UC Surgeon-Scientist Receives $1.5 Million Grant to Study Heart ...

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Vascular Surgery Advances Minimally Invasive Care Joseph S. Giglia, M.D., interim director of the Division of Vascular Surgery, performed the first minimally invasive endovascular surgery in the Tristate to repair a thoracic aortic aneurysm using the GORE TAG Thoracic Endoprosthesis, the only FDA-approved device of its kind. The procedure, which eliminates the need for a major chest incision, is a major advance for patients who are not viable candidates for traditional open surgery because of advanced vascular disease and other health complications. The 70-year-old patient underwent the procedure on October 31 and was released from University Hospital a week later. Dr. Joseph Giglia holds an endovascular graft. (Photo courtesy of Academic Health Center Public Relations/D. Collins) Many patients who suffer from thoracic aortic aneurysms also have serious health problems that make traditional open surgery too risky. Endovascular repair is very promising because it gives those high-risk patients a better chance for survival. The procedure requires only a few small incisions in the groin where a catheter is inserted. Guided by live X-ray images and a video screen, Dr. Giglia locates the aneurysm and threads the catheter through blood vessels to the exact location. He then deploys the GORE TAG Thoracic Endoprosthesis stent-graft to patch the interior of the diseased artery. The stent-graft is held in place against the vessel walls once it expands to full size. Once in place, the stent-graft supports the weakened vessel walls and allows blood to continue flowing through the aorta without applying pressure to the aneurysm. Without a blood supply, the aneurysm is less likely to rupture and will begin to shrink over time. Repairing the diseased artery from inside the body minimizes the complications associated with open surgery and gives more patients an option for survival. The procedure also takes a quarter of the time required for open surgery and minimizes blood loss. Endovascular grafts allow repair of the aneurysm without a major chest incision, with less risk for infection, a shorter hospital stay, and faster recovery time. As seen in the photo at left, UC vascular surgeons are using an outsourced image processing service (Medical Metrix Solutions) for thoracic aortic aneurysm patients that decreases procedures, devices, and cost. It provides critical information using data from the patient's routine CT studies, and obviates the need for invasive angiogram prior to endovascular aneurysm repair. “It is a very powerful tool that allows precise preoperative planning and assists with intraoperative management,” says Dr. Giglia. As noted in the previous newsletter, Dr. Giglia also was the first in the Tristate to perform a minimally invasive, laparoscopic-assisted bypass procedure to treat aortoiliac arterial occlusive disease. Only a handful of centers are performing this procedure nationally. UC vascular surgeons plan to perform the operation completely with laparoscopic instruments in the near future and eventually with a surgical robot. Vascular Surgery Fellowship Director Receives Honors and Funding Amy B. Reed, M.D., Assistant Professor of Surgery in the Division of Vascular Surgery, was appointed to the Ohio Chapter ACS (American College of Surgeons) Women’s Committee and Ohio Chapter ACS Representative to Association of Women Surgeons. Dr. Reed was invited speaker at UC’s AMWA (American Medical Women’s Association) Chapter on being a woman in vascular surgery, as well as invited speaker at Ohio/Northern Kentucky/Indiana Society for Vascular Ultrasound on “Treatment and Management of Venous Disease in 21st Century.” On September 23, 2005, Mr. Greg Wallace of Boston Scientific presented the Vascular Surgery Fellowship Program with a gift for continuing education in vascular surgery. Dr. Amy Reed accepts gift from Greg Wallace of Boston Scientific
Making Strides Walk is Held to Benefit American Cancer Society The Breast Cancer and Environment research group teamed up with Kathleen Heppner-Goss, Ph.D., and her team for the recent Making Strides Walk to benefit research sponsored by the American Cancer Society. Dr. Goss, Assistant Professor of Surgery in the Epithelial Pathobiology Research Group, receives funding from the ACS for research in breast cancer. Participants in Making Strides Walk for American Cancer Society. Plastic Surgeon is Invited Faculty at “Mini Medical College” Course Anureet Bajaj, M.D., Assistant Professor of Surgery, Division of Plastic, Reconstructive and Hand Surgery, was an invited speaker at the UC College of Medicine “Mini Medical College” on October 25, 2005. Her topic, “Extreme Makeover Edition,” provided guidelines and expectations for people considering plastic surgery, and detailed advanced microsurgical procedures for breast reconstruction. Dr. Bajaj is the only surgeon in the region to perform these microsurgical procedures. Dr. Anureet Bajaj speaks at Mini Medical College. (Photo by Dan Davenport, provided by University of Cincinnati College of Medicine Development and Alumni Affairs.) Division of Urology Hosts Symposium for Prostate Disease Specialists The UC Division of Urology hosted a symposium for the Prostate Cancer Working Group on Tuesday, December 6, 2005, at the Marriott Kingsgate Conference Center. Speakers included Drs. William Barrett, radiation oncology; Bruce Bracken, urology; Ralph Buncher, environmental health; James Donovan, urology; Shuk-mei Ho, environmental health; Karen Knudsen, cell biology; Ying Wai Lam, environmental health; Alex Lentsch, surgical research; Leslie Oleksowicz, hematology and oncology; Patricia Revelo, pathology; and Edward Silberstein, nuclear medicine. For information on the next meeting of the Prostate Cancer Working Group, please call 513-558-0983. Dr. James Donovan addresses the Prostate Cancer Working Group. Plastic Surgery Chief Visits Paris to Test Improved Facelift Results John Kitzmiller, M.D., Chief of the Division of Plastic, Reconstructive and Hand Surgery, was in Paris in August with a team from Ethicon Endo- Surgery to study applications of the Harmonic scalpel to reduce recovery after facelifts. Dr. John Kitzmiller (far right) with Australian plastic surgeon Dr. Andrew Greensmith and assisting nurse in Paris.
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UC Surgeon-Scientist Receives $1.5 Million Grant to Study Heart ...

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