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Technology in heart surgery by F Halfwerk SMB feb 2016

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Presentation on needs from Cardiology field by Frank R Halfweg @SMB meeting, 25-02-16.

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Technology in heart surgery by F Halfwerk SMB feb 2016

  1. 1. Frank R. Halfwerk, MD MSc Technical Physician
  2. 2. Disclosure of speaker’s interests (Potential) conflicts of interest Yes, see below Potentially relevent company relationships EMCM (internship, consortium) HCM Medical (consortium, consultant) Research Funding Fee or other payment Shareholder Other relationship European Regional Development Fund No No No
  3. 3.  Founded in Enschede in 2004  Increasing surgical volume to 1200 patients / year  Dedicated Thorax OR / Thorax IC / Hybrid OR  5 cardio-thoracic surgeons  19 cardiologists  3 technical physicians  Cardio-Research Centre
  4. 4. 2016
  5. 5.  60 year old man  Architect  Presents at General Practioner  Pain in chest when cycling  Shortness of breath
  6. 6. † 2023 Istanbul Kanal 2023 † 2029 JFK 2029
  7. 7.  7 years post valve surgery again shortness of breath  Valve deteriorated
  8. 8.  High risk  7 years older  Previous heart surgery (33% risk †)  Treatment options:  New biological heart valve  Transcatheter Valve Implantation  Minimally Invasive  Bleeding  Stroke / CVA  Kidney Failure  Rhythm disorders
  9. 9.  Surgical removal?  Complications:  Lung infections  Nerve injury  Ischaemic anastomosis  Dehiscence  Peri-operative morbidity 40%  > 4 cm resections avoided  No treatment options
  10. 10. Tissue-engineered trachea? Macchiarini et. al, Lancet 2008
  11. 11. Blood vessels off the shelf Long lasting heart valves Functional trachea implants
  12. 12. MINIMALLY INVASIVE SURGERY TISSUE RECONSTRUCTION PROSTHETIC DEVICESIMAGING AND MODELING PROF J GRANDJEAN
  13. 13. Alles zelf doen is optellen, samenwerken is vermenigvuldigen (To work alone is adding up, while collaboration is multiplication) Health Outlook 2014, STZ

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