This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Evgenij Potapov, a consultant senior surgeon and co-chairman of the mechanical circulatory support program in the Department of Thoracic and Cardiovascular Surgery at the German Heart Center in Berlin, about the guidelines on temporary mechanical circulatory support (tCMS) in adult cardiac surgery.

Chapters

00:00 Intro

01:56 Segmentectomy vs Lobectomy News

18:51 JANS 1, CT Residents Emergency Surgery

20:56 JANS 2, Interventional vs Surgical

22:49 JANS 3, Robotic Vascular Surgery

24:32 JANS 4, Surgery vs Surveillance

26:30 Video 1, Branch-First Arch Replacement

28:19 Video 2, Manougian Technique Double Patch

30:14 Video 3, Bentall Surgery via RAM

31:23 Evgenij Potapov Interview

53:55 Upcoming Events

They discussed the key elements of the guidelines, active unloading, and current trends and outcomes in tMCS. Additionally, they addressed protected cardiac surgery for high-risk patients, cardiac arrest, and the impact of recent changes to the donor heart allocation system on tMCS. Dr. Potapov also shared valuable insights on hints and tips for tMCS, anticoagulation management, and the future of tMCS. Furthermore, Joel elaborated on recent discussions regarding lobectomy vs segmentectomy in a detailed analysis. 

Joel also highlights recent JANS articles on a 10-year propensity-matched analysis on if we can safely train cardiothoracic surgical residents to perform emergency surgery, investigating the personality of interventional and surgical cardiovascular specialists, a clinical perspective on robotic-assisted vascular surgery, and a quality-of-life analysis of patients with moderately dilated aortic root or ascending aorta. 

In addition, Joel explores branch-first arch replacement, revisiting the Manougian technique with double-patch, and Bentall surgery via right anterior minithoracotomy. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) Can We Safely Train Cardiothoracic Surgical Residents to Perform Emergency Surgery? A 10-Year Propensity-Matched Analysis  

2.) Cut From the Same Cloth? Investigating the Personality of Interventional and Surgical Cardiovascular Specialists 

3.) Robotic-Assisted Vascular Surgery: A Clinical Perspective 

4.) Surgery Versus Surveillance: A Quality-of-Life Analysis of Patients With Moderately Dilated Aortic Root or Ascending Aorta 

CTSNet Content Mentioned 

1.) Branch-First Arch Replacement: How to Do It  

2.) Revisiting the Manougian Technique With Double-Patch  

3.) Bentall Surgery via Right Anterior Minithoracotomy  

Other Items Mentioned 

1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery  

2.) The Cardiac Recovery Room 

3.) Resident Video Competition 

4.) 2025 CTSNet Recruitment Guide    

5.) Career Center  

6.) CTSNet Events Calendar 

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