The Novadaq, “Spy Device” The Blackpool Experience

Slides:

Advertisements

Similar presentations

Implementing NICE guidance

Advertisements

Off pump CABG has been performed for the first time 40 years ago. Although conventional CABG is considered both safe and effective, the use of CBP.

Trileaflet Aortic Valve. Management strategy for patients with chronic severe aortic regurgitation. Preoperative coronary angiography should be performed.

CARDIAC SURGERY QUESTION #1 Studies comparing CABG vs PTCA have shown that: A) CABG is better B) PTCA is better C) CABG involves more perioperative risk.

Department of Cardiothoracic Surgery St. George’s Healthcare NHS Trust St. George’s University of London.

MINIMALLY INVASIVE VALVE SURGERY. HOW FAR WE HAVE COME  THE MORTALITY FOR VALVE REPLACEMENT SURGERY IN 1968 WAS 42%

Angiography Excessive Commercialisation Complications of Angiography 1.Death 2.Myocardial Infarction Factors predisposing Unstable angina Angina at rest.

Two Cardiac Centres Are Better Than One Early Outcomes of the First 75 Open Heart Surgeries At Port of Spain General Hospital Randolph Rawlins M.B.B.S.,

New guidelines for CABG

Stent or Surgery: What is Best for a Woman ? Dr R H Stables Cardiothoracic Centre Liverpool UK.

Adult Perfusion, Present and Future Emad Kashmiri KFNGH.

How Many Arterial Grafts is Enough?

Innovations of Cardiac Surgery Innovations of Cardiac Surgery Henry Childers MD Cardiothoracic Surgery.

Outcome of Increasingly Morbid Cardiac Patients Prof. Abdulhamid Al-Saeed, FFARCSI Professor in Anaesthesia & Critical Care Medicine Head of Cardiac Anaesthesia.

Cardiac Diagnostic Imaging Services Dr Andrew Wood UHW Cardiff 14 th July 2010.

Newer Methods for Heart Surgeries in India… World class success rates, economical costs Read on, to know more about the advantages.

Lund – Malmö, SWEDEN. Is the Era of Off-pump Surgery over? ARASH MOKHTARI, MD, PHD.

Common Medical Procedures for Treating Varicose Veins.

Affordable Heart Surgery Available in India. Different Heart Surgeries  Angiography  Angioplasty with one medicated stent  Coronary Angioplasty (Including.

COLLEGE OF CARDIAC SURGERY ACTIVITY REPORT Members of the College Dr Inez Rodrigus Dr Guido Vannooten Dr Philippe Kohl Dr Christiaan Van Kerrebrouck.

1 Heart surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD

| rejuveindiameditour.com.

ISCHEMIC HEART DISEASE

David J McCormack MFSTEd FRCSEd (CTh) Advanced Clinical Fellow

The German Off-Pump Coronary Artery Bypass Grafting in

Minimally Invasive Mitral Valve Repair

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2009 Norwegian Association for Cardiothoracic Surgery Jan L.Svennevig, MD,PhD.

Conditions & Treatments Conditions Treatments Our experts cardiologist diagnose and treat patients with coronary artery disease, heart failure, valve.

The Role of the Heart Team in the Cath Lab in 2017

COLLEGE OF CARDIAC SURGERY

Joseph Zacharias & Bilal Kirmani Lancashire Cardiac Centre Blackpool

Shengshou Hu M.D. National Center for Cardiovascular Disease，China

HYBRID CORONARY REVASCULARIZATION: IS THE NEW WAY TO GO

Specialist Cardiologist at Sydney. Macquarie University Hospital Cardiology at Macquarie University Hospital, a team of specialist cardiologist, who diagnose.

Lako S, Daka A, Nurka T, Dedej T, Memishaj S

The Evidence For Conduit Choice

Is There a Need to Address AF in patients Undergoing Valve Surgery?

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2005 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Treatment of acute renal failure

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2006 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Saphenous Vein Grafts with Multiple Versus Single Distal Targets in Patients Undergoing Coronary Artery Bypass Surgery: One-Year Graft Failure and Five-Year.

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

One-stop Hybrid Cardiac Surgery

Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2007 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Blackpool presentation

DIABETES affects: CONCLUSIONS

Acute Kidney Injury and In-Hospital Mortality after Coronary Artery Bypass Graft versus Percutaneous Coronary Intervention: A Nationwide Study Shen et.

Configurations of Arterial Grafts:

Update in Cardiac and Thoracic Surgery

Advances in the treatment of coronary artery disease

Coronary Artery Surgery

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2004 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Hartmuth B Bittner, MD The Annals of Thoracic Surgery

Minimally Invasive Coronary Artery Bypass Grating Using Bilateral In Situ Internal Thoracic Arteries Keita Kikuchi, MD, PhD, Dai Une, MD, Yoshiki Endo,

The Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery: The SYNTAX Study One Year Results of the PCI and CABG Registries.

No-Touch Saphenous Vein Harvesting May Improve Further the Patency of Saphenous Vein Composite Grafts: Early Outcomes and 1-Year Angiographic Results

Sequential Radial Artery Grafts for Multivessel Coronary Artery Bypass Graft Surgery: 10-Year Survival and Angiography Results Thomas A. Schwann, MD,

New-Onset Postoperative Atrial Fibrillation and Long-Term Survival After Aortic Valve Replacement Surgery Giovanni Filardo, PhD, MPH, Cody Hamilton,

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E

Best Heart Surgeon In India Million of surgeries are done each year to correct heart problems among children and adults. Although there are more than a.

Treatment of acute renal failure

The Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery: The SYNTAX Study One Year Results of the PCI and CABG Registries.

Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting James A Magovern, MD, Daniel H Benckart, MD, Rodney.

Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,

Robotic Total Arterial Off-Pump Coronary Artery Bypass Grafting: Seven-Year Single- Center Experience and Long-Term Follow-Up of Graft Patency Ming Yang,

Surgical revascularization for coronary artery disease: are we about to surrender or cross the chasm? Hani Shennib, MD The Annals of Thoracic Surgery

Impact of Cardiothoracic Resident Turnover on Mortality After Cardiac Surgery: A Dynamic Human Factor Jeffrey H. Shuhaiber, MD, Kimberley Goldsmith,

On-pump versus off-pump coronary artery bypass grafting: impact on postoperative renal failure requiring renal replacement therapy Jan Bucerius, MD,

Presentation transcript:

The Novadaq, “Spy Device” The Blackpool Experience AJ Duncan & J Zacharias Lancashire Cardiac Centre, Blackpool Victoria Hospital, England.

The Background 1,100 cardiac cases. Increasing age and complexity More vessels, smaller calibre Off pump techniques Endoscopic vein harvesting Public disclosure

Where are we Our results in 2007: All cause mortality: 1.3% Post op length of stay: Median: 6.6 days Average EuroSCORE: 4.45 Average Parsonnet score:10.07

Is there any need to improve?

Areas of improvement Further reduce mortality Reduce morbidity Offer the operation to a sicker subgroup Improve long term results Use arterial grafts Control patient factors Our results hinge on our graft patency

Graft patency check:. The visual test The feel test The Doppler flow probe Intra-op angiography The Spy device

More than just great pictures?

The Blackpool experience A week visit Coincided with starting the Endoscopic conduit harvesting programme 4 surgeons tried it out General feeling was positive

RIMA to LAD

The negative aspects The machine is large and cumbersome The easy ones are easy but…. No clear objective scoring system The time factor

Positive aspects The pictures are very clear When there is a problem it is obvious Used to confirm recanalised vessels Used to check the quality of pedicled vascular grafts Souvenir for patients

Pedicled Jejunal interposition graft

Why Spy ? Quality control To accurately record patency To have confidence while training To do off pump surgery without doubts Adjunct to any new intervention

Sequential graft to OM1

Graft flow in a small vessel

Redo CABG Regraft

The Novodaq SPY Device Atrial fibrillation ablation Port access valve programme Atrial fibrillation ablation 3D TOE Machine Audit and Public disclosure 18 week targets Cost Improvement Programmes The Novodaq SPY Device Payment 4 performance David Sharpe Symposium Lung cancer targets Minimally invasive CABG Impact of EWTD Hybrid Theatre Catheter based valve replacement Endoscopic Conduit harvesting

The Spy device can be to Coronary surgery what the TOE is to valve surgery: Once you get used to it you will wonder how you got by without!! Thank You.