You can see educational videos and learn more about Dr. Xavier Berard here. Helpful links and resources: Video of explantation of infected chimney EVAR with duodenal fistula (courtesy of Dr. Berard) Video of reimplanting the IMA after explanting an infected graft Video of explantation of infected graft with suprarenal fixation Videos of using the syringe technique to remove an aortic stent graft here and here (courtesy of Dr. Berard) References Kim YW. Aortic Endograft Infection: Diagnosis and Management. Vasc Specialist Int. 2023 Sep 21;39:26. doi: 10.5758/vsi.230071. PMID: 37732343; PMCID: PMC10512004. Papas TT. Patient Selection Is Essential for Explantation of Infected Abdominal Aortic Endografts. Angiology. 2023 Nov 23:33197231218622. doi: 10.1177/00033197231218622. Epub ahead of print. PMID: 37995099. Anagnostopoulos A, Mayer F, Ledergerber B, Bergadà-Pijuan J, Husmann L, Mestres CA, Rancic Z, Hasse B; VASGRA Cohort Study. Editor's Choice - Validation of the Management of Aortic Graft Infection Collaboration (MAGIC) Criteria for the Diagnosis of Vascular Graft/Endograft Infection: Results from the Prospective Vascular Graft Cohort Study. Eur J Vasc Endovasc Surg. 2021 Aug;62(2):251-257. doi: 10.1016/j.ejvs.2021.05.010. Epub 2021 Jun 14. PMID: 34140225. Lumsden AB. Explant of the Aortic Endograft: Today's Solutions, Tomorrow's Problems. Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):38-48. doi: 10.14797/mdcvj.1176. PMID: 36936357; PMCID: PMC10022536. Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

Eric Roselli, MD, provides an update on Cleveland Clinic Heart, Vascular and Thoracic Institute Aorta Center's 2022 results.

Aortopathies can have implications for patients who are athletes. Sagar Kalahasti, MD, Director of the Marfan Syndrome and Connective Tissue Disorder Clinic and member of the Aorta Center, discusses etiologies and evaluation of aortopathies in the athletic heart.

Aortopathy refers to conditions that weaken your aorta, like aortic aneurysms and aortic dissections. Dr. Vidyasagar Kalahasti, Director of the Marfan Syndrome and Connective Tissue Disorder Clinic and member of the Aorta Center, discusses causes of aortopathies, especially for people with genetic conditions or competitive athletes.

Host: John J. Russell, MD Guest: Joseph E. Bavaria, MD Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.

Host: John J. Russell, MD Guest: Joseph E. Bavaria, MD Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.

There are many different treatment options for patients with aortic aneurysms. Dr. Sean Lyden, Chairman of Vascular Surgery, and Dr. Francis Caputo, Vascular Surgery Director, Aorta Center, discuss considerations and options to ensure patients are receiving appropriate treatment. The Vascular Surgery Department at Cleveland Clinic offers expertise in multiple treatment options and a focus on collaborative care.

The aorta is the body's main artery that carries blood from the heart to the rest of the body. The aorta can become damaged and weak, causing it to become wider that is should. This is called an aneurysm. When this happens, there are a few different treatment options. Dr. Sean Lyden, Chairman of Vascular Surgery, and Dr. Francis Caputo, Vascular Surgery Director, Aorta Center, discuss how they decide to manage an aneurysm and ensure patients are receiving the best possible treatment. The Vascular Surgery Department at Cleveland Clinic offers expertise in multiple treatment options and focuses on collaborative care.

Dr. Gregorio Sicard is Professor Emeritus of Surgery and Emeritus Chief of Vascular Surgery at Washington University School of Medicine in St. Louis. He trained in general surgery at the Barnes Hospital, Washington University School of Medicine, and completed the first Transplantation Fellowship there. He eventually became the Chief of Vascular Surgery and Chief of General Surgery at Washington Hospital. He founded the Vascular surgery fellowship there in 1983. He is a former President of the Society of Vascular Surgery, and recipient of the 2018 Society for Vascular Surgery Lifetime Achievement Award. He was a pioneer in the retroperitoneal approach to the aorta, and is regarded as a master aortic surgeon by his peers.  He has a legacy of trainees who have gone on to assume leadership roles in Vascular Surgery.    Dr. Frank Caputo is an Associate Professor of Surgery at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He is also the Vascular Surgery Director of the Aorta Center, Program Director of the Vascular Surgery Training Programs. His clinical interests include complex open and endovascular repair of  thoracic, thoracoabdominal and abdominal aortic aneurysms, management of thoracic dissection, endovascular and open repair of  failed endografts. Dr. Caputo earned his medical degree from the University of Medicine and Dentistry New Jersey, Newark, NJ, where he also served his surgical residency and two years as a National Institutes of Health research fellow. He completed his fellowship in vascular surgery at Barnes-Jewish Hospital of Washington University, St. Louis, Mo. where he served as administrative fellow. He joined the Cleveland Clinic medical staff in 2018.  Sicard, Gregorio A, Jeffrey M Reilly, Brian G Rubin, Robert W Thompson, Brent T Allen, M.Wayne Flye, Kenneth B Schechtman, Patricia Young-Beyer, Carey Weiss, and Charles B Anderson. "Transabdominal versus Retroperitoneal Incision for Abdominal Aortic Surgery: Report of a Prospective Randomized Trial." Journal of Vascular Surgery 21.2 (1995): 174-83.   What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at AudibleBleeding@vascularsociety.org. Follow us on Twitter @audiblebleeding   Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Aorta Center vascular surgeon Dr. Sean Lyden and cardiovascular medicine specialist Dr. Scott Cameron talk about information providers may find helpful, such as screening guidelines; risk factors; unusual findings during a physical exam; when patients should be referred to an aortic specialist; and treatment options from minimally invasive to open approaches

When people have thoracic aorta disease, they often ask can I have a stent instead of open chest surgery? Dr. Eric Roselli, Surgical Director of the Aorta Center talks about new advances in thoracic aortic aneurysm and dissection repair using less invasive endovascular stent grafts.

Part 2 of this Aorta Disease program provides answers to questions about medical therapy; exercise advice; when should you have surgery; risks and benefits of surgery; and types of surgery available. Questions are answered by Aorta Center directors Dr. Eric Roselli and Dr. Milind Desai.

This two part program answers all your questions about Aorta Disease. Part 1 includes concerns about COVID-19; types of aortic aneurysm disease and dissection, risk factors; symptoms; diagnostic testing and monitoring. Questions are answered by Aorta Center directors Dr. Eric Roselli and Dr. Milind Desai .

Dr. Milind Desai, Medical Director of the Aorta Center, discusses a recently published paper looking at a series of asymptomatic middle aged males who underwent chest computed tomographyalong with coronary artery calcium scoring as part of a comprehensive primary prevention evaluation. About 16% had a dilated aortic root when indexed to height. Dr. Desai discusses the implications of these findings. Study can be reviewed in Circulation. 2018;139:557–558

Eric Roselli, MD, Director of the Aorta Center at Cleveland Clinic leads the discussion on treatment of bicuspid aortic valve (BAV) disease. Joanna Ghobrial, MD discusses family screening; Leonardo Rodriguez, MD reviews clinical presentation; Milind Desai, M D discusses imaging; Douglas Johnston, MD covers valve choice in the young patient; Amar Krishnaswamy, MD & Samir Kapadia, MD covers patient candidates for TAVR and valve-in-valve; and finally Vidyasagar Kalahasti, MD discusses connective tissue disorders in bicuspid aortic valve disease. After listening, join us for the Tall Rounds® presentation on Bicuspid Aortic Valve Disease.

Dr. Lars Svensson, Chairman of the Sydell and Arnold Miller Heart and Vascular Institute discusses a recently published paper with Dr. Milind Desai, Medical Director of the Aorta Center, looking at a series of 491 Marfan Syndrome (MFS) patients who presented for both emergent and/or prophylactic aorta surgery. Dr. Svensson provides a review of the MFS guidelines regarding when to operate. Dr. Desai explains multi-modality imaging including echo, MRI and CT scan when determining timing for surgery. The findings of the study are reviewed as well as implications for future care of patients with MFS. Read the study in the Journal of the American College of Cardiology and learn more about Marfan syndrome at the Marfan Foundation.

Dr. Lars Svensson, Chairman of the Sydell and Arnold Miller Heart and Vascular Institute discusses a recently published paper with Dr. Milind Desai, Medical Director of the Aorta Center, looking at a series of 491 Marfan Syndrome (MFS) patients who presented for both emergent and/or prophylactic aorta surgery. Dr. Svensson provides a review of the MFS guidelines regarding when to operate. Dr. Desai explains multi-modality imaging including echo, MRI and CT scan when determining timing for surgery. The findings of the study are reviewed as well as implications for future care of patients with MFS. Read the study in the Journal of the American College of Cardiology and learn more about Marfan syndrome at the Marfan Foundation.

After a webchat, Dr. Eric Roselli, Director of the Aorta Center and vascular surgeon Dr. F. Ezequiel Parodi discuss the most common questions about aorta disease: what type of activity can I do? What type of testing should I have and how often? When should I have surgery? What type of treatment should I have?

Dr. Steven Nissen, Dr. Sagar Kalahasti, Director of the Marfan & Connective Tissue Clinic and Dr. Eric Roselli, Director of the Aorta Center discuss the clinical care of patients with aortic disease (aneurysm and dissection), addressing testing, genetic evaluation, monitoring, when to operate, types of surgeries available, surgical outcomes and a life-long approach to treatment.

Dr. Steven Nissen talks to cardiologist Dr. Sagar Kalahasti, Director of the Marfan & Connective Tissue Clinic and surgeon Dr. Eric Roselli, Director of the Aorta Center about aorta disease: follow-up, typed of testing, when to have surgery and what patients should know about life-long care.