This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Adam Greenbaum, an Associate Professor of Medicine at Emory School of Medicine and Co-director of the Emory Structural Heart and Valve Center, Atlanta, GA, USA, about the groundbreaking percutaneous coronary artery bypass graft procedure he developed called the ventriculo-coronary transcatheter outward navigation and reentry (VECTOR) procedure.

Chapters

00:00 Intro

02:46 FDA Device Recall

03:52 JANS 1, CDC WONDER Aortic Stenosis

06:10 JANS 2, Free vs In-Situ RIMA-CABG

08:04 JANS 3, AF Worsens Outcome of MVR

09:52 JANS 4, EXCEL Trial

12:29 New Website

13:43 Video 1, Ross Procedure Technique

16:16 Video 2, Total Arch Replacement

18:38 Video 3, Pleural Sepsis Podcast

20:51 Dr. Greenbaum, VECTOR Procedure

40:34 Upcoming Events

41:18 Career Center

41:43 Closing

They delved into the development and rationale behind this innovative technique, which aims to provide a solution for patients with no other options, particularly those with narrow sinuses or low-lying coronaries. Additionally, they discussed other leaflet modification methods and the criteria for patient selection for the VECTOR procedure. The conversation also covered the technical steps involved in the procedure, along with specific cases in which it has been utilized, as well as the challenges faced and troubleshooting done by the surgeons. Finally, they explored the future of this procedure.  

Joel also highlights recent JANS articles on concerning trends seen in aortic stenosis-related mortality, a meta-analysis on free vs in-situ right internal mammary artery as a conduit in coronary artery bypass surgery, if atrial fibrillation worsens outcome of mitral valve repair for degenerative mitral regurgitation, and the EXCEL trial on spontaneous myocardial infarction after left main revascularization. 

In addition, Joel explores the Ross procedure with annular stabilization, interposition graft, and loose-jacket technique, total arch replacement with a novel dual stent device, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Eric Lim about pleural sepsis. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1. ‘Concerning’ Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER 

2. Free vs In-Situ Right Internal Mammary Artery as a Conduit in Coronary Artery Bypass Surgery: A Meta-Analysis 

3. Atrial Fibrillation Worsens Outcome of Mitral Valve Repair for Degenerative Mitral Regurgitation: Long-Term Follow-Up of 959 Patients 

4. Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial 

CTSNet Content Mentioned 

1. Ross Procedure With Annular Stabilization, Interposition Graft, and Loose-Jacket Technique  

2. Total Arch Replacement With a Novel Dual Stent Device  

3. The Atrium: Pleural Sepsis  

Other Items Mentioned 

1. Percutaneous Aorto-Coronary Bypass Graft to Prevent Coronary Obstruction Following TAVR: First Human VECTOR Procedure 

2. Website Blackout Notice! 

3. Career Center  

4. CTSNet Events Calendar 

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