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 & πŸ«€ care.

Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets πŸ‘‡ Image
(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/… Image
(2/75) Why does #GlobalCardiacSurgery matter?

⚠️ Every year, 18 million people die from #CVD

πŸ«€ 500 million live with CVD; 100s of millions more to come.

πŸ₯ Up to 1/3 will require #CTSurgery or interventional care in lifetime

Data @IHME_UW: healthdata.org/results/data-v…

#WHA75 ImageImageImage
Read 77 tweets
Well, #EACTS2021 may be over...but I'm not done! πŸ˜†

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
#EACTS2021
Prof Kluin discussed the many challenges that can face women in medicine, in academic medicine, in surgery and in cardiac surgery
Read 25 tweets
#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
#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
#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
Read 29 tweets
#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!
#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
#EACTS2021

Retrospective study looking at everyone age >90 that had TAVI & then matched them to the Quebec general population that are >90 years
Read 35 tweets
#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
#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!
#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
Read 25 tweets
#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
#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
#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%
Read 6 tweets
#EACTS2021
Heart Team - does it still exist?

A very interesting session this morning - a 🧡
#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
#EACTS2021

Why do we have a Heart Team?

Dr Alfieri highlighted this can broadly be divided into these three categories. I really like this...
Read 21 tweets
#EACTS2021

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
#EACTS2021

The device has an implantable prosthesis and an external power supply to which it is constantly connected
Read 14 tweets

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