RR EE GG II SS TT EE RR OO NN LL II NN EE :: WW WW WW .. II SS MM II CC SS .. OO RR GG Contents PROGRAM HIGHLIGHTS Preliminary Program 4 Keynote Address Poster Session 12 Robert Langer, Sc.D. Massachusetts Institute of Technology (MIT) Hotel Information 18 Dr. Robert Langer, who holds the title of Meeting Registration Form 19 Institute Professor at MIT, is renowned for his revolutionary work on new and different ways to administer drugs to cancer patients. At MIT, he runs the largest biomedical engineering lab in TARGET AUDIENCE the world. The primary target audience is comprised of cardiothoracic Dr. Langer work is at the interface of biotechnology and materials surgeons who perform minimally invasive procedures, taking science. A major focus is the study and development of polymers to advantage of new techniques and technology available. Program deliver drugs, particularly genetically engineered proteins, DNA and directors and fellows of cardiac and thoracic training programs are RNAi, continuously at controlled rates for prolonged periods of time. expressly invited to attend to gain exposure to the latest ideas and Dr. Langer has more than 600 issued or pending patents worldwide, hear the research supporting or negating various techniques and one of which was cited as the outstanding patent in Massachusetts approaches. Allied health professionals working in minimally in 1988 and one of 20 outstanding patents in the United States. His invasive theatres are also encouraged to attend. patents have been licensed or sublicensed to over 200 pharmaceutical, chemical, biotechnology and medical device LEARNING OBJECTIVES companies; a number of these companies were launched on the The ISMICS 2008 Annual Scientific Meeting is designed to offer 3 basis of these patent licenses. He served as a member of the and one-half days of comprehensive educational experiences in the United States Food and Drug Administration’s SCIENCE Board, the fields of minimally invasive cardiac and thoracic surgery and related FDA’s highest advisory board, from 1995 — 2002 and as Chairman sciences with an emphasis on innovative techniques and from 1999-2002. technologies. The Society brings together the leading cardiothoracic Dr. Langer has received over 150 major awards. In 2007, he surgeons and scientists in the world to freely and openly discuss received the 2006 United States National Medal of Science. In 2002, their latest clinical and research findings. he received the Charles Stark Draper Prize, considered the equivalent of the Nobel Prize for engineers and the world’s most prestigious engineering prize from the National Academy of AMA PRA CATEGORY 1 CREDITS™ Engineering. He is also the only engineer to receive the Gairdner Foundation International Award. The International Society for Minimally Invasive Cardiothoracic Surgery has applied to the American College of Surgeons for AMA PRA Category 1 Credits™ for this educational activity. Status is pending, and will be updated on the ISMICS website and in the Final Program Book. This preliminary program is subject to change. For the latest program schedule and full-text abstracts, please visit Local Arrangements Host www.ismics.org. Lishan Aklog, MD Program Chairs Volkmar Falk, MD Alan Menkis, MD Thoracic Chair Kemp Kernstine, MD President Rex De Lisle Stanbridge, MD, FRCS, FRCP President-Elect John D. Puskas, MD, FRACS 2 THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY RR EE GG II SS TT EE RR OO NN LL II NN EE :: WW WW WW.. II SS MM II CC SS .. OO RR GG Expert Consensus Statement Moderated Poster Competition Stented versus Stentless Valves The Moderated Poster Competition will feature a 2-round judging process. Posters will be divided into topic groups with John R. Pepper, MD, FRCS approximately the same number of posters in each group. Authors Davy Cheng, MD must attend the entire session to be considered for the Best Moderated Poster Award. Dedicated Case Reports Session First Round: Authors give a timed, 3-minute presentation; then Moderator: Anthony DeSouza, MD respond to questions posed by other authors and attendees in their topic group. Topic groups run concurrently until all posters have Special Invited Topics been presented. The authors and attendees of each group will score all posters in that group. Based on the peer scoring, a winner will be named for each topic group, who then proceeds to the Final Sutureless Valves Round. Moderators: Francesco Maisano, MD & Volkmar Falk, MD Final Round: Finalists will make their presentations to all meeting Panelists: attendees in the main Scientific Session Hall, using powerpoint Sutureless Valves: Design, Implantation Technique and slides. Moderators from the First Round will score the Final Round Early Clinical Results presentations to determine the Best Moderated Poster Thierry-Pierre Carrel, MD Presentation. The winner will be announced during the Friday A Modular Prosthesis for Nearly-Sutureless Implantation Evening Reception at the Top of the Hub Skywalk. Gerhard Wimmer-Greinecker, MD Minithoracotomy AVR: How to Do It and Clinical Current Controversies Advantages The End of Coronary Stenting Mattia Glauber, MD 2008 Postgraduate Courses Cardiac Care - featuring 4 separate courses Panelists: Naresh Trehan MD Surgical Treatment of Atrial Fibrillation Sir Bruce Keogh, MD Chair: Ralph J. Damiano, Jr., MD Technical Challenges Endovascular Aortic Therapies Preoperative Strategies and Intraoperative Chair: Eric E. Roselli, MD Complications Percutaneous Valvular Therapies Chair: Valavanur A. Subramanian, MD Co-Chairs: Hermann Reichenspurner, MD Chair: Friedrich Wilhelm Mohr, MD Patrick Nataf, MD Advances in Minimally Invasive Thoracic Surgery Chair: Kemp H. Kernstine, MD, PhD Co-Chairs: Daniel L. Miller, MD & Thomas J. Watson, MD THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY 3 ISMICS 2008 PRELIMINARY PROGRAM WEDNESDAY 11 JUNE 15.15 – 15.30 Update on the Left Atrial Appendage A. Marc Gillinov, MD 15.30 – 16.00 Where are We Today? Current Indications and Choice of Procedures 07.00 – 08.00 Continental Breakfast Ralph J. Damiano, Jr., MD for All Postgraduate Registrants 16.00 – 17.30 Hands-On Skills Session 08.00 – 16.00 Postgraduate Course: 09.00 – 12.00 Surgical Treatment of Atrial Fibrillation Postgraduate Course: Chair: Ralph J. Damiano, Jr., MD Endovascular Aortic Therapies Chair: Eric E. Roselli, MD 8.00 – 8.40 History Of Arrhythmia Surgery: Lessons Learned from Surgical Extinction 09.00 – 10.00 The Future of Aortic Surgical Training James L. Cox, MD 08.40 - 09.10 The Consensus Statement of AF Ablation: What 09.00 - 09.10 Cardiothoracic Surgery Perspective Surgeons Need to Know Bruce W. Lytle, MD Richard J. Shemin, MD 09.10 - 09.20 Vascular Surgery Perspective 09.10 - 09.40 An Electophysiology Primer for Surgeons: Richard Cambria, MD Understanding and Treating AF 09.20 – 09.30 Stentgrafting the Descending Thoracic Aorta – Kenneth Ellenbogen, MD Challenges Posed by the Current Devices 09.40 – 10.10 An Overview of Ablation Technology: The Search for Joseph E. Bavaria, MD the Perfect Device 09.30 – 09.45 Discussion Nicholas Doll, MD 10.10 – 10.25 Questions & Answers 09.45 – 10.00 Break 10.25 – 10.40 Break 10.00 – 11.00 Treating Complex Aneurysmal Disease 10.40 – 12.00 Current Operative Approaches for the Surgical 10.00 – 10.10 Imaging – Preoperative Planning and New Treatment of AF in Patients with Organic Heart Techniques Disease Michael C. Moon, MD, FRCSC Moderator: A. Marc Gillinov, MD 10.10 – 10.22 Hybrid Approaches to Aortic Arch and 10.40 – 11.00 The Box Lesion Thoracoabdominal Disease Mark A. Groh, MD Lars G. Svensson, MD, PhD 11.00 – 11.20 Left Atrial Lesion Sets 10.22 – 10.34 Update on Branch Grafting of Thoracoabdominal Stefano Benussi, MD Aortic Aneurysms 11.20 – 11.40 Biatrial Approach Tara Mastracci, MD A. Marc Gillinov, MD 10.34 – 10.46 Arch and Ascending Aorta - Can We Do It Totally 11.40 – 12.00 Discussion Endovascularly? Roy K. Greenberg, MD 12.00 – 13.00 Lunch Break 10.46 – 11.00 Discussion 13.00 – 16.00 Current Operative Approaches for the Surgical 11.00 – 12.00 Emergencies and Dissections Treatment of Lone AF Moderator: Ralph J. Damiano, Jr., MD 11.00 – 11.12 Traumatic Transections – Is Endovascular the 13.00 – 13.20 Pulmonary Vein Isolation Treatment of Choice? Erik A. Beyer, MD Riyad C. Karmy-Jones, MD 13.20 – 13.40 Extended Left Atrial Lesion Sets 11.12 – 11.24 Endovascular Therapy for Mycotic Aneurysms, James R. Edgerton, MD Aortoesophageal and Aortobronchial Fistula 13.40 – 14.00 The Box Lesion Grayson H. Wheatley, III, MD Husam H. Balkhy, MD 11.24 – 11.36 Endovascular Therapy for Acute Distal Dissections 14.00 – 14.20 Cryo-Maze Procedure Wilson Y. Szeto, MD Evilio Rodriguez, MD 11.36 – 11.48 Endovascular Therapy for Chronic Distal 14.20 – 14.40 Minimally Invasive Cox-Maze Procedure Dissection Niv Ad, MD Eric E. Roselli, MD 14.40 – 15.00 Discussion 11.48 – 12.00 Discussion 15.00 – 15.15 Break 12.00 – 13.00 Lunch Break 4 THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY ISMICS 2008 PRELIMINARY PROGRAM 13.00 – 16.00 09:00 – 09.30 Break Postgraduate Course: Percutaneous Valvular Therapies 09.30 – 10:30 Surgical Treatment – Part I Chair: Friedrich Wilhelm Mohr, MD Moderator: Scott Swanson, MD 09.30 – 09:42 VATS Lobectomy 13.00 – 13.15 The Aging Population – Increasing Number of High Thomas D’Amico, MD Risk Patients with Aortic Stenosis? 09.42 – 09.54 VATS Segmentectomy/Sleeve A. Pieter Kappetein, MD, PhD Robert McKenna, MD 13.15 – 13.30 Scoring and Risk Assessment Results of 09.54 – 10.04 VATS Pneumonectomy Conventional AVR Patient Selection Todd Demmy, MD Todd Michael Dewey, MD 10.04 – 10.16 Robotic Lobectomy/Segmentectomy/ 13.30 – 13.45 Imaging for Transcatheter Valves (Echo, Pneumonectomy Angiography, CT) Bernard Park, MD Francesco Maisano, MD 10.16 – 10.30 Discussion 13.45 – 14.05 Transfemoral Techniques & Results John Webb, MD 10.30 – 11:30 Surgical Treatment – Part 2 14.05 – 14.25 Transapicial Techniques & Results Moderator: Christopher Morse, MD Thomas J. Walther, MD 10.30 – 10.42 Transabdominal Metastasectomy 14.25 – 14.45 Future Devices Frank Detterbeck, MD Michael Mack, MD 10.42 – 10.54 Current Status and Techniques of Brachytherapy for Unresectable Lesions 14.45 – 15.00 Break Hiran Chrish Fernando, MD 10.54 – 11.06 Current Status and Techniques of Radio Frequency 15.00 – 16.00 Round Table Discussion Ablation (RFA) for Unresectable Lesions Faculty: Todd Michael Dewey, MD; A. Pieter Damian Dupuy, MD Kappetein, MD, PhD; Michael Mack, MD; 11.06 – 11.18 Endobronchial Therapies – Ablative Therapies and Francesco Maisano, MD; Friedrich Wilhelm Stents Mohr, MD; Thomas J. Walther, MD; John Webb, MD Armin Ernst, MD 11:18 – 11:30 Discussion Issues: (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Training for Transcatheter AVI 11.30 – 12.30 Lunch Break (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Setup for Transcatheter AVI; Hybrid or Cathlab (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Positioning for Transcatheter AVI 12.30 – 13.42 Mediastinum (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) AV-Block After Transcatheter AVI Moderator: Joel Cooper, MD (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Paravalvular Leak (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Future aspects 12.30 – 12.42 Transcervical Thymectomy (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Inclusion of Younger Patients Joseph Shrager, MD (cid:140)(cid:140)(cid:140)(cid:140)(cid:140) Randomized Trials 12.42 – 12.54 VATS Thymectomy and Other Mediastinal Masses Joshua Sonett, MD 16.00 – 17.30 Hands-On Skills Session 12:54 – 13.06 Robotic Thymectomy and Other Mediastinal Masses Jens Ruckert, MD 08.00 – 16.00 13.06 – 13.18 Minimally Invasive Sympathectomy Postgraduate Course: Daniel Miller, MD Advances in Minimally Invasive Thoracic Surgery 13.18 – 13.30 Pericardial Window Chair: Kemp H. Kernstine, MD, PhD Michael Chang, MD Co-Chairs: Daniel L. Miller, MD & 13.30 – 13.42 Discussion Thomas J. Watson, MD 13.42 – 14.12 Treatment for Emphysema 08.00 – 09.00 Staging the Mediastinum Moderator: Cliff Choong, MD Moderator: John Howington, MD 13.42 – 13.54 VATS Treatment for Emphysema 08.00 – 08.12 Mediastinoscopy & VAMLA Malcolm DeCamp, MD Robert Cameron, MD 13.54 – 14.06 Valve Technologies for the Treatment of Emphysema 08.12 – 08.26 TEMLA/ Transcervical RUL Ed Ingenito, MD, PhD Marcin Zielinski, MD 14.06 – 14.12 Discussion 08.26 – 08.38 EBUS Mark Krasnik, MD 14.12 – 14.30 Break 08.38 – 08.50 EUS to Stage the Mediastinum & Evaluate Esophageal & Mediastinal Tumors Robert Cerfolio, MD 08:50 – 09:00 Discussion THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY 5 ISMICS 2008 PRELIMINARY PROGRAM 14.30 – 16.00 Esophagus THURSDAY 12 JUNE Moderator: Mark Krasna, MD 14.30 – 14.42 Minimally Invasive Esophagectomy: Current Status & Future Prospects 07.15 – 08.30 Continental Breakfast in Exhibition Hall Ninh Nguyen, MD 14.42 – 14.54 Transthoracic Robotic Esophagectomy Kemp Kernstine, MD, PhD 07.15 – 11.00 Exhibition Hall Hours 14.54 – 15.06 Transthoracic Robotic Esophagectomy Santiago Horgan, MD 07.45 – 08.00 Opening & Welcome Remarks 15.06 – 15.18 Minimally Invasive Approaches to Treating Benign Rex De Lisle Stanbridge, MD, FRCS, FRCP, Esophageal Disease ISMICS President Dennis Wigle, MD, PhD 15.18 – 15.33 Current Use of Stents, PDT, Laser & BarXX 08.00 – 09.03 Session 1: Valve – Thomas Watson, MD Transcatheter Therapies 15.33 – 15.45 Transoral Anti-Reflux Procedures Moderators: Francesco Maisano, MD & Blair Jobe, MD Wiley Nifong, MD 15.45 – 16.00 Discussion 08.00 – 08.12 1 Percutaneous Aortic Valve Replacement (pAVR) in 16.00 – 17.30 Hands-On Skills Session Severe Calcific Aortic Stenosis: First UK Experience Hasan Jilaihawi, Tomasz Spyt, Derek Chin, Elaine Logtens, Johann Bence, 17.00 – 19.00 Welcome Reception in Exhibition Hall Jan Kovac.; Glenfield Hospital, Leicester, United Kingdom 08.12 – 08.24 2 Transapical Aortic Valve Implantation - Current Results 19.00 – 21.00 Case Reports Session (Working Supper) Thomas Walther, Volkmar Falk, Michael A. Borger, Jörg Kempfert, Jens Fassl, Moderator: Anthony DeSouza, MD Yvonne Rückert, Axel Linke, Gerhard Schuler, Friedrich W. Mohr; Herzzentrum Leipzig, Leipzig, Germany 08.24 – 08.36 3 First Experiences with a Repositionable and CR 1 Subendocardially Implanted Anuloplastyring In A Patient Retrievable Bovine Pericardial Valve for Percutaneous Aortic Valve With Pacemaker Lead Associated Endocarditis Replacement - The Direct Flow Valve Markus Thalmann1, Franz Veit1, Gottfried H. Sodeck2, Michael Gorlitzer1, Martin Grabenwoeger1; 1Hospital Hietzing, Vienna, Austria, 2Univesity Hospital, Vienna, Hendrik Treede1, Joachim Schofer2, Thilo Tübler2, Olaf Franzen1, Thomas Austria Meinertz1, Steven F. Bolling3, Hermann Reichenspurner1; 1University Heart Center Hamburg, Hamburg, Germany, 2Hamburg University Cardiovascular CR 2 Transapical Transcatheter Mitral Valve-In-Valve Implantation Center, Hamburg, Germany, 3University of Michigan Hospital, Ann Arbor, MI, USA in a Human 08.36 – 08.48 4* Hybrid Transcatheter Mitral Valve Replacement Anson Cheung, Daniel Wong, Jian Ye, John G. Webb, Samuel V. Lichtenstein; Lucian Lozonschi1, Rene Quaden2, Jochen Cremer2, Niloo M. Edwards1, Georg St. Paul’s Hospital, Vancouver, BC, Canada Lutter2; 1Department of Cardiothoracic Surgery, University of Wisconsin School CR 3 Interventional Therapy of Prosthetic Paravalvular Leaks - A of Medicine, Madison, WI, USA, 2Department of Cardiovascular Surgery, Case Series University Hospital Schleswig-Holstein, Kiel, Germany Olaf Franzen1, Oliver Deutsch2, Joachim Schofer1, Christian Detter2, Thomas 08.48 – 08.53 MP1 Evaluating the Potential Role of Percutaneous Meinertz1, Hermann Reichenspurner2; 1University Heart Center, Department of Aortic Valve Replacement in the High-Risk Patients Cardiology, Hamburg, Germany, 2University Heart Center, Department of Mario Gaudino, Amedeo Anselmi, Franco Glieca, Nicola Luciani, Carlo Cellini, Cardiovascular Surgery, Hamburg, Germany Claudio Pragliola, Gianfederico Possati; Catholic University, Rome, Italy CR 4 Minimal Invasive Extracorporeal Circulation For Intraatrial 08.53 – 09.03 V1 Combined Off-Pump Transapical Transcatheter Tumor Thrombectomy Aortic Valve Implantation and MIDCAB Revascularization Marcello Bergonzini1, Enrico Citterio1, Alessandro Piccinelli2, Orazio Maugeri2, Anson Cheung, Daniel R. Wong, Jian Ye, John G. Webb, Samuel V. Roberto Gallotti1, Pierpaolo Graziotti2; 1Istituto Clinico Humanitas. Reparto di Lichtenstein; St. Paul’s Hospital, Vancouver, BC, Canada Cardiochirurgia, Rozzano (MI), Italy, 2Istituto Clinico Humanitas. Reparto di Urologia, Rozzano (MI), Italy CR 5 Transcatheter Closure of the Mitral Valve Prosthesis Leakage 09.00 – 09.45 Dedicated Hands-on Time – Exhibition Hall Zan Kostadin Mitrev1, Anguseva N. Tanja, Sr.1, Ivan Milev1, Dietmar Schranz2; 1Special Hospital of Cardiosurgery, Skopje, The Former Yugoslav Republic of 09.45 – 10.40 Session 2: Valve – Minimally Macedonia, 2Cardiosurgery Centre Justus Liebig, Giessen, Germany Invasive Approaches, CR 6 Beating Heart Aortic Valve Replacement After Previous All Technologies & Techniques Arterial Coronary Artery Bypass Grafting Markus Thalmann1, Franz Veit1, Gottfried H. Sodeck2, Michael Gorlitzer1, Martin Moderators: Anson Cheung, MD & Grabenwoeger1; 1Hospital Hietzing, Vienna, Austria, 2Univesity Hospital, Vienna, Alan Menkis, MD Austria 09.45 – 09.57 5 Two Institution Experience With 890 Video- Assisted Minimally Invasive Mitral Valve Surgeries Paul Modi1, Evelio Rodriguez1, Karen A. Gersch1, Wilson Szeto2, W Clark Hargrove2, Walter Randolph Chitwood1; 1East Carolina Heart Institute, East Carolina University, Greenville, NC, USA, 2Presbyterian Medical Center, Philadelphia, PA, USA 6 THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY ISMICS 2008 PRELIMINARY PROGRAM 09.57 – 10.09 6* Redo Mitral Valve Surgery Via Right Sided Mini- 14.12 – 14.24 9* Outcomes in 434 Coronary Artery Bypass Thoracotomy Is Safe and Effective Patients Using 647 Heartstring™ Devices for the Clampless Joerg Seeburger, Volkmar Falk, Thomas Kuntze, Michael Borger, Nicolas Construction of Proximal Anastomoses Doll, Markus Czesla, Joerg Ender, Friedrich W. Mohr; Heartcenter Leipzig, Vinod H. Thourani, Shady M. Eldaieef, Christopher Mutrie, Thomas A. Leipzig, Germany Vassiliades, Omar M. Lattouf, Robert A. Guyton, Caleb Rutledge, John D. 10.09 – 10.21 7 Repair of Mitral Valve Prolapse in the Beating Heart Puskas; Emory University, Atlanta, GA, USA Using 3D Echo Guidance: AFeasibility Study 14.24 – 14.36 10 Multi-suction Heart Positioner Tentacles Prevents Nikolay V. Vasilyev1, Franz P. Freudenthal2, Douglas P. Perrin1, Peter E. Hammer1, Left Ventricular Volume Reduction During Heart Positioning: Three Ivan S. Salgo3, Pedro J. del Nido1; 1Children’s Hospital Boston, Harvard Medical Dimentional Transesophageal Echocardiographic Analysis School, Boston, MA, USA, 2Kardiozentrum, La Paz, Bolivia, 3Philips Medical Tokujiro Uchida1, Hirokuni Arai2, Megumi Ohata1, Akihide Yamashita1, Hiroyuki Systems, Andover, MA, USA Tanaka2, Koshi Makita1; 1Dept of Anesthesiology, Tokyo Medical & Dental 10.21 – 10.30 MP2 The Minimally Invasive Medtentia Double Helix University, Tokyo, Japan, 2Dept of Cardiothoracic surgery, Tokyo Medical & Mitral Annuloplasty System Dental University, Tokyo, Japan Per Wierup1, Morten Smerup1, Jarmo Simpanen2, Marianne Bjerre1, Kalervo 14.36 – 14.48 11 Minimally Invasive Cardiac Surgery: A Werkkala2; 1Skejby Hospital, Aarhus University, Aarhus N, Denmark, 2Meilahti Prospective Dual Center Report Of 285 Consecutive Cases University Hospital, Helsinki, Finland Joseph T. McGinn, Jr.1, Vijayasimha R. Pothula1, Scott M. Sadel1, Benny Liliav1, MP3 Reoperative Mitral Valve Surgery Using the Port-access Right Praveen Potluru1, William J. Molloy1, Mark Ruel2; 1Staten Island University Mini-thoracotomy Approach Hospital, Staten Island, NY, USA, 2University of Ottawa Heart Institute, Ottawa, Steven R. Meyer, Wilson Y. Szeto, John G.T. Augoustides, Rohinton J. Morris, ON, Canada William J. Vernick, Deborah Paschal, Jeanne Fox, W. Clark Hargrove, III; 14.48 – 15.03 MP4 Ten Year Outcome of Skeletonized BITA University of Pennsylvania, Philadelphia, PA, USA Grafting for Patients with Diabetes Mellitus 10.30 – 10.40 V2 Robotic Artificial Chordal Replacement for Repair Aya Mohr1, Dmitry Pevni1, Gideon Uretzky1, Itzhak Shapira1, Amir Kramer1, of Mitral Valve Prolapse Yosef Paz1, Benjamin Medalion2, Rephael Mohr1; 1Tel Aviv Sourasky Medical Louis A. Brunsting, III, Ricardo E. Orozco, J. Scott Rankin, Robert S. Binford; Center, Tel-Aviv, Israel, 2Rabin Medical Center - Beilinson Campus, Petah Centennial Medical Center, Nashville, TN, USA Tikva, Israel MP5 Transmyocardial Revascularization Combined With 10.45 – 11.30 Invited Topic – Sutureless Valves Concentrated Autologous Stem Cells Moderators: Francesco Maisano, MD & Guillermo Reyes1, Keith Allen2, Adrian Alegre1, Beatriz Aguado1, Anas Sarraj1, Jose-Manuel Nuche1, Juan Duarte1; 1La Princesa University Hospital, Madrid, Volkmar Falk, MD Spain, 2Mid America Heart Institute, St. Luke’s Hospital, Kansas City, MO, USA Panelists: MP6 Clinical Outcomes with Minimal Exposure Robotically Sutureless Valves: Design, Implantation Assisted Direct Coronary Revascularization Technique and Early Clinical Results Francis P. Sutter, Francis D. Ferdinand, Candace Trace, Mary Ann C. Wertan, Thierry-Pierre Carrel, MD Scott M. Goldman; Lankenau Hospital Div of Thor & CV Surgery, Wynewood, A Modular Prosthesis for Nearly-Sutureless PA, USA Implantation 15.03 – 15.13 V3 Multi Vessel Off-Pump Myocardial Gerhard Wimmer-Greinecker, MD Revascularization Through A Mini-Thoracotomy Approach Minithoracotomy AVR: How to Do It and Clinical Massimo Lemma1, Guido Gelpi1, Andrea Mangini1, Giuseppe D’Arrigo2, Carlo Advantages Antona1; 1Cardiovascular Surgery division L. Sacco Hospital, Milan, Milan, Mattia Glauber, MD Italy, 2Cannizzaro Hosp. Department of Cardiovasc. Surg, Catania, Italy 11.30 – 14.00 ISMICS International Fellows Session – 14.00 – 15.13 CONCURRENT SESSION 4: Thoracic Trainees to Consultants Moderator: Thomas J. Watson, MD Session Director: Francis D. Ferdinand, MD 14.00 – 14.12 12* VATS Thymectomy For Myasthenia Gravis Via A Right Side Approach: Long-Term Follow-Up 11.30 – 13.00 LUNCHEON SYMPOSIA Cameron P. Keating1, Yu Kong1, Valerie Tay2, Simon R. Knight3, C. Peter Clarke3, Gavin M. Wright1; 1Department of Cardiothoracic Surgery, St Vincent’s Hospital, 13.30 – 17.45 Exhibition Hall Hours Melbourne, Australia, 2Department of Neurology, St Vincent’s Hospital, Melbourne, Australia, 3Department of Thoracic Surgery, Austin Hospital, Melbourne, Australia 13.15 – 14.00 Late Breaking News 14.12 – 14.24 13 A Novel System for Measuring Longitudinal Postoperative Symptom Burden: Proof of Concept Comparing 14.00 – 15.13 CONCURRENT SESSION 3: VATS versus Open Lobectomy Revascularization Technologies Ara Vaporciyan, Xin S. Wang, Santosh Bashkar, Arlene Correa, Qiuling Shi, Moderator: Anno Diegeler, MD Ibou Gning, Wayne Hofstetter, David Rice, Reza Mehran, Steven Swisher, Charles Cleeland; UT M. D. Anderson Cancer Center, Houston, TX, USA 14.24 – 14.36 14* Transcervical Mediastinotomy Access to the AP 14.00 – 14.12 8 Temporary Atraumatic Coronary Artery Occlusion Window: Patient Selection and Results with a Thermosensitive Gel (LeGoo™) during OPCAB in Humans: Robert Cameron1, Shahriyour Andaz2, Rick Peng1, Raja Mahidhara1; 1UCLA, Preliminary Results Los Angeles, CA, USA, 2Long Island Thoracic Surgery, PC, Lynbrook, NY, USA Olivier Bouchot1, Jean Pierre Berne1, Robert L. Berger2, Roger Brenot1, Michel David1; 1CHU Le Bocage, Dijon, France, 2Department of Surgery, Harvard Medical School, Boston, MA, USA THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY 7 ISMICS 2008 PRELIMINARY PROGRAM 14.36 – 14.48 15 Robotic Laparoscopic Belsey Fundoplasty For MP12 Percutaneous Implantation of Thoracic Aortic Endografts - a Gastroesophageal Reflux Disease Further Step to Reduce the Morbidity of the Procedure Farid Gharagozloo, Marc Margolis, Barbara Tempesta; George Washington Burkhart Zipfel, Semih Buz, Robert Hammerschmidt, Roland Hetzer; Deutsches University Medical Center, Washington, DC, USA Herzzentrum Berlin, Berlin, Germany 14.48 – 15.03 MP7 Robot-Assisted Abdomen/Right Chest (Ivor Lewis) Esophagogastrectomy for Esophageal Cancer 16.48 – 16.58 V5 Videoscopic Excision of Left Ventricular Farid Gharagozloo, Marc Margolis, Barbara Tempesta, Eric Strother; Washington Myxoma Institute Of Thoracic And Cardiovascular Surgery, Washington, DC, USA Ansar Hassan, Paul Modi, Carolyn J. Teng, Evelio Rodriguez, Walter Randolph MP8 Self-Expanding Metal Stents (SEMS) for Advanced Chitwood, Jr.; East Carolina Heart Institute, East Carolina University, Greenville, Esophageal Carcinoma in a Resource-Limited Area of East Africa NC, USA Russell E. White; Tenwek Hospital, Bomet, Kenya MP9 Ongoing Limited Resection Trial for Pulmonary Ground-glass 15.45 – 17.00 CONCURRENT SESSION 6: Opacity (GGO) Nodules: Case Selection Based on High Resolution Thoracic Video Session Computed Tomography Moderators: Hani Shennib, MD & Daniel Miller, MD Junji Yoshida1, Genichiro Ishii1, Kanji Nagai1, Mitsuyo Nishimura1, Hiroyuki Ito2, Yoichi Kameda2, Haruhiko Nakayama2, Kouzou Yamada2, Yutaka Nishiwaki1; V6 Video-Assisted Thoracoscopic Extrapleural Pneumonectomy 1National Cancer Center Hospital East, Kashiwa, Japan, 2Kanagawa Cancer Center, Yokohama, Japan for Malignant Pleural Mesothelioma 15.03 – 15.13 V4 Thoracoscopic Lobectomy with Chest Wall Resection Takashi Suda, Yuka Kitamura, Sachiko Tochii, Hiroshi Sugimura, Yoshinobu Chumy Nwogu, Sai Yendamuri, Todd Demmy; Roswell Park Cancer Institute, Hattori; Fujita Health University School of Medicine, Toyoake, Japan SUNY, Buffalo, NY, Buffalo, NY, USA V7 Robotic Right Upper Lobectomy For Early Stage Lung Cancer - Video Presentation Of Robot Positioning And Operative Technique 15.00 – 15.45 Dedicated Hands-on Time Marc Margolis, Farid Gharagozloo, Eric Strother, barbara Tempesta; George Washington University Medical Center, Washington, DC, USA V8 Robot-assisted Ivor Lewis Esophagogastrectomy For 15.45 – 16.58 CONCURRENT SESSION 5: Aortic Esophageal Cancer- Video Presentation of Robot Positioning and Endovascular Therapies, Perfusion Operative Procedure & Endovascular Technologies & Marc Margolis, Farid Gharagozloo, Barbara Tempesta, Eric Strother; George Washington University Medical Center, Washington, DC, USA Image Guided Therapies V9 Videoscope-Assisted Latissimus Dorsi And Serratus Anterior Moderators: Volkmar Falk, MD & William Cohn, MD Muscle-Sparing Vertical Thoracotomy For Lung Cancer Surgery Doosang Kim, Young-Mee Ahn, Yong-Ho Rho; Seoul Veterans Hospital, Seoul, 15.45 – 15.57 16 Hypothermia Severely Affects Performance of Republic of Korea Nitinol Based Endografts V10 Robotic-Assisted, Minimally-Invasive Resection of High Chest Roberto Rodriguez, Ralph de la Torre, Mark Schermerhorn, Robert Hagberg, Wall Lesions Frank Pomposelli; Beth Israel Deaconess Medical Center, Boston, MA, USA Robert Cameron; UCLA, Los Angeles, CA, USA 15.57 – 16.09 17 Intraoperative Epiaortic Ultrasound Scanning Guides Operative Strategies and Identifies Patients at High Risk 16.30 – 18.00 Exhibit Hall Reception During Coronary Artery Bypass Grafting Omar M. Lattouf, Vinod H. Thourani, Patrick D. Kilgo, Kim T. Baio, Robert A. 17.00 – 18.00 Poster Competition: Round 1 Guyton, John D. Puskas; Emory University, Atlanta, GA, USA Chief Moderators: Rex De Lisle Stanbridge, 16.09 – 16.21 18 The Use of Optical Coherence Tomography and MD, FRCS, FRCP & John L. Knight, MD Multidetector CT to Quantify the Risk of Conduit Spasm Following Topics: Minimally Invasive CABG (cid:140) Thoracic Robert S. Poston, Junyan Gu, Nick Burris, Charles White; University of Maryland (cid:140) Revascularization Strategies I School of Medicine, Baltimore, MD, USA 16.21 – 16.33 19* Value of Augmented Reality Enhanced (cid:140) Revascularization Strategies II Transesophageal Echocardiography (TEE) for Determining Optimal (cid:140) Endo-Vascular and Heart Failure Annuloplasty Ring Size During Minimally Invasive Mitral Valve (cid:140) Arrhythmia and General Repair (cid:140) Mitral Valve – Trans Cath and Stephan Jacobs, David Holzhey, Friedrich Wilhelm Mohr, Volkmar Falk; Minimally Invasive Heartcenter Leipzig, Leipzig, Germany (cid:140) Aortic Valve – Trans Cath and 16.33 – 16.48 MP10 Comparative Imaging of Devices and Minimally Invasive Procedures for the Treatment of Structural Heart Disease Timothy G. Laske1, John R. Liddicoat1, Paul A. Iaizzo2; 1Medtronic, Minneapolis, 16.50 – 17.45 Dedicated Hands-on Time MN, USA, 2University of Minnesota, Minneapolis, MN, USA MP11 New Imaging Modalities for Guidance Within the Left and 17.30 -19.30 Technical Challenges: Preoperative Right Heart: Is Ultrasound Sufficiently Reliable for Transapical Strategies and Intraoperative Valved Stent Implantation? Complications Christoph H. Huber, Ludwig K. von Segesser; University Hospital Lausanne - CHUV, Switzerland, Lausanne, Switzerland Chair: Valavanur A. Subramanian, MD Co-Chairs: Hermann Reichenspurner, MD & Patrick Nataf, MD 8 THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY ISMICS 2008 PRELIMINARY PROGRAM FRIDAY 13 JUNE 08.12 – 08.24 25 A Minimally Invasive Full Cox-Maze Procedure: Technique and Results Anson M. Lee, Marci S. Bailey, Abdulhameed Aziz, Richard B. Schuessler, Ralph J. Damiano, Jr.; Washington University, Saint Louis, MO, USA 07.30 – 08.30 Continental Breakfast in Exhibition Hall 08.24 – 08.36 26 Novel Comprehensive Access for Minimally- Invasive Surgery for Lone Atrial Fibrillation 07.30 – 10.30 Exhibition Hall Hours Gerard M. Guiraudon1, Douglas L. Jones2, Daniel Bainbridge3, Terrence M. Peters4; 1CSTARCSTAR. LHSC LHRI. Robarts Research Institute. Schulich Medical School; UWO., London, ON, Canada, 2Department of Physiology and 08.00 – 09.13 CONCURRENT SESSION 7: Thoracic Pharmacology. Schulich Medical School. CSTARCSTAR. LHSC LHRI. Robarts Moderators: Kemp Kernstine, MD & Research Institute. UWO., London, ON, Canada, 3LHSC LHRI. Department of Robert B. Cameron, MD Anesthesiology. Schulich Medical School.. UWO., London, ON, Canada, 4Robarts Research Institute. Department of Biophysics. CSTAR. LHSC. LHRI. 08.00 – 08.12 20 Transcervical Extended Mediastinal Schulich Medical School. UWO., London, ON, Canada Lymphadenectomy (Temla) - Results Of Staging In 421 Patients 08.36 – 08.48 27* Closed Chest Totally Endoscopic Bipolar With Non-Small-.Cell Lung Cancer (Nsclc) Radiofrequency Treatment for Atrial Fibrillation M. Zielinski1, J. Kuzdzal1, L. Hauer1, J Pankowski2, T. Nabialek3, A. Szlubowski3, Alaaddin Yilmaz; St Antonius Hospital Nieuwegein, Nieuwegein, The W. Sosnicki1, J. Hauer1; 1Intensive Care Medicine of Pulmonary Hospital- Netherlands Department of Thoracic Surgery, Zakopane, Poland, 2Intensive Care Medicine 08.48 – 08.53 MP16 Magnetocardiographic Map-guided Minimal of Pulmonary Hospital-Department of Pathology, Zakopane, Poland, 3Intensive Atrial Fibrillation Surgery Care Medicine of Pulmonary Hospital-Department of Anesthesiology, Zakopane, Doosang Kim1, Kiwoong Kim2,Yong-Ho Lee2, Eun-Bo Shim3, Seung-Pyung Lim4, Poland Hyuk Ahn5; 1Seoul Veterans Hospital, Seoul, Republic of Korea, 2KRISS, Daejeon, 08.12 – 08.24 21 Robotic-Assisted Thymectomy - A 5-Year- Republic of Korea, 3Kangwon National University, Chuncheon, Republic of Experience Korea, 4Chungnam National University Hospital, Daejeon, Republic of Korea, Jens C. Ruckert1, Marc Swierzy1, Mahmoud Ismail1, Patrik Rogalla2, Ralph I. 5Seoul National University Hospital, Seoul, Republic of Korea Ruckert3, Andreas Meisel4; 1Universitätsmedizin Berlin-Departments of Surgery, 08.53 – 09.03 V12 Robotic Endoscopic Cox-Cryomaze: A Minimally Berlin, Germany, 2Universitätsmedizin Berlin-Departments of Radiology, Berlin, Invasive Cure Of Continuous Atrial Fibrillation Germany, 3University Medicine Berlin (Charité), Berlin, Germany, Harold G. Roberts, Jr.1, Faisal H. Cheema2, Imran Khalid2, Barry Crowe1, Robert 4Universitätsmedizin Berlin- Department of Neurology, Berlin, Germany Green1, Richard Brezing1; 1South Florida Cardiovascular Surgical Associates, 08.24 – 08.36 22 Enhancement of Minimal Invasive Thoracic Ft. Lauderdale, FL, USA, 2College of Physicians & Surgeons of Columbia Surgery: Four Arm Robotic Assisted Pulmonary Lobectomy University & New York Presbyterian Medical Center, New York, NY, USA Kenneth A. Lee; Anne Arundel Medical Center, Annapolis, MD, USA 09.03 – 09.13 V13 Paracardioscopic Ex-Maze Procedure for Atrial 08.36 – 08.48 23 Robotic Thoracoscopic Heller Myotomy For Fibrillation Achalasia Andy C. Kiser, MD1, Gerhard Wimmer-Greinecker, MD, PhD2, Boguslaw Kapelak, Farid Gharagozloo, Marc Margolis, Barbara Tempesta; George Washington MD, PhD3, Krzysztof Bartus3, Jerzy Sadowski, MD, PhD3; 1Arrhythmia Center of University Medical Center, Washington, DC, USA the Carolinas, Pinehurst, NC, USA, 2Klinik fur Herz-Thorax-Chirurgie, Bad 08.48 – 09.03 MP13 Successful Clinical and Radiological Bevensen, Germany, 3Jagiellonian University, Department of Cardiovascular Surgery and Transplantology, Krakow, Poland Outcomes Following Thoracoscopic Decortication in Critically Ill Patients 09.15 – 10.30 Dedicated Hands-on Time Prasad Adusumilli, Julie M. Schrader, Peter F. Ferson, Sebastien Gilbert; University of Pittsburgh Medical Center, Pittsburgh, PA, USA MP14 Lung Volume Reduction Surgery: Pros and Cons of Open Vs 10.30 – 11.00 Expert Consensus Statement – VATS Approaches Learned from 67 Cases Stented versus Stentless Valves Joseph B. Shrager; University of Pennsylvania, Philadelphia, PA, USA John R. Pepper, MD, FRCS & Davy Cheng, MD MP15 A Novel Minimally Invasive Approach for Lung Transplantation: Antero-Axillary Thoracotomy 11.00 – 11.30 Presidential Address Yoshiya Toyoda, Marco Zenati, Christian Bermudez, Brack Hattler, Kenneth McCurry; University of Pittsburgh Medical Center, Pittsburgh, PA, USA Rex De Lisle Stanbridge, MD, FRCS, FRCP 09.03 – 09.13 V11 Three Port VATS Segmentectomy For Lung Cancer 12.00 – 13.30 LUNCHEON SYMPOSIA Makoto Oda, Isao Matsumoto, Tsuyoshi Yachi, Kenichiro Saito, Takehisa Imagawa, Norihiko Ishikawa, Go Watanabe; Kanazawa University, Kanazawa, 13.30 – 16.00 Exhibition Hall Hours Japan 08.00 – 09.15 CONCURRENT SESSION 8: Arrhythmia 13.30 – 14.33 SESSION 9: Revascularization Moderators: Randall K. Wolf, MD & Tohru Asai, MD Outcomes & Strategies Moderator: Federico José Benetti, MD 08.00 – 08.12 24 Focal Ablation Of Epicardial Ganglionated Plexus: Electrophysiological Modification And Regeneration Of Vagal Tone 13.30 – 13.45 Historical Perspective - In Canine Atria OPCAB, 29 Years of Follow up Shun-ichiro Sakamoto, Richard B. Schuessler, Anson Lee, Abdulhameed Aziz, Federico José Benetti, MD; Ralph J. Damiano, Jr.; Division of Cardiothoracic Surgery, Washington Benetti Foundation, Santa Fe, Argentina University School of Medicine, Saint Louis, MO, USA THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY 9 ISMICS 2008 PRELIMINARY PROGRAM 13.45 – 13.57 28 Off-Pump Versus On-Pump Coronary Artery Bypass 15.32 – 15.41 MP23 Percutaneous, Trans-Septal Reduction Of The Grafting: A Systematic Review and Meta-Analysis of Propensity Score Dilated Left Ventricle In Sheep With Chronic Lad Occlusion And Analyses Antero-Septal Scar: The Dor Procedure Through A Catheter? Jochen Börgermann1, Benita von Salviati2, Jan F. Gummert1, Johannes Haerting2, Lon S. Annest1, Claudio Argento1, Shizhen Liu2, Mani Vannan2, Michael Acker3, Oliver Kuß2; 1Department of Cardiac and Thoracic Surgery, University Hospital Mani Subramanian4; 1BioVentrix, San Ramon, CA, USA, 2Ohio State University, Jena, Jena, Germany, 2Institute of Medical Epidemiology, Biostatistics, and Columbus, OH, USA, 3University of Pennsylvania, Philadelphia, PA, USA, 4Lenox Informatics, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany Hill, New York, NY, USA 13.57 – 14.09 29* The Impact of Off-Pump versus On-pump MP24 A Case Match Study of Efficacy of Direct Intramyocardial Coronary Artery Bypass Surgery on Postoperative Pulmonary Injection of Autologous Angiogenic Cell Precursors for Ischemic Complications and Mortality in Patients with COPD Cardiomyopathy Faraz Kerendi1, John D. Puskas1, Omar M. Lattouf1, Michael E. Halkos1, Patrick Permyos Ruengsakulrach, MD, PhD, Kitipan V. Arom, MD, PhD, Vitoon Kilgo2, Robert A. Guyton1, Vinod H. Thourani1; 1Emory University School of Pitiguagool, MD; Bangkok Heart Hospital, Bangkok, Thailand Medicine, Atlanta, GA, USA, 2Emory University School of Public Health, Atlanta, MP25 Aptamer-Based Isolation and Subsequent Imaging of GA, USA Mesenchymal Stem Cells in Ischemic Myocardium by Magnetic 14.09 – 14.23 MP17 Impact of Prior Percutaneous Coronary Resonance Tomography Intervention in Patients with Diabetes Mellitus and Multivessel Albertus M. Scheule, Tobias Walker, Vladimir Voth, K. Guo, Tim O. Greiner, R. Disease Undergoing Off Pump Coronary Artery Bypass Grafting Schäfer, Jakub Wiskirchen, R. Kehlbach, J. Pintaske, C D. Claussen, H. Takeshi Kinoshita, Tomoaki Suzuki, Osamu Nishimura, Hirohisa Ikegami, Northoff, Gerhard Ziemer; University Hospital Tübingen, Tübingen, Germany Atsushi Kambara, Keiji Matsubayashi, Tohru Asai; Shiga University of Medical 15.41 – 15.46 Discussion Science, Otsu, Japan MP18 Preoperative Hemoglobin A1c Predicts Wound 15.46 – 15.56 V15 Left Ventricular Reconstruction With Complications After Coronary Bypass Surgery With Bilateral vs. Realignment of Papillary Muscles Improves Ventricular Function In Single Internal Thoracic Artery Grafts: A Propensity Adjusted Ischemic Cardiomyopathy Analysis Sanjay Kumar, R U. Nair; Yorkshire Heart Centre, Leeds General Infirmary, John D. Puskas, Michael E. Halkos, Vinod H. Thourani, Patrick D. Kilgo, Omar Leeds, United Kingdom M. Lattouf, Robert A. Guyton; Emory University, Atlanta, GA, USA MP19 Off-Pump Coronary Artery Bypass Grafting is Associated with Reduced Operative Mortality and In-Hospital Adverse Events 15.56 – 16.40 State of the Art Lecture: in Patients with Left Main Coronary Artery Disease (cid:140) Acute Heart Failure – Anson Chueng, MD Omar M. Lattouf, Vinod H. Thourani, Patrick D. Kilgo, Robert A. Guyton, John (cid:140) Microaxial Flow Pumps in Acute Right Heart D. Puskas; Emory University, Atlanta, GA, USA Failure – Current Status – Jan Gummert, MD 14.23 – 14.33 V14 Endoscopic versus Minimally Invasive Direct (cid:140) Cardiolyte – A Mini-pump for Left Heart Failure LIMA Harvesting - Impact on Early And Late Graft Patency - Results – Bartley Griffith, MD of a Prospective, Randomized, Clinical Study (cid:140) 3rd Generation Centrifugal Pumps Krzysztof Filipiak1, Seweryn Wiechowski2, Jaroslaw Goracy2, Tomasz - Michael Morshuis, MD Hrapkowicz1, Michael O. Zembala, Jr.1, Marian Zembala1; 1Silesian Center For Heart Diseases, Zabrze, Poland, 2Pomeranian Medical University, Dept of 16.40 – 17.25 Poster Competition Finals Cardiovascular Surgery, Szczecin, Poland Moderators: Rex De Lisle Stanbridge, MD, 14:33 – 15.18 Dedicated Hands-on Time FRCS, FRCP; John L. Knight, MD & Vassilios Gulielmos, MD 15.18 – 15.56 Session 10: Heart Failure & Assist Devices 18.00 – 19.30 Attendee Reception Moderators: Jan Gummert, MD & Lishan Aklog, MD Top of the Hub Skywalk, Prudential Center, Boston 15.18 – 15.27 MP20 Wrap Tightness Determines Reverse Remodeling with Ventricular Restraint Therapy 22.00 – 23.30 President’s Nightcap Lawrence S. Lee, Ravi K. Ghanta, Aravind Rangaraj, Ramanan Umakanthan, Minoru Tabata, Rita G. Laurence, John A. Fox, Ralph M. Bolman, Lawrence H. Cohn, Frederick Y. Chen. Brigham and Women’s Hospital, Boston, MA, USA MP21 A Pericardial-based Bioscaffold Promotes Ventricular Remodeling and Regeneration Adam E. Saltman1, Jacques P. Guyette2, Damon Kelly3, Daniel V. Filipe2, Megan K. Murphy2, Deep Singh2, Nicholas S. McBride2, George D. Pins2, B. N. Oray4, Glenn R. Gaudette2; 1Maimonides Medical Center, Brooklyn, NY, USA, 2Worcester Polytechnic Institute, Worcester, MA, USA, 3Stony Brook University, Stony Brook, NY, USA, 4Synovis Life Technologies, St. Paul, MN, USA MP22 Concordance of Sites With Latest Activation and Epicardial Left Ventricular Lead Fixation is a Strong Predictor of Response to Robotically Implanted Cardiac Resynchronization Therapy Ajay Shah, Rawa Sarji, Olga Kuteyeva, Sripal Bangalore, Ganesh Kamath, Sandhya K. Balaram, Jonathan Steinberg, Farooq Chaudhry. St. Luke’s- Roosevelt Hospital Center, New York, NY, USA 15.27 – 15.32 Discussion 1O THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIOTHORACIC SURGERY
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