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Mobile Vascular Lab Unit To Begin in Summer - Surgery - University ...

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Significant Ga<strong>in</strong>s <strong>in</strong> NIH Rank<strong>in</strong>g<br />

The Department of <strong>Surgery</strong> jumped from #28 <strong>in</strong> FY01 (and #31 <strong>in</strong><br />

FY00) to #15 <strong>in</strong> NIH grants rank<strong>in</strong>g (based on research awards). The<br />

total awards to UC Surgeons <strong>in</strong> FY02 was $4,088,546. The UC<br />

College of Medic<strong>in</strong>e is ranked 19/73 for public medical schools and<br />

42/125 total public and private medical schools.<br />

The UC Department of <strong>Surgery</strong> has surpassed not only Ohio State but<br />

also Johns Hopk<strong>in</strong>s, Vanderbilt, Columbia, Emory, and several other<br />

prom<strong>in</strong>ent players <strong>in</strong> NIH rank<strong>in</strong>g. This is an important <strong>in</strong>dication<br />

that UC Surgeons is be<strong>in</strong>g recognized nationally, and that its surgeons<br />

and researchers are help<strong>in</strong>g to shape the future of surgery and medic<strong>in</strong>e.<br />

The Department is poised with new recruits com<strong>in</strong>g on board <strong>in</strong><br />

July to jump even higher <strong>in</strong> NIH rank<strong>in</strong>g next year.<br />

UC Matches First Female <strong>Vascular</strong><br />

<strong>Surgery</strong> Fellow<br />

Amy B. Reed, M.D., Program Director of the <strong>University</strong> of<br />

C<strong>in</strong>c<strong>in</strong>nati <strong>Vascular</strong> <strong>Surgery</strong> Fellowship, has successfully matched<br />

UC's first female vascular surgery fellow, Cather<strong>in</strong>e Caggianos,<br />

M.D. Dr. Caggianos will beg<strong>in</strong> the two-year cl<strong>in</strong>ical fellowship <strong>in</strong><br />

July 2004. The UC Division of <strong>Vascular</strong> <strong>Surgery</strong>'s strong commitment<br />

to state-of-the-art endovascular surgical tra<strong>in</strong><strong>in</strong>g <strong>in</strong> addition to<br />

complex open surgical techniques has allowed the Division to cont<strong>in</strong>ue<br />

to attract top candidates from across the country, while other top<br />

programs <strong>in</strong> the country have gone unmatched.<br />

More <strong>Vascular</strong> <strong>Surgery</strong> News:<br />

Harold Davis, Ph.D., of the <strong>Vascular</strong> <strong>Surgery</strong> Division, presented a<br />

poster entitled "The Role of the Cytoskeleton <strong>in</strong> Cellular Adhesion<br />

Molecule Expression <strong>in</strong> Tumor Necrosis Factor-Stimulated<br />

Endothelial Cells" at the Society for <strong>Vascular</strong> Medic<strong>in</strong>e and Biology<br />

meet<strong>in</strong>g <strong>in</strong> Chicago on June 6-8, 2003. Other authors were Elizabeth<br />

VandenBerg and John Edwards.<br />

The Division of <strong>Vascular</strong> <strong>Surgery</strong> is also proud to announce that Amy<br />

B. Reed, M.D., recently passed the American Board of <strong>Vascular</strong><br />

<strong>Surgery</strong> Certify<strong>in</strong>g Exam<strong>in</strong>ation and is now fully Board Certified <strong>in</strong><br />

<strong>Vascular</strong> <strong>Surgery</strong>.<br />

Liver Transplant Program <strong>in</strong> Full Sw<strong>in</strong>g<br />

The <strong>University</strong> of C<strong>in</strong>c<strong>in</strong>nati Liver Transplant Program has performed<br />

more adult liver transplants <strong>in</strong> C<strong>in</strong>c<strong>in</strong>nati over the past six<br />

months than the other four Ohio liver transplant programs comb<strong>in</strong>ed.<br />

As a result, many more patients have been removed from the wait<strong>in</strong>g<br />

list and returned to a normal life. UC Surgeons have performed more<br />

than 50 liver transplants (with a 100% survival rate) s<strong>in</strong>ce December<br />

2002, twice the number of transplants ord<strong>in</strong>arily performed <strong>in</strong> a similar<br />

time period.<br />

This <strong>in</strong>crease <strong>in</strong> transplant activity has occurred largely due to the<br />

more aggressive recruitment of local and statewide organ donors<br />

through the widespread use of "extended criteria donors." Whereas<br />

organ donors with advanced age, certa<strong>in</strong> types of <strong>in</strong>fections, conta<strong>in</strong>-<br />

<strong>in</strong>g high degrees of fat, among other factors, were previously not considered<br />

for liver donation, the new approach has enabled the acceptance<br />

of these organ donors by m<strong>in</strong>imiz<strong>in</strong>g the time the donor is without<br />

blood flow as well as manipulat<strong>in</strong>g post-transplant immunosuppression<br />

drugs. Nearly all liver donors are now deemed acceptable<br />

for transplant, with very favorable results.<br />

Under the direction of Steven M. Rudich,<br />

M.D., Ph.D., Associate Professor of <strong>Surgery</strong><br />

and Director of Liver Transplant Services, the<br />

liver transplant program has made great<br />

strides forward. With<strong>in</strong> the next few months,<br />

the UC Liver Transplant Program will resume<br />

adult-to-adult live-donor liver transplants. In<br />

this case, an exceptionally healthy relative<br />

(usually) has approximately 60% of his/her<br />

Steve Rudich, M.D., Ph.D.<br />

liver removed, which is then given to the<br />

recipient. The liver regenerates <strong>in</strong> both the donor and recipient. UC<br />

Surgeons were the first <strong>in</strong> Ohio to offer live-donor transplants to<br />

patients with liver disease.<br />

In addition, more widespread use of donation after cardiac death<br />

(DCD) organ donors will be realized through the use of extracorporeal<br />

membrane oxygenation (ECMO), a technique that allows reoxygenation<br />

and revitalization of organs after death. UC Surgeons are<br />

one of only two groups <strong>in</strong> the world to use ECMO technology to prepare<br />

livers from DCD organ donors for transplantation.<br />

UC Surgeons are well on their way to creat<strong>in</strong>g the largest, most successful<br />

and aggressive liver transplant program <strong>in</strong> Ohio. However,<br />

only the selfless commitment of Ohioans makes this service possible.<br />

In concert with LifeCenter, the UC Liver Transplant Program is work<strong>in</strong>g<br />

to keep Ohioans free of the life-threaten<strong>in</strong>g complications of endstage<br />

liver disease. For further <strong>in</strong>formation or to make a referral,<br />

call (513) 558-3892.<br />

More Transplant <strong>Surgery</strong> News:<br />

Transplant Recipients May Be Prone to West Nile Virus<br />

Encephalitis. Reuters and Medscape recently published the results<br />

described <strong>in</strong> an abstract presented by Debby DeSalvo, M.D., a transplant<br />

nephrology fellow <strong>in</strong> the UC Department of Internal Medic<strong>in</strong>e,<br />

and members of the UC Division of Transplantation at the American<br />

Transplant Congress <strong>in</strong> June. Two transplant recipients at UC were<br />

treated for West Nile Virus encephalitis dur<strong>in</strong>g the past year; one<br />

patient died after standard tests failed to reveal the diagnosis <strong>in</strong> time<br />

for treatment, while the subsequent patient recovered fully after additional<br />

tests revealed cerebral edema. This latter patient was taken off<br />

immunosuppressants and put on a course of alpha <strong>in</strong>terferon, an<br />

experimental therapy; he recovered with<strong>in</strong> days and is do<strong>in</strong>g well 10<br />

months later.<br />

Medscape also published the comb<strong>in</strong>ed results of two separate<br />

abstracts presented at the American Transplant Congress by Joseph<br />

Buell, M.D., and Manish Gupta, M.D., show<strong>in</strong>g that a history of<br />

breast or prostate cancer is not necessarily a contra<strong>in</strong>dication for solid<br />

organ transplantation. Patients with stage I or II cancer do relatively<br />

well, but a history of stage III breast or prostate cancer carries a very<br />

poor prognosis.

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