The Beat With Joel Dunning Ep. 156: Ascending Stent Graft—ARISE III Trial

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Brad Leshnower, Director of Aortic Surgery at Emory University Hospital in Atlanta, GA, USA, about the first implantation of the Gore Ascending Stent Graft in the ARISE III trial for the treatment of an acute type A dissection. They discussed Dr. Leshnower’s experience with this groundbreaking implantation, including the case details such as the patient’s medical history, the assessment of the patient’s high-risk status, and the criteria for determining their suitability for the procedure. Imaging techniques and the contributions of the other surgeons involved in the case were also highlighted. Furthermore, they delved into the use of the stent in previous ARISE trials and what Dr. Leshnower learned from those early experiences. The conversation also covered topics such as proximal placement, the innominate artery, and the preoperative planning required for the trial. Dr. Leshnower also shared what he learned from this case and discussed the future of the stent graft and this technique.  

Joel also highlights recent JANS articles on the safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship, sodium-glucose cotransporter 2 inhibitor use and outcomes after surgical aortic valve replacement, association between surgical timing and postoperative outcomes in type A acute aortic dissection, and early surgery or conservative care for asymptomatic aortic stenosis at 10 years. 

In addition, Joel explores the Nuss procedure with midline chrondrotomies in severe pectus excavatum, redo surgery for failed MVr, iatrogenic ASD, tricuspid valve regurgitation, and aorta replacement, and uniportal VATS left lower sleeve lobectomy with upper lobe bronchial reimplantation for typical carcinoid tumor. 

Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1. Safety and Efficacy of a Dedicated Pulmonary Thromboendarterectomy Fellowship: The UK Experience at a High-Volume Center
2. Sodium-Glucose Cotransporter 2 Inhibitor Use and Outcomes After Surgical Aortic Valve Replacement
3. Association Between Surgical Timing and Postoperative Outcomes in TypeAAcute Aortic Dissection 
4. Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis at 10 Years 

CTSNet Content Mentioned 

1. The Nuss Procedure With Midline Chrondrotomies in Severe Pectus Excavatum  
2. Redo Surgery for Failed MVr, Iatrogenic ASD, Tricuspid Valve Regurgitation, and Aorta Replacement 
3. Uniportal VATS Left Lower Sleeve Lobectomy With Upper Lobe Bronchial Reimplantation for Typical Carcinoid Tumor  

Other Items Mentioned 

1. ARISE III Trial of Gore Ascending Stent Graft Begins Enrollment
2. How to Navigate the New CTSNet Website 
3. Career Center 
4. CTSNet Events

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