Discover and read the best of Twitter Threads about #eacts2021
Most recents (8)
Today marks the start of #WHA75!
This week, @WHO, Ministries of Health, civil society, & more will discuss #GlobalHealth priorities.
Missing on agenda? #GlobalSurgery & 🫀 care.
Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets 👇
This week, @WHO, Ministries of Health, civil society, & more will discuss #GlobalHealth priorities.
Missing on agenda? #GlobalSurgery & 🫀 care.
Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets 👇
(1/75) To start, what *is* #GlobalCardiacSurgery?
GCS extends far beyond OR, from community-based disease detection & efficient referral networks to timely care, long-term follow-up, robust supply chains & adequate financial risk protection. #WHA75
Read: academic.oup.com/ejcts/article/…
GCS extends far beyond OR, from community-based disease detection & efficient referral networks to timely care, long-term follow-up, robust supply chains & adequate financial risk protection. #WHA75
Read: academic.oup.com/ejcts/article/…
(2/75) Why does #GlobalCardiacSurgery matter?
⚠️ Every year, 18 million people die from #CVD
🫀 500 million live with CVD; 100s of millions more to come.
🏥 Up to 1/3 will require #CTSurgery or interventional care in lifetime
Data @IHME_UW: healthdata.org/results/data-v…
#WHA75
⚠️ Every year, 18 million people die from #CVD
🫀 500 million live with CVD; 100s of millions more to come.
🏥 Up to 1/3 will require #CTSurgery or interventional care in lifetime
Data @IHME_UW: healthdata.org/results/data-v…
#WHA75
Well, #EACTS2021 may be over...but I'm not done! 😆
One of the most important sessions was on Women In Cardiothoracic Surgery
I suppose I should clarify - not writing a 🧵on this for likes or 'virtue signalling' - my wife's journey through her training gave me some insights...
One of the most important sessions was on Women In Cardiothoracic Surgery
I suppose I should clarify - not writing a 🧵on this for likes or 'virtue signalling' - my wife's journey through her training gave me some insights...
#EACTS2021
Opening talk on why @EACTS needs a womne's committee from @JolandaKluin - this was a great talk to set the tone for the session
Opening talk on why @EACTS needs a womne's committee from @JolandaKluin - this was a great talk to set the tone for the session
#EACTS2021
Prof Kluin discussed the many challenges that can face women in medicine, in academic medicine, in surgery and in cardiac surgery
Prof Kluin discussed the many challenges that can face women in medicine, in academic medicine, in surgery and in cardiac surgery
#EACTS2021
This 🧵is related to Thursday's symposium on Edwards' Inspiris Resilia aortic bioprosthetic valve
The hospital in which I work used this valve for ~2yrs before stopping, so I was intrigued to hear the experts
A thought-provoking session!
@rafasadaba @GilbertTangMD
This 🧵is related to Thursday's symposium on Edwards' Inspiris Resilia aortic bioprosthetic valve
The hospital in which I work used this valve for ~2yrs before stopping, so I was intrigued to hear the experts
A thought-provoking session!
@rafasadaba @GilbertTangMD
#EACTS2021
First talk from Prof Takkenberg, who needs no introduction to any of you. A very important talk in which she questioned the primacy of RCTs and spoke up on the importance of 'real world' registry data, often dismissed as poor quality
First talk from Prof Takkenberg, who needs no introduction to any of you. A very important talk in which she questioned the primacy of RCTs and spoke up on the importance of 'real world' registry data, often dismissed as poor quality
#EACTS2021
I learnt a new acronym today - GOBSAT!
Good Old Boys Sat Around the Table!
i.e. expert consensus, LoE - C! Love it!
She emphasised that a lot of our evidence, esp in VHD, is GOBSAT!
@mirvatalasnag @mrjzacharias
I learnt a new acronym today - GOBSAT!
Good Old Boys Sat Around the Table!
i.e. expert consensus, LoE - C! Love it!
She emphasised that a lot of our evidence, esp in VHD, is GOBSAT!
@mirvatalasnag @mrjzacharias
#EACTS2021
Good morning everyone!
Spoilt for choice, unsure which session to attend but I am at Controversies in Transcatheter valve treatments
First talk is on TAVI in nonagenarians (>90 yrs old) - is there a survival benefit? by @RoxanneStL
Great and vital question!
Good morning everyone!
Spoilt for choice, unsure which session to attend but I am at Controversies in Transcatheter valve treatments
First talk is on TAVI in nonagenarians (>90 yrs old) - is there a survival benefit? by @RoxanneStL
Great and vital question!
#EACTS2021
If someone has already lived far past the average life expectancy in their country and is now into their 90s, can we *promise* the patient that TAVI will make them live longer?
In our centre, we feel that patients >90 need to be very motivated to have a procedure
If someone has already lived far past the average life expectancy in their country and is now into their 90s, can we *promise* the patient that TAVI will make them live longer?
In our centre, we feel that patients >90 need to be very motivated to have a procedure
#EACTS2021
Retrospective study looking at everyone age >90 that had TAVI & then matched them to the Quebec general population that are >90 years
Retrospective study looking at everyone age >90 that had TAVI & then matched them to the Quebec general population that are >90 years
#EACTS2021
This is a 🧵all about Transcatheter Mitral Valve Implantation (TMVI). If you don't know a lot about this and want to learn more - read on! This is a summary of a great expert focus session
First talk from Dr Gry Dahle (Oslo), on why TMVI is not the same as TAVI
This is a 🧵all about Transcatheter Mitral Valve Implantation (TMVI). If you don't know a lot about this and want to learn more - read on! This is a summary of a great expert focus session
First talk from Dr Gry Dahle (Oslo), on why TMVI is not the same as TAVI
#EACTS2021
1st TAVI was done 10 years before 1st TMVI
TAVI has revolutionised treatment of aortic stenosis; TMVI is further behind largely due to anaromical complexity of treating the MV compared to the AV - the AV valves are much more complex than the semilunar valves!
1st TAVI was done 10 years before 1st TMVI
TAVI has revolutionised treatment of aortic stenosis; TMVI is further behind largely due to anaromical complexity of treating the MV compared to the AV - the AV valves are much more complex than the semilunar valves!
#EACTS2021
Historical timeline of the TMVI journey (left) and the large number of devices still competing for approval in the transcatheter mitral space (right)
@GilbertTangMD @mrjzacharias @BISMICS @SCTSUK @BrHeartValveSoc
Historical timeline of the TMVI journey (left) and the large number of devices still competing for approval in the transcatheter mitral space (right)
@GilbertTangMD @mrjzacharias @BISMICS @SCTSUK @BrHeartValveSoc
#EACTS2021
Abstract session on Hot Topics in Transcatheter Therapies
Presentation from Dr Justin Robinson on use of TAVI in patients with very large aortic annuli - Results from the Michigan TAVI Quality Collaborative
Abstract session on Hot Topics in Transcatheter Therapies
Presentation from Dr Justin Robinson on use of TAVI in patients with very large aortic annuli - Results from the Michigan TAVI Quality Collaborative
#EACTS2021
Methods here: just over 200 patients with aortic annuli in excess of the normal ranges for both the Edwards Sapien and Medtronic Corevalve systems
Methods here: just over 200 patients with aortic annuli in excess of the normal ranges for both the Edwards Sapien and Medtronic Corevalve systems
#EACTS2021
This was not easy to read. Key data here:
Mean STS score ~5%
Device success ~95%
Pacemaker - 6% Sapien 3 vs 11% Corevalve (p<0.05)
In-hosp mortality ~2%
This was not easy to read. Key data here:
Mean STS score ~5%
Device success ~95%
Pacemaker - 6% Sapien 3 vs 11% Corevalve (p<0.05)
In-hosp mortality ~2%
#EACTS2021
Dr Alfieri reminded us that medicine has a long history of collaboration between different specialties and areas of science/engineering
He gave the example of Lowell Edwards (engineer) & Albert Starr (surgeon) to create the ball-in-cage valve - same for Bjork-Shiley
Dr Alfieri reminded us that medicine has a long history of collaboration between different specialties and areas of science/engineering
He gave the example of Lowell Edwards (engineer) & Albert Starr (surgeon) to create the ball-in-cage valve - same for Bjork-Shiley
#EACTS2021
Why do we have a Heart Team?
Dr Alfieri highlighted this can broadly be divided into these three categories. I really like this...
Why do we have a Heart Team?
Dr Alfieri highlighted this can broadly be divided into these three categories. I really like this...
#EACTS2021
Great first day. My favourite presentation was on the Carmat Total Artificial Heart (C TAH), presented by Professor @netuka_ivan
@rafasadaba
Great first day. My favourite presentation was on the Carmat Total Artificial Heart (C TAH), presented by Professor @netuka_ivan
@rafasadaba
#EACTS2021
The C TAH is probably the world's most advanced total artificial heart & is designed for patients with severe biventricular failure (i.e. for whom an LVAD would be insufficient).
It gained a CE mark last year and has an FDA approval for early feasibility studies
The C TAH is probably the world's most advanced total artificial heart & is designed for patients with severe biventricular failure (i.e. for whom an LVAD would be insufficient).
It gained a CE mark last year and has an FDA approval for early feasibility studies
#EACTS2021
The device has an implantable prosthesis and an external power supply to which it is constantly connected
The device has an implantable prosthesis and an external power supply to which it is constantly connected
