Videotaped surgery of a Transmyocardial Laser Revascularization (TMR).
TMR is a new surgical procedure that employs a high-energy, computer-synchronized carbon dioxide (CO2) laser to place channels through an oxygen-deprived heart muscle (myocardium). Clinical studies have demonstrated that the creation of these channels provides oxygen-rich blood to the previously deprived areas of the heart. TMR is prescribed for patients for whom bypass surgery and angioplasty are no longer appropriate. Recent studies are indicating the benefit of a combination of TMR and bypass procedures.
Course Sponsor:
Providence Medical Center, Continuing Medical Education
Category:
CME Web Events
Subcategory:
General
Credits:
1.00
Cost to View:
FREE
Cost for Credit:
$10.00
Audience(s):
Physicians
Credit Type:
CME
Description:
Videotaped surgery of a Transmyocardial Laser Revascularization (TMR)
TMR is a new surgical procedure that employs a high-energy, computer-synchronized carbon dioxide (CO2) laser to place channels through an oxygen-deprived heart muscle (myocardium). Clinical studies have demonstrated that the creation of these channels provides oxygen-rich blood to the previously deprived areas of the heart. TMR is prescribed for patients for whom bypass surgery and angioplasty are no longer appropriate. Recent studies are indicating the benefit of a combination of TMR and bypass procedures.
This course was developed with an unrestricted educational grant from AstraZeneca LP; GE Marquette, a GE Medical Systems Company; and PLC Medical Systems, Inc.
Video Viewing Requirements:
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Author:
Keith Horvath, MD, Kimble Jett, MD, and Robert Lazzara, MD
Author Bio:
Keith Horvath, MD
Assistant Processor of Surgery
Northwestern University Medical School
Chicago, IL
Dr. Keith A. Horvath attended the University of Chicago and received his degree of MD in 1987. Following that he underwent his training in general and cardiothoracic surgery at Harvard University and Brigham and Women's Hospital. During that period he was a laser research fellow at the Wellman Laboratories of Photomedicine. He joined the Cardiothoracic Division in the Department of Surgery of Northwestern University Medical School and staff of Northwestern Memorial Hospital in 1996 where he is engaged in a busy practice of cardiac surgery. His areas of special surgical expertise include minimally invasive cardiac surgery, valve repairs and ventricular assist devices.
Dr. Horvath pioneered the development of transmyocardial laser revascularization (TMR) during his residency at the Brigham and Women's Hospital in Boston. Dr. Horvath has become an internationally recognized authority in the techniques of TMR. He has published numerous important studies in the field, and he continues to conduct research into the mechanism of laser-induced improvement in myocardial perfusion.
G. Kimble Jett, MD
Chief of Cardiovascular Surgery
Providence Seattle Medical Center
Seattle, WA
Dr. Jett is the author of more than 40 scientific papers, three book chapters and many published abstracts. He has given more than 100 invited lectures and scientific presentations.
In addition to his large surgical practice, Dr. Jett has been active in clinical and technology-based cardiovascular research for the past ten years with particular interest is assisted circulation, ventricular support devices, minimally invasive cardiac surgery, and transmyocardial laser revascularization. He has also conducted research regarding the influence of commonly used drugs on blood flow through internal mammary artery bypass grafts and to the heart and kidneys.
Dr. Jett's area of special surgical expertise and interest include minimally invasive bypass and valvular cardiac surgery, mitral valve repair and replacement, ventricular assist devices, implantable artificial hearts and surgical therapy for congestive heart failure (Batista procedure). Doctor Jett is an authority on assisted circulation and ventricular assist devices and has presented his research and outcomes in Europe, Mexico, Australia and Asia as well as in the United States.
Robert R. Lazzara, MD, PC
Director of Minimally Invasive Cardiac Surgery
Providence Seattle Medical Center
Associate Medical Director
The Hope Heart Institute
Seattle, WA
Dr. Lazzara is a board certified Cardiovascular Surgeon. He is the Director of Minimally Invasive Cardiac Surgery at Providence Seattle Medical Center, and Associate Medical Director at The Hope Heart Institute in Seattle.
Dr. Lazzara has been invited to speak on more than 30 occasions in the United States as well as Europe, most recently at the Bio '99 in Seattle and eWorld Commerce convention in Chicago.
As the first surgeon to perform open heart surgery in real time over the Internet, Dr. Lazzara has been nominated for the Computerworld Smithsonian Award for Innovation.
Learning Objectives:
Upon completion of this program the participants will be able to recognize appropriate patients for TMR. Upon completion of this program the participants will gain knowledge regarding advantages/disadvantages of TMR for non-bypass surgical candidates.
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Videotaped surgery of a Transmyocardial Laser Revascularization (TMR)