The Beat With Joel Dunning Ep. 128: The World’s First Transcervical Robotic AVR Procedures

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Fraser Sutherland, a consultant cardiac surgeon at Ross Hall Hospital and the Golden Jubilee National Hospital, Scotland, about the world’s first transcervical robotic aortic valve replacement (AVR) procedures.

Chapters

00:00 Intro 

02:30 JANS 1, CABG After 60 Years 

13:53 JANS 2, Endovascular Arch Repair 

16:45 JANS 3, Impact of Age on ARR 

18:47 JANS 4, Anterior Mediastinal Teratomas 

20:28 Career Center 

21:02 Video 1, RUL Without Dissecting SPV 

22:58 Video 2, Replacement w Double Patch Repair 

23:53 Video 3, TAVR & SAVR Removal w LVOR 

24:47 Dr. Sutherland Interview 

45:26 Closing 

They discuss the history and evolution of these cases, along with the preclinical work that led to this innovative technique. Dr. Sutherland addresses initial challenges such as the uniportal incision, the transcervical retractor system, and enhancing dexterity by incorporating a robotic system. They also detail the first clinical case, including postoperative outcomes and the importance of maintaining safety for the patient. Additionally, they explore the benefits for patients undergoing this procedure and its future potential. Furthermore, Dr. Sutherland provides insights into the procedural steps and key aspects of the procedure.  

Joel also highlights recent JANS articles on coronary artery bypass grafting 60 years after its debut, endograft design options and worldwide results for endovascular arch repair, the impact of age on aortic root replacement, and a multicenter retrospective study on if subxiphoid thoracoscopic surgery is safe and feasible for the treatment of anterior mediastinal teratomas. 

In addition, Joel explores a multiportal approach for robotic right upper lobectomy without dissecting the superior pulmonary vein, aortic and mitral replacement with double patch repair, and TAVR and SAVR removal with left ventricular outflow reconstruction. 

JANS Items Mentioned 

1.) Coronary Artery Bypass Grafting: 60 Years After Its Debut 

2.) Endovascular Arch Repair: Endograft Design Options and Worldwide Results 

3.) The Impact of Age on Aortic Root Replacement 

4.) Subxiphoid Thoracoscopic Surgery Is Safe and Feasible for the Treatment of Anterior Mediastinal Teratomas: A Multicentre Retrospective Study 

CTSNet Content Mentioned 

1.) Robotic Right Upper Lobectomy Without Dissecting the Superior Pulmonary Vein: A Multiportal Approach  

2.) Aortic and Mitral Replacement With Double Patch Repair  

3.) TAVR and SAVR Removal With Left Ventricular Outflow Reconstruction 

Other Items Mentioned 

1.) World's First Transcervical Robotic AVR Procedures Successfully Performed in 4 Cleveland Clinic Patients 

2.) Resident Video Competition 

3.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani 

4.) Career Center  

5.) CTSNet Events Calendar 

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