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The performance of percutaneous coronary intervention (PCI) without a surgical backup has long produced controversy. In recent years, off-site PCI has become more common, and clinical evidence demonstrates comparable outcomes for on-site and off-site procedures. How does this shift allow us to serve a broader patient population? Will guidelines change to reflect some of these new findings? For a look at these questions and more, Dr. Spencer King, president of Saint Joseph's Heart and Vascular Institute in Atlanta, professor of medicine emeritus at Emory University School of Medicine, and a past president of the American College of Cardiology, joins host Dr. Doug Weaver.
What are some of the newer bariatric endoscopic procedures, and when are these procedures preferred over traditional gastric bypass surgery? Dr. Michael Camilleri, professor of medicine and physiology at the Mayo Clinic Medical School in Rochester, Minnesota, reviews the most common gastric bypass procedures, such as the Roux-en-Y, laproscopic banding and duodenal switch procedures, and explains the advantages to some of the newer surgeries, including the sleeve gastrectomy and transoral gastroplasty. Dr. Mark DeLegge hosts.
In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host Dr. Jennifer Shu.
It's called the FAME study, and doctors placing stents or conducting bypass surgery are going to be hearing more about it. Dr. William Fearon, an assistant professor of cardiovascular medicine at Stanford University, tells host Bruce Japsen about how patients whose treatment was based on fractional flow reserve were less likely to have a major adverse cardiac event than those who had standard angiography.
As the field of bariatric and minimally invasive surgery continues to grow, the gastric bypass procedure has grabbed many of the headlines, with solid interest in gastric banding as well. Looking ahead, how might the landscape change? Will a new bariatric procedure emerge as the safest and most effective choice? Host Dr. Mark Nolan Hill welcomes Dr. Marc Bessler, assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery, to detail one procedure that could represent the next step in reducing the invasiveness of bariatric surgery: the transoral gastroplasty.
Nobel Prize winner Dr. Joseph E. Murray discusses performing the first successful human kidney transplant, the value of teamwork, the future of the physician-scientist, and the patient side of the equation, in this far-ranging conversation led by host Dr. Martin Samuels.
What are the barriers in science that keep us from reaching the lofty goal of limb and organ regeneration? Host Dr. Leslie Lundt is joined by Dr. Dennis Steindler, the Joseph J. Bagnor/Shands Professor of Medical Research and the executive director of the McKnight Brain Institute at the University of Florida, to learn about the work of the Regeneration Project, a partnership of the McKnight Brain Institute and the Program in Stem Cell and Regenerative Medicine at the University of Florida. Find out how the study of salamanders could lead us to the next steps in regeneration.
Lasers may provide a means of closing surgical incisions that is better than traditional methods in terms of infection risk, time, and scarring. Dr. Abraham Katzir, professor of applied medical physics at Tel Aviv University, and a pioneer of this technique, explains to host Dr. Jason Birnholz how the Applied Physics Group at Tel Aviv University was able to develop a device that could control the temperature of the laser, to bond tissue without doing damage. Dr. Katzir outlines how surgeons would use the device, the current human applications, and the potential application of this device on all kinds of human tissues, including the retina, blood vessels, and skin. Tune in to hear how laser welding could replace the thread for closing external and internal wounds.
For patients with chronic stable coronary artery disease, medical therapy has been shown to be equivalent to interventional therapy for cardiovascular outcomes in comparative studies. Dr. Michael Ozner, medical director of the Cardiovascular Prevention Institute of South Florida and the author of The Great American Heart Hoax will describe his approach to treating cardiovascular risk factors as a way of preventing cardiac events and the need for bypass surgery or angioplasty. Hosted by Dr. Matthew Sorrentino.
Newer options for treating prostate cancer include cryosurgery and robotic prostatectomy. What does each of these methods involve and how can we determine the best treatment for our patients? Dr. David I. Lee, assistant professor of surgery at Penn Medicine, explores the advantages, risks, and outcomes. Dr. Lee Freedman hosts.