Thinking Outside the Box: The Interventional Surgeon
Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons' therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic app...
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| Published in: | Revista brasileira de cirurgia cardiovascular Vol. 39; no. 3; p. e20230207 |
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01-01-2024
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| Abstract | Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons' therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic approaches are already practiced by cardiovascular surgeons in Brazil. The expansion of these techniques, coupled with recent changes in the country's medical residency program in cardiovascular surgery, has led to an urgent need to acquire catheter-based skills. In this article, we discuss these aspects in the light of the reality of cardiovascular surgery training in Brazil. |
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| AbstractList | Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons' therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic approaches are already practiced by cardiovascular surgeons in Brazil. The expansion of these techniques, coupled with recent changes in the country's medical residency program in cardiovascular surgery, has led to an urgent need to acquire catheter-based skills. In this article, we discuss these aspects in the light of the reality of cardiovascular surgery training in Brazil. Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons’ therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic approaches are already practiced by cardiovascular surgeons in Brazil. The expansion of these techniques, coupled with recent changes in the country’s medical residency program in cardiovascular surgery, has led to an urgent need to acquire catheter-based skills. In this article, we discuss these aspects in the light of the reality of cardiovascular surgery training in Brazil. ABSTRACT Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons’ therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic approaches are already practiced by cardiovascular surgeons in Brazil. The expansion of these techniques, coupled with recent changes in the country’s medical residency program in cardiovascular surgery, has led to an urgent need to acquire catheter-based skills. In this article, we discuss these aspects in the light of the reality of cardiovascular surgery training in Brazil. |
| Author | Fonseca, José Honório de Almeida Palma da Camacho, Mauro Henrique Batista Maia, Adnaldo da Silveira Silva, Francisco Victor Alves da Alvarado, Pedro Esteban Ulloa Mayer, Dayara Hoffmann Soares, Karlos Jennysson Sousa |
| AuthorAffiliation | 3 Department of Cardiovascular Surgery, Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil 1 Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil 2 Department of Cardiovascular Surgery, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil |
| AuthorAffiliation_xml | – name: 1 Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil – name: 3 Department of Cardiovascular Surgery, Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil – name: 2 Department of Cardiovascular Surgery, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil – name: Universidade de São Paulo – name: Instituto Dante Pazzanese de Cardiologia – name: Hospital do Coração |
| Author_xml | – sequence: 1 givenname: Adnaldo da Silveira orcidid: 0000-0001-6506-7589 surname: Maia fullname: Maia, Adnaldo da Silveira organization: Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil – sequence: 2 givenname: Karlos Jennysson Sousa surname: Soares fullname: Soares, Karlos Jennysson Sousa organization: Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil – sequence: 3 givenname: Pedro Esteban Ulloa surname: Alvarado fullname: Alvarado, Pedro Esteban Ulloa organization: Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil – sequence: 4 givenname: Francisco Victor Alves da surname: Silva fullname: Silva, Francisco Victor Alves da organization: Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil – sequence: 5 givenname: Dayara Hoffmann surname: Mayer fullname: Mayer, Dayara Hoffmann organization: Department of Cardiovascular Surgery, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil – sequence: 6 givenname: Mauro Henrique Batista surname: Camacho fullname: Camacho, Mauro Henrique Batista organization: Department of Cardiovascular Surgery, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil – sequence: 7 givenname: José Honório de Almeida Palma da surname: Fonseca fullname: Fonseca, José Honório de Almeida Palma da organization: Department of Cardiovascular Surgery, Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil |
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| Keywords | Brazil Surgeons Internship and Residency Heart Diseases Catheters |
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| License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
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| References_xml | – volume: 42 start-page: 2912 issue: 30 year: 2021 end-page: 2919 article-title: Eight-year outcomes for patients with aortic valve stenosis at low surgical risk randomized to transcatheter vs. surgical aortic valve replacement publication-title: Eur Heart J contributor: fullname: Jørgensen, TH; Thyregod, HGH; Ihlemann, N; Nissen, H; Petursson, P; Kjeldsen, BJ – year: 2018 publication-title: Matriz de Competências em Cirurgia Cardiovascular – volume: 37 start-page: i issue: 4 year: 2022 end-page: iv article-title: Change in the SBCCV's medical residency program - perspectives of the specialty and challenges of young surgeons publication-title: Braz J Cardiovasc Surg contributor: fullname: Barbosa, GV. – volume: 34 start-page: I issue: 5 year: 2019 end-page: II article-title: Heart surgery and disruptive technology publication-title: Braz J Cardiovasc Surg contributor: fullname: Braile, DM; Zanini, M; Gonçalves, CSA; Evora, PRB. – volume: 154 start-page: 990 issue: 3 year: 2017 end-page: 993 article-title: From sutures to wires: the evolving necessities of cardiac surgery training publication-title: J Thorac Cardiovasc Surg contributor: fullname: Pelletier, MP; Kaneko, T; Peterson, MD; Thourani, VH. – volume: 136 start-page: 816 issue: 4 year: 2008 end-page: 819 article-title: Fool me once, shame on you; fool me twice, shame on me! 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| Title | Thinking Outside the Box: The Interventional Surgeon |
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